Improving Doctors' Working Lives

The August edition of the journal Anaesthesia has a great editorial on shift work and EWTD entitled "Shift work, the anaesthetist and Santayana's warning". It is subscription only, but if your hospital or your anaesthetists have a copy, try to read this article. It weighs up the effect of shift working on clinical error, and the "two main areas of concern: gastrointestinal dysfunction and the effects of chronic sleep deprivation".

The article provides a review of the ways in which the negative impact of shifts can be minimised, and the way shift patterns should be designed.
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