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Matthew B. Weinger, MD; Sonia Ancoli-Israel, PhD

JAMA. 2002;287:955-957.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Physicians' ability to provide high-quality care can be adversely affected by many factors,¹ including sleep deprivation. Concerns about the danger of physicians who are sleep deprived and providing care have led state legislatures and academic institutions to try to constrain the work hours of physicians in training (house staff).² Unlike commercial aviation, for example, medicine is an industry in which public safety is directly at risk but does not have mandatory restrictions on work hours. Legislation before the US Congress³ calls for limiting resident work hours to 80 hours per week and no more than 24 hours of continuous work. Shifts of residents working in the emergency department would be limited to 12 hours. The proposed legislation, which includes public disclosure and civil penalties for hospitals that violate the work hour restrictions, does not address extended duty shifts of attending or private practice . . . [Full Text of this Article]

What Is Sleep Deprivation?

Effects of Sleep Deprivation: Laboratory Studies

Effects of Sleep Deprivation: Physicians' Clinical Performance

Conclusions

Author Affiliations: San Diego Center for Patient Safety, Departments of Anesthesiology (Dr Weinger) and Psychiatry (Dr Ancoli-Israel), University of California, San Diego and the Veterans Affairs San Diego Healthcare System.

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