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

Adi Aran, Netanel Wasserteil, Itai Gross, Joseph Mendlovic and Yehuda Pollak

Medical Decision Making, 2017, vol. 37, issue 1, 127-133

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

Keywords: residents; duty hours; sleep; sleep deprivation; decision making; neurocognitive assessment (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:37:y:2017:i:1:p:127-133

DOI: 10.1177/0272989X15626398

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