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Contempo Updates
February 27, 2002

Sleep Deprivation and Clinical Performance

Author Affiliations

Author Affiliations: San Diego Center for Patient Safety, Departments of Anesthesiology (Dr Weinger) and Psychiatry (Dr Ancoli-Israel), University of California, San Diego and the Veterans Affairs San Diego Healthcare System.

JAMA. 2002;287(8):955-957. doi:10.1001/jama.287.8.955

Physicians' ability to provide high-quality care can be adversely affected by many factors,1 including sleep deprivation. Concerns about the danger of physicians who are sleep deprived and providing care have led state legislatures and academic institutions to try to constrain the work hours of physicians in training (house staff).2 Unlike commercial aviation, for example, medicine is an industry in which public safety is directly at risk but does not have mandatory restrictions on work hours. Legislation before the US Congress3 calls for limiting resident work hours to 80 hours per week and no more than 24 hours of continuous work. Shifts of residents working in the emergency department would be limited to 12 hours. The proposed legislation, which includes public disclosure and civil penalties for hospitals that violate the work hour restrictions, does not address extended duty shifts of attending or private practice physicians.

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