FATIGUE IN EMS Fatigue Risk Management Guidelines. Project Overview 2018 by nasemso.org

FATIGUE IN EMS by  nasemso.org

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Fatigue in EMS

Expert Panel | Research Team
Presentations and Handouts
ResourcesSelf-Assessment Tools

Fatigue in EMS Risk Management Guidelines Go Live

(01/11/18) Workplace fatigue is a common complaint among shift workers. Emergency Medical Services (EMS) personnel work shifts and deliver emergent health care to the acutely ill and injured on the roadside, in patients’ homes, and other environments. They must deliver this care while under significant time pressure and stress. Fatigue is a threat that is often overlooked by EMS leadership and personnel as “just part of the job.“

The number of fatigue-related safety incidences involving EMS personnel and their patients is on the rise. Recent research shows that more than half of emergency medical services (EMS) personnel report severe mental and physical fatigue while at work, poor sleep quality, and poor recovery between shifts. Half of EMS personnel obtain less than 6 hours of sleep per day. The industry has a fatigue problem, yet few have developed solutions informed by the evidence or best practice.

NASEMSO has partnered with a team led by University of Pittsburgh School of Medicine scientists to develop new fatigue guidelines published early online in the journal Prehospital Emergency Care. The aim of the guidelines is to mitigate the effects of fatigue with recommendations based on a comprehensive evaluation of the best available evidence related to numerous fatigue mitigation strategies such as using caffeine and napping during shifts. Evidence Based Guidelines for Fatigue Risk Management in Emergency Medical Services are now online, and and all companion materials, including background information, systematic reviews, evidence tables, and expert commentaries are also available.

• NASEMSO Press Release (01/11/18)
• Evidence Based Guidelines for Fatigue Risk Management in Emergency Medical Services(Prehospital Emergency Care)
• All Fatigue Study Related Materials (including a full description of the systematic reviews, evidence tables, and expert commentaries to support the recommendations)
• Fatigue Risk Management in High Risk Environments: A Call to Action (by former National Transportation Safety Board Chairman Deborah Hersman)
• Fatigue Guidelines Infographic
• Fatigue Guidelines Overview

Table of Contents for the Fatigue Supplement in Prehospital Emergency Care

Download Fatigue in EMS Publications Schematic (pdf)

Fatigue Risk Management in High-Risk Environments: A Call To Action Authors: Deborah A. P. Hersman, MS, Emily A. Whitcomb, MPH

Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services: A Step in the Right Direction Toward Better Sleep Health Authors: Daniel J. Buysse, MD

Absence and need for fatigue risk management in Emergency Medical Services Authors: P. Daniel Patterson, PhD, NRP, Christian Martin-Gill, MD, MPH

Systematic Review Methodology for the Fatigue in Emergency Medical Services Project Authors: P. Daniel Patterson, PhD, NRP, J. Stephen Higgins, PhD, Patricia M. Weiss, MLIS, Eddy S. Lang, MDCM, CCFP (EM), Christian Martin-Gill, MD, MPH

Reliability and validity of survey instruments to measure work-related fatigue in the Emergency Medical Services setting: A systematic review Authors: P. Daniel Patterson, PhD, NRP, Matthew D. Weaver, PhD, EMT-P, Anthony Fabio, PhD, Ellen M. Teasley, LAT, ATC, Megan L. Renn, BS, Brett R. Curtis, BS, Margaret E. Matthews, BS, Andrew J. Kroemer, BS, Xiaoshuang Xun, BS, Zhadyra Bizhanova, BS, Patricia M. Weiss, MLIS, Denisse J. Sequeira, BS, Patrick J. Coppler, MSPAS, PA-C, Eddy S. Lang, MDCM, CCFP, (EM), J. Stephen Higgins, PhD

Shorter versus longer shift duration to mitigate fatigue and fatigue related risks in Emergency Medical Services: A systematic review Authors: P. Daniel Patterson, PhD, NRP, Michael S. Runyon, MD, MPH, J. Stephen Higgins, PhD, Matthew D. Weaver, PhD, EMT-P, Ellen M. Teasley, LAT, ATC, Andrew J. Kroemer, BS, Margaret E. Matthews, BS, Brett R. Curtis, BS, Katharyn L. Flickinger, BS, Xiaoshuang Xun, BS, Zhadyra Bizhanova, Patricia M. Weiss, Joseph P. Condle, Megan L. Renn, Denisse Sequeira, Patrick J. Coppler, Eddy S. Lang, Christian Martin-Gill

Systematic review and meta-analysis of the effects of caffeine in fatigued shift workers: Implications for Emergency Medical Services personnel Authors: Jennifer L. Temple, PhD, David Hostler, PhD, EMT-P Christian Martin-Gill, MD, MPH, Charity G. Moore, PhD, Patricia M. Weiss, MLIS, Denisse J. Sequeira, BS, Joseph P. Condle, MS, Eddy S. Lang, MDCM, CCFP (EM), J. Stephen Higgins, PhD, P. Daniel Patterson, PhD, NRP

