Fatigue and sleep deprivation
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create risk for both the individual health and safety of a doctor and for the quality of care afforded to patients.
The links below address safe working hours and conditions, and provide guidelines for on-call and shift rostering, handover, and the responsible management of stress and fatigue.
AMA Safe Hours = Safe Patients: AMA Safe Hours Audit (2006)
In May 2006, the AMA conducted a nationwide survey of hospital doctors’ working hours to assess the fatigue risks of their current working arrangements. The on-line survey collected data on the hours of work, on-call hours, non-work hours, and sleep time of more than 550 doctors during the audit week. AMA members and non-members were able to participate in the survey.
Best Practice Rostering: Training and Resource Kit (2003)
The AMA and AHA collaborated to develop this Best Practice Rostering Kit, recognising better rostering as one way of reducing risk.
AMA Survey Report on Junior Doctor Health and Wellbeing (2008)
The AMA Survey Report on Junior Doctor Health and Wellbeing presents the findings of the AMA’s survey of the health and wellbeing of 914 junior doctors at the postgraduate year 2 level and above across Australia and New Zealand.
AMA Work-Life Flexibility Survey Report of Findings (2007)
This report summarises the findings of a 2007 survey of junior and senior-salaried public hospital doctors from across Australia. The report provides important information and feedback on public hospital doctors’ access to flexible working and training arrangements and their future aspirations for work-life balance.
AMA Position Statement – It
has been long established that medical officers are at times required to work for extended periods of time in a stressful work environment with inadequate rest and recovery periods. Medical officers are frequently called upon to carry out their duties in a fatigued state due to long periods on-duty with inadequate provision for rest and recovery. This practice exerts a very heavy cost on both the health and work performance of the medical officer. It also exposes the patient to a greater hazard and unnecessarily increases the risk of an adverse medical incident.
Effects of Work Hours on Learning Volumes 1 and 2 (2003)
Taking into account knowledge of fatigue/human performance and learning, what is the impact of extended work hours, sleep-deprivation and fatigue on the hospital-based medical training process?
AMA Safe Hours Self Assessment Tool
To help doctors determine whether they are at risk of fatigue, the AMA has developed an online fatigue assessment tool. Doctors who use the assessment tool will receive an on-line assessment of the fatigue risks of their roster. Doctors who are assessed as being at risk are encouraged to raise this with hospital management.
