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TITLE:

“EFFECTS OF SLEEP DEPRIVATION DURING ON-CALL ON PHYSICIANS’ MOOD AND ALERTNESS IN A SECONDARY CARE HOSPITAL IN BAHRAIN “

AUTHORS:

Dr. Adel Alsayyad, Abdullah