1. Shift Workof Emergency Physicians 急診醫師輪班 Review Articles summarized by sun yaicheng http://decode-medicine.blogspot.com/
2. Problems associated with rotating shift work Chronic fatigue syndrome (up to 80% affected) Chronic sleep disruption and sleep deprivation (average 4.5 hours sleep daily for daytime sleepers working night shifts) Increased rates of depression, mood swings, divorce Increased GI and immune dysfunction, infertility Higher rates of drug and alcohol abuse Chronic hypertension Increased cardiovascular mortality (risk worse than smoking a pack of cigarettes per day) Increased rate of work-related accidents and errors Increased risk of accidents driving to and from work Shift workers in medicine viewing their jobs as extremely stressful
7. 1989年紐約州衛生部門在美國率先開始執行規定,以保障住院醫師有適當的休息時間。 這個規則限定住院醫師 每周工作時間不超過80小時 每次連續工作的時間不超過12小時 每個班之間至少間隔8小時,每周至少有1次24小時連續休息的時間。 違背規定的醫院,可處5萬元美金,甚至喪失評鑑資格。 2003年7月1日起,美國所有的教學醫院開始執行美國畢業生醫學教育鑒定委員會(Accreditation Council for Graduate Medical Education)提出的限制住院醫師工作時間的規定,限定住院醫師一周工作不得超過80小時,而且值班之後必須休息10小時。
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9. Figure 1. Shift length actually worked by emergency physicians Figure 2. Preferred shift length Eight- versus 12-hour shifts: Implications for emergency physicians. Ann Emerg Med May 1994;23:1096-1100