Effects of napping during shift work on sleepiness and performance in Emergency Medical Services personnel and similar shift workers: A systematic review and meta-analysis Authors: Christian Martin-Gill, MD, MPH, Laura K. Barger, PhD, Charity G. Moore, PhD, J. Stephen Higgins, PhD, Ellen M. Teasley, LAT, ATC, Patricia M. Weiss, MLIS, Joseph P. Condle, MS, Kathryn L. Flickinger, MS, Patrick J. Coppler, MSPAS, PA-C, Denisse J. Sequeira, BS, Ayushi A. Divecha, MPT, Margaret E. Matthews, BS, Eddy S. Lang, MDCM, CCFP (EM), P. Daniel Patterson, PhD, NRP

Effect of fatigue training on safety, fatigue, and sleep in Emergency Medical Services personnel and other shift workers: A systematic review and meta-analysis Authors: Laura K. Barger, PhD, Michael S. Runyon, MD, MPH, Megan L. Renn, BS, Charity G. Moore, PhD, Patricia M. Weiss, MLIS, Joseph P. Condle, MS, Katharyn L. Flickinger, MS, Ayushi A. Divecha, MPT, Patrick J. Coppler, MSPAS, PA-C, Denisse J. Sequeira, BS, Eddy S. Lang, MDCM, CCFP, (EM), J. Stephen Higgins, PhD, P. Daniel Patterson, PhD, NRP

Does implementation of biomathematical models mitigate fatigue and fatigue related risks in Emergency Medical Services operations? A systematic review Authors: Francine O. James, PhD, Lauren B. Waggoner, PhD, Patricia M. Weiss, MLIS, P. Daniel Patterson, PhD, J. Stephen Higgins, PhD, Eddy S. Lang, MDCM, CCFP, (EM), Hans P. Van Dongen, PhD

Effect of task load interventions on fatigue in Emergency Medical Services personnel and other shift workers: A systematic review Authors: Jon R. Studnek, PhD, NRP, Allison Infinger, MSPH, Megan L. Renn, BS, Patricia M. Weiss, MLIS, Joseph P. Condle, MS, Katharyn L. Flickinger, MS, Andrew J. Kroemer, BS, Brett R. Curtis, BS, Xiaoshuang Xun, BS, Ayushi A. Divecha, MPT, Patrick J. Coppler, MSPAS, PA-C, Zhadyra Bizhanova, BS, Denisse J. Sequeira, BS, Eddy S. Lang, MDCM, CCFP (EM), J. Stephen Higgins, PhD, P. Daniel Patterson, PhD, NRP

Evidence-based guidelines for fatigue risk management in Emergency Medical Services Authors: P. Daniel Patterson, PhD, NRP, J. Stephen Higgins, PhD, Hans P. A. Van Dongen, PhD, Daniel J. Buysse, MD, Ronald W. Thackery, JD, Douglas F. Kupas, MD, David S. Becker, MA, EMT-P, Bradley E. Dean, MA, NRP, George H. Lindbeck, MD, Francis X. Guyette, MD, MPH, Josef H. Penner, MBA, John M. Violanti, PhD, Eddy S. Lang, MDCM, CCFP (EM), Christian Martin-Gill, MD, MPH

Proposed performance measures and strategies for implementation of the fatigue risk management guidelines for emergency medical services Authors: Christian Martin-Gill, MD, MPH, J. Stephen Higgins, PhD, Hans P. A. Van Dongen, PhD, Daniel J. Buysse, MD, Ronald W. Thackery, JD, Douglas F. Kupas, MD, David S. Becker, MA, EMT-P, Bradley E. Dean, MA, NRP, George H. Lindbeck, MD, Francis X. Guyette, MD, MPH, Josef H. Penner, MBA, John M. Violanti, PhD, Eddy S. Lang, MDCM, CCFP (EM), P. Daniel Patterson, PhD, NRP

Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services: A significant step forward and a model for other high-risk industries Authors: Hans P. A. Van Dongen, PhD

What an evidence-based guideline for fatigue risk management means for us: Statements from stakeholders Authors: J. Brent Myers, MD, MPH, FACEP, R. Keith Wages, BS, Dennis Rowe, EMT-P, Chris Nollete, EdD, NRP, LP, Michael Touchstone, BS, EMT-P, FACPE, John Sinclair, NREMT-P (Ret), Edward L. Mund, Justin M. Eberly, BS, EMT, John D. Montes, BS, NREMT, Richard J. Sherlock, Laura K. Barger, PhD, Sean P. A. Drummond, PhD, Indira Gurubhagavatula, MD, MPH

Webinar Recording on "Fatigue Risk Guidelines" Now Available

(11/20/17) On Nov. 8, 2017, NASEMSO participated in an online session with Principal Investigator, P. Daniel Patterson, PhD, NRP, on the development of Fatigue Risk Management Guidelines for Emergency Medical Services. Dr. Patterson provided an overview of the methodology and recommendations that are expected to be published in NASEMSO’s official journal, Prehospital Emergency Care, in the near future. The webinar was archived and is now available for viewing here.

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