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Doctors so tired they 'fall asleep at wheel'

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Published Date: 22 March 2007
MANY junior doctors make mistakes due to tiredness even when working schedules designed to give them plenty of rest, according to new research.
A study found that two-thirds of doctors had made an error at some point in their careers due to exhaustion and 42 per cent had done so in the preceding six months.

At the time of the study, the doctors were working 40 or more hours a week on sch
edules designed to cut weekly working hours, give adequate rest breaks and reduce the risk of errors.

But the authors, writing in the journal Occupational and Environmental Medicine, said cutting junior doctors' hours and giving them more rest breaks would not, by itself, reduce tiredness or errors.

The researchers questioned 1,366 junior doctors on work patterns, sleepiness and errors related to tiredness through an anonymous questionnaire.

A quarter (24 per cent) of doctors said that since the start of their career, they had fallen asleep at the wheel of their car while driving home.

Two-thirds (66 per cent) said they had come close to falling asleep at the wheel in the previous year, and one in five said it had happened on at least five occasions.

Each doctor was given a "fatigue risk score" by combining ten different aspects of their work and sleep, such as access to rest and support, in the preceding week.

Almost 30 per cent of them were ranked as "excessively sleepy", and researchers found that they were all twice as likely to be "excessively sleepy" as the general population.

The higher a doctor's fatigue risk score, the higher the chance that they had fallen asleep while driving or made a mistake in the past six months.

According to the European Working Time Directive, UK junior doctors should work no more than 58 hours a week.



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1

alex paterson,

embra 22/03/2007 10:51:47

Yeah,And on the job,Very safe init.

2

Anne,

22/03/2007 11:35:54

58 hours a week?
In the '70s, a weekend on call started at 8.30am on Friday and ended at 6pm on Monday - overtime was paid at a rate of ONE THIRD of an hour's pay (worked out at less than the ward cleaner). No break for sleep could be guaranteed.
That was unsafe. Noone wants to return to what amounted to slave labour.
So, when the government starts to bleat about the pay of consultants and GPs, remember that they're now getting the payback for all their years as junior doctors when they carried the NHS.

3

I'm no really here,

22/03/2007 11:50:35

Wasn't there a report the last few days that said if you were deprived of sleep for more than 29(??) hours it had the same effect as though you were drunk. Not only should they not work, they shouldn't be driving.

There is a "culture" within the Medical, Lawyers and Accountancy, that when you start it is acceptable to be treated by the senior staff as slaves. Why? because that's what happened to them. To them this is an acceptable way to "thin-out". They use the internal combustion engine cycle as an analogy: Intake, Compression, Burn, Exhaust. And if you can't take it, then your are obviously not a good Doctor, Lawyer or Accountant. That, more than any other reason, is why Junior Doctors work long hours - it's a tradition of the trade.

4

Lou,

22/03/2007 12:00:28

I fell asleep in the M8 a few years ago, driving back home after a 36 hour on-call with no rest, and only one 10 minute break for food. Luckily, I was in roadworks therefore travelling very slowly, so all I hit was a cone. Others have been killed or seriously injured. That was back in that dark days of the late 90s. As a consultant, (go on- flame me) we see juniors working less hours. But they are still anti-social hours, with odd shifts, poor eating habits and no real routine. Most juniors are suffering as a result of travelling far and wide for the joy of interviews through the lovely process of MMC/MTAS. And crucially, every one of them is STILL working more than the standard 40 hour week that most people work. Think how tired you/some of your colleagues feel after 36-40 hours. This is a bit of a no-brainer, I'm afraid.

5

Doctor Invincible,

Edinburgh/Kirkcaldy 22/03/2007 19:18:57

"According to the European Working Time Directive, UK junior doctors should work no more than 58 hours a week."

I'm a junior doctor currently working in A&E. This week, I'm working 7x12 hour night shifts, i.e an 84 hour week. This is apparently still legal under the EWTD.

This morning, I fell asleep on the way home. Thankfully I was on the train, so the worst that happened was waking up in Kirkcaldy.


 

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