Emergency Room Patient Fatigue Analysis

1534 Words7 Pages
Concerns in the area of Emergency Room (ER) physician fatigue are mostly in the areas of patient satisfaction and medical errors, yet many of the concerns regarding quality of care from physicians originate from sleep deprivation. The National Sleep Foundation (NSF) recommends 8 hours of sleep per night for an adult (Malik SW, Kaplan J., 2005). Sleep deprivation can be caused by insufficient sleep or disjointed sleep or both. Adults who get fewer than 5 hours of sleep will show a decline in peak alertness (Carskadon MA, Dement WC, 1982). Fatigue among healthcare professionals is a growing concern. According to Merriam-Webster, fatigue is the state of being very tired: extreme weariness or exhaustion from labor, exertion, or stress (2015).…show more content…
Physicians are held to a standard of safe and proper delivery of care. Physicians are not only expected to deliver effective care but also satisfy patient’s needs. Reducing fatigue may improve patient care and safety as well as improve health care provider’s performance satisfaction and increase communication. Hospitals can lose federal funding for performing poorly on patient satisfaction surveys. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is the first national and publicly reported survey of patients perspective of hospital care. This was due to government involvement by Centers for Medicaid and Medicare Services (CMS). The survey results are public so that hospitals will make strides in improving the quality of care. Medical errors In 2015 the federal agency CMS also rolled out a new 5 star hospital rating system. Many hospitals are not happy stating that the methodologies used may not reflect true and meaningful performance. There are over 3,500 hospitals in the rating system and only 251 U.S. hospitals have a 5 star rating. Even technology and modern medical practices cannot escape sleep deprivation and the medical errors caused by…show more content…
(2005). Sleep deprivation among physicians. BC Medical Journal, 47(4), 176-180. Fatigue. (2015). Merriam-Webster: An Encyclopedia Britannica Company. Retrieved from http://www.merriam-webster.com/dictionary/philosophy Hamer, S., & Collinson, G. (2005). Types of evidence. Achieving Evidence-based Practice: A handbook for practitioners (2nd ed.). Edinburgh: Baillière Tindall Elsevier. Huggard, P., & Nimmo, A. (2013). A systematic review of the measurement of compassion fatigue, vicarious trauma, and secondary traumatic stress in physicians. Australasian Journal of Disaster and Trauma Studies, 1. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999:1-233. Kuhn, G. (2011). Circadian rhythm, shift work, and emergency medicine. Annals of Emergency Medicine, Volume 37(Issue 1), 88-98. doi:doi:10.1067/mem.2001.111571 Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns’ work hours on serious medical errors in intensive care units. N Eng J Med 2004;351:1838-1848. Malik SW, Kaplan J. Sleep deprivation. Prim Care

More about Emergency Room Patient Fatigue Analysis

Open Document