Guiding principles for determining work shift duration and addressing the effects of work shift duration on performance, safety, and health: guidance from the American Academy of Sleep Medicine and the Sleep Research Society.

Fatigue Humans Sleep Sleep Disorders, Circadian Rhythm United States Work Schedule Tolerance Workplace
alertness circadian rhythms mental fatigue occupational medicine policy making productivity shift scheduling sleep homeostasis sleepiness working time arrangements

Journal

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977

Informations de publication

Date de publication:
01 11 2021
Historique:
entrez: 20 10 2021
pubmed: 21 10 2021
medline: 15 12 2021
Statut: ppublish

Résumé

Risks associated with fatigue that accumulates during work shifts have historically been managed through working time arrangements that specify fixed maximum durations of work shifts and minimum durations of time off. By themselves, such arrangements are not sufficient to curb risks to performance, safety, and health caused by misalignment between work schedules and the biological regulation of waking alertness and sleep. Science-based approaches for determining shift duration and mitigating associated risks, while addressing operational needs, require: (1) a recognition of the factors contributing to fatigue and fatigue-related risks; (2) an understanding of evidence-based countermeasures that may reduce fatigue and/or fatigue-related risks; and (3) an informed approach to selecting workplace-specific strategies for managing work hours. We propose a series of guiding principles to assist stakeholders with designing a shift duration decision-making process that effectively balances the need to meet operational demands with the need to manage fatigue-related risks.

Identifiants

DOI: 10.5664/jcsm.9512 PMID: 34666885 PMC: PMC8636361
pubmed: 34666885
doi: 10.5664/jcsm.9512
pmc: PMC8636361
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2283-2306

Informations de copyright

© 2021 American Academy of Sleep Medicine.

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Auteurs

Indira Gurubhagavatula (I)

Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Corporal Michael Crescenz VA Medical Center, Philadelphia, PA, USA.

Laura K Barger (LK)

Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.

Christopher M Barnes (CM)

Department of Management and Organization, Foster School of Business, University of Washington, Seattle, WA, USA.

Mathias Basner (M)

Unit for Experimental Psychiatry, Division of Sleep and Chronobiology, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Diane B Boivin (DB)

Centre for Study and Treatment of Circadian Rhythms, Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Quebec, Canada.

Drew Dawson (D)

Appleton Institute, Central Queensland University, Wayville, SA, Australia.

Christopher L Drake (CL)

Sleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI, USA.

Erin E Flynn-Evans (EE)

Fatigue Countermeasures Laboratory, NASA Ames Research Center, Moffett Field, CA, USA.

Vincent Mysliwiec (V)

STRONG STAR ORU, Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center, San Antonio, TX, USA.

P Daniel Patterson (PD)

Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

Kathryn J Reid (KJ)

Center for Circadian and Sleep Medicine, Department of Neurology, Division of Sleep Medicine, Northwestern University, Chicago, IL, USA.

Charles Samuels (C)

Centre for Sleep and Human Performance, Calgary, Alberta, Canada.

Nita Lewis Shattuck (NL)

Operations Research Department, Naval Postgraduate School, Monterey, CA, USA.

Uzma Kazmi (U)

American Academy of Sleep Medicine, Darien, IL, USA.

Gerard Carandang (G)

American Academy of Sleep Medicine, Darien, IL, USA.

Jonathan L Heald (JL)

Darien, Illinois, USA.

Hans P A Van Dongen (HPA)

Sleep and Performance Research Center, Washington State University, Spokane, WA, USA.
Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Fatigue › Guiding principles for determining work shift...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Guiding principles for determining work shift...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sommeil › Guiding principles for determining work shift...
questionsmedicales.fr › Troubles mentaux › Troubles de la veille et du sommeil › Dyssomnies › Troubles du rythme circadien du sommeil › Guiding principles for determining work shift...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › Guiding principles for determining work shift...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Affectation du personnel et organisation du temps de travail › Tolérance à l'horaire de travail › Guiding principles for determining work shift...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Lieu de travail › Guiding principles for determining work shift...