Relationship of day versus night sleep to physician performance and mood

摘要: Study objective: To document and analyze the quality quantity of emergency physicians' sleep as a function day night shift work, to compare cognitive motor performance mood during shifts. Design: Six physicians were monitored for two 24-hour periods. One period consisted daytime work nocturnal second nighttime work. Setting: The department Stanford University Medical Center homes. Participants: attending physicians. Interventions: Ambulatory polysomnographic recorders continuously gathered EEG, electro-oculogram, electromyograph data throughout each observation period. Physicians filled out hourly ratings completed set tests five times day. Results: had significantly less (496.6 minutes versus 328.5 minutes, P =.02) when sleeping compared with at night. Significant decrements also found. working nights slower intubating mannequin (31.56 seconds 42.2 seconds, =.04) more likely commit errors their progressed ( =.04). in both conditions make simulated triage test toward end shifts =.02). Subjects rated themselves sleepy Conclusion: Attending get are effective performing manual while sleep.