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Medical Decisions of Pediatric Residents Turn Riskier after a 24-Hour Call with No Sleep

Author

Listed:
  • Adi Aran
  • Netanel Wasserteil
  • Itai Gross
  • Joseph Mendlovic
  • Yehuda Pollak

Abstract

Background. Despite a gradual reduction in the workload during residency, 24-hour calls are still an integral part of most training programs. While sleep deprivation increases the risk propensity, the impact on medical risk taking has not been studied. Objective. This study aimed to assess the clinical decision making and psychomotor performance of pediatric residents following a limited nap time during a 24-hour call. Methods. A neurocognitive battery (IntegNeuro) and a medical decision questionnaire were completed by 44 pediatric residents at 2 time points: after a 24-hour call and following 3 nights with no calls (sleep ≥5 hours). To monitor sleep, residents wore actigraphs and completed sleep logs. Results. Nap time during the shift was

Suggested Citation

  • Adi Aran & Netanel Wasserteil & Itai Gross & Joseph Mendlovic & Yehuda Pollak, 2017. "Medical Decisions of Pediatric Residents Turn Riskier after a 24-Hour Call with No Sleep," Medical Decision Making, , vol. 37(1), pages 127-133, January.
    • Handle: RePEc:sae:medema:v:37:y:2017:i:1:p:127-133
    DOI: 10.1177/0272989X15626398
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    Cited by:

    1. Maryam Masoumi & Kamyar Shokraee & Somayeh Mohammadi & Soroush Moradi & Mohammad Bagherzade & Javad Balasi & Abbas Smiley, 2021. "Sleep Duration as the Main Indicator of Self-Rated Wellness and Health among Healthcare Workers Involved in the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-10, December.
    2. Maoz Breuer, Rina & Waitzberg, Ruth & Breuer, Adin & Cram, Peter & Bryndova, Lucie & Williams, Gemma A. & Kasekamp, Kaija & Keskimaki, Ilmo & Tynkkynen, Liina-Kaisa & van Ginneken, Verena & Kovács, Es, 2023. "Work like a Doc: A comparison of regulations on residents' working hours in 14 high-income countries," Health Policy, Elsevier, vol. 130(C).

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