{"title":"医生长时间工作与不良事件严重性之间的关系:利用日本国家不良事件报告系统数据进行的横断面研究。","authors":"Yumi Arai, Yuko Kachi, Hiroyuki Hikichi, Kazuhiro Watanabe, Reiko Inoue, Noboru Iwata, Akizumi Tsutsumi","doi":"10.2486/indhealth.2023-0125","DOIUrl":null,"url":null,"abstract":"<p><p>The association between doctors' long working hours and the seriousness of adverse events with high patient impact has not been fully confirmed. Most previous studies were based on work hour regulations using more than 80 hours per week as an indicator of long working hours. We aimed to assess the association using a shorter indicator as the cut-off for long working hours among hospital doctors including senior doctors. This cross-sectional study used 12,245 adverse event reports from the Japan Council for Quality Health Care. We defined long working hours as 55 hours or more in the week before the adverse event and assessed the association with the seriousness of adverse events with high patient impact. The results showed that doctors working 55 or more hours in the preceding week were more likely to be involved in serious adverse events than those working fewer hours (odds ratio (OR) 1.22, 95% confidence interval (CI): 1.12-1.32). This association remained significant after adjusting for all covariates (OR 1.18, 95% CI: 1.08-1.28). Senior doctors were more likely to be involved in serious adverse events. Long working hours among doctors were associated with the seriousness of adverse events.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between long working hours of doctors and the seriousness of adverse events: a cross-sectional study using national adverse event reporting system data in Japan.\",\"authors\":\"Yumi Arai, Yuko Kachi, Hiroyuki Hikichi, Kazuhiro Watanabe, Reiko Inoue, Noboru Iwata, Akizumi Tsutsumi\",\"doi\":\"10.2486/indhealth.2023-0125\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The association between doctors' long working hours and the seriousness of adverse events with high patient impact has not been fully confirmed. Most previous studies were based on work hour regulations using more than 80 hours per week as an indicator of long working hours. We aimed to assess the association using a shorter indicator as the cut-off for long working hours among hospital doctors including senior doctors. This cross-sectional study used 12,245 adverse event reports from the Japan Council for Quality Health Care. We defined long working hours as 55 hours or more in the week before the adverse event and assessed the association with the seriousness of adverse events with high patient impact. The results showed that doctors working 55 or more hours in the preceding week were more likely to be involved in serious adverse events than those working fewer hours (odds ratio (OR) 1.22, 95% confidence interval (CI): 1.12-1.32). This association remained significant after adjusting for all covariates (OR 1.18, 95% CI: 1.08-1.28). Senior doctors were more likely to be involved in serious adverse events. Long working hours among doctors were associated with the seriousness of adverse events.</p>\",\"PeriodicalId\":13531,\"journal\":{\"name\":\"Industrial Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-08-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Industrial Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2486/indhealth.2023-0125\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Industrial Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2486/indhealth.2023-0125","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
医生工作时间长与对患者影响大的不良事件严重性之间的关系尚未得到充分证实。以往的研究大多以工时规定为基础,将每周超过 80 小时作为长时间工作的指标。我们的目的是以更短的指标作为医院医生(包括高级医生)工作时间长的分界线,来评估两者之间的关联。这项横断面研究使用了日本医疗质量委员会(Japan Council for Quality Health Care)的 12,245 份不良事件报告。我们将不良事件发生前一周的工作时间达到或超过 55 小时定义为长时间工作,并评估了长时间工作与严重影响患者的不良事件之间的关联。结果显示,与工作时间较短的医生相比,在前一周工作 55 小时或以上的医生更有可能卷入严重不良事件(几率比(OR)1.22,95% 置信区间(CI):1.12-1.32)。在对所有协变量进行调整后,这种关联性仍然很明显(OR 1.18,95% 置信区间:1.08-1.28)。资深医生更有可能卷入严重不良事件。医生工作时间长与不良事件的严重程度有关。
Association between long working hours of doctors and the seriousness of adverse events: a cross-sectional study using national adverse event reporting system data in Japan.
The association between doctors' long working hours and the seriousness of adverse events with high patient impact has not been fully confirmed. Most previous studies were based on work hour regulations using more than 80 hours per week as an indicator of long working hours. We aimed to assess the association using a shorter indicator as the cut-off for long working hours among hospital doctors including senior doctors. This cross-sectional study used 12,245 adverse event reports from the Japan Council for Quality Health Care. We defined long working hours as 55 hours or more in the week before the adverse event and assessed the association with the seriousness of adverse events with high patient impact. The results showed that doctors working 55 or more hours in the preceding week were more likely to be involved in serious adverse events than those working fewer hours (odds ratio (OR) 1.22, 95% confidence interval (CI): 1.12-1.32). This association remained significant after adjusting for all covariates (OR 1.18, 95% CI: 1.08-1.28). Senior doctors were more likely to be involved in serious adverse events. Long working hours among doctors were associated with the seriousness of adverse events.
期刊介绍:
INDUSTRIAL HEALTH covers all aspects of occupational medicine, ergonomics, industrial hygiene, engineering, safety and policy sciences. The journal helps promote solutions for the control and improvement of working conditions, and for the application of valuable research findings to the actual working environment.