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  • 标题:Differences in Medical Error Risk among Nurses Working Two- and Three-shift Systems at Teaching Hospitals: A Six-month Prospective Study
  • 本地全文:下载
  • 作者:Katsutoshi TANAKA ; Masaya TAKAHASHI ; Hisanori HIRO
  • 期刊名称:Industrial Health
  • 印刷版ISSN:0019-8366
  • 电子版ISSN:1880-8026
  • 出版年度:2010
  • 卷号:48
  • 期号:3
  • 页码:357-364
  • DOI:10.2486/indhealth.48.357
  • 出版社:National Institute of Occupational Safety and Health
  • 摘要:Shift work, including night work, has been regarded as a risk factor for medical safety. However, few studies have investigated the difference in medical error risk between two- and three-shift systems. A total of 1,506 registered nurses working shifts at teaching hospitals participated in this study to evaluate the difference in medical error risk between two- and three-shift systems. After adjustment for potential confounding factors using a log Poisson generalized estimating equation model, the results showed significantly higher frequencies of perceived adverse events over 6 months in the three-shift than in the two-shift system, with estimated mean numbers of adverse events of 1.05 and 0.74, respectively. Shorter intervals after night shifts and greater frequency of night shifts in three-shift systems, which reduce the recovery time from night shift work, may be linked to increased medical errors by nurses.
  • 关键词:Medical error;Nurse;Three-shift system;Two-shift system;Prospective cohort study
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