, Volume 185, Issue 4, pp 203–209

The Impact of Housestaff Fatigue on Occupational and Patient Safety

  • Scot A. Mountain
  • Bradley S. Quon
  • Peter Dodek
  • Robert Sharpe
  • Najib T. Ayas
State of the Art Review


Extended-duration work shifts (i.e., greater than 24 hours) for housestaff are a long-standing tradition. However, the resultant sleep deprivation and fatigue caused by these extreme work schedules pose potential threats to both physician and patient safety. We believe it is critical to understand the potential adverse consequences of housestaff fatigue to optimize shift schedules and reduce risks to both staff and patients.


Resident work hours Sleep deprivation Fatigue Medical error Education medical graduate 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Scot A. Mountain
    • 1
  • Bradley S. Quon
    • 1
  • Peter Dodek
    • 1
    • 3
    • 4
  • Robert Sharpe
    • 3
  • Najib T. Ayas
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.The Department of Medicine University of British ColumbiaVancouverCanada
  2. 2.The Sleep Disorders Program, University of British Columbia; Respiratory Division, Vancouver General Hospital; and Centre for Clinical Epidemiology and EvaluationVancouver Coastal Health Research InstituteVancouverCanada
  3. 3.Program in Critical Care MedicineProvidence HealthcareBritish ColumbiaCanada
  4. 4.Center for Health Evaluation and Outcome SciencesProvidence HealthcareBritish ColumbiaCanada
  5. 5.Respiratory MedicineGordon and Leslie Diamond Health Care CentreVancouverCanada

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