Safety, quality & education

The burden of peri-operative work at night as perceived by anaesthesiologists: An international survey

Eur J AnaesthesiolPublished Cross-sectional study

Authors' conclusion

Anaesthesiologists commonly perform perioperative night work without appropriate training, education or support on this specific condition. They perceive current practice as adversely affecting their professional performance and the safety of their patients. They also report significant effects on their own quality of life.

Study context

Population
Anaesthesiologists providing peri-operative care during night shifts; online survey promoted by the European Society of Anaesthesiology and Intensive Care (ESAIC)920 trainees
Participants
5,292 participants
Outcome
Twenty-eight closed questions on night working conditions and perceived impact on patient outcomes and own quality of life
Methodological detailsinternational online survey
  • International online survey

Main finding

As reported in the abstract

Monthly number of night shifts, median [IQR 3-6]
4
Irregular weekly night shift schedule
51%
Centres with no institutional programmes to monitor stress or fatigue
98%
No training or information on performance improvement methods for night work
90%
Sleep deprivation affects professional performance
71%
Fatigue during night work may increase peri-operative risk for patients
74%
Agreed or strongly agreed night work is an additional risk per se for patient safety
81%
Night work affects quality of daily life significantly or extremely
77%

Observational data: associations, not effects.

Original publication

The burden of peri-operative work at night as perceived by anaesthesiologists: An international survey. Eur J Anaesthesiol. Published 18 January 2023. doi:10.1097/eja.0000000000001791

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