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      Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses.

      American Journal of Public Health
      Accidents, Occupational, statistics & numerical data, Adult, Aged, Bias (Epidemiology), Circadian Rhythm, Cross-Sectional Studies, Female, Humans, Massachusetts, epidemiology, Medication Errors, Middle Aged, Night Care, manpower, Nursing Staff, Hospital, supply & distribution, Occupational Diseases, etiology, Odds Ratio, Personnel Staffing and Scheduling, standards, Questionnaires, Sleep Disorders, Work Schedule Tolerance

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          Abstract

          A hospital-based survey on shift work, sleep, and accidents was carried out among 635 Massachusetts nurses. In comparison to nurses who worked only day/evening shifts, rotators had more sleep/wake cycle disruption and nodded off more at work. Rotators had twice the odds of nodding off while driving to or from work and twice the odds of a reported accident or error related to sleepiness. Application of circadian principles to the design of hospital work schedules may result in improved health and safety for nurses and patients.

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