Safety Watch: Fatigue (v4-1)

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The Center for Patient Safety is issuing this notification regarding:

SAFETY WATCH: Fatigue

The effects of fatigue include:

  • Lapses in attention and inability to remain focuses
  • Confusion
  • Impaired communication
  • Compromised problem solving
  • Memory lapses

ACTIONABLE ITEMS TO MITIGATE RISK

  • Review policies pertaining to off shift hours and consecutive shift work to ensure they address extended work hours
  • Review hand-off processes as they are a time of high patient safety risk
  • Create and implement a fatigue management plan
  • Educate staff on the effects of fatigue on patient safety

THE CULTURE CONNECTION

  • Ask your staff if they have concerns regarding the effect of fatigue on their care
  • Encourage staff to use teamwork strategies such as second/double checking of critical tasks
  • Consider fatigue as a contributing factor to adverse events during the next Patient Safety Huddle/Briefing

RESOURCES

BLOG:

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RESOURCES:

The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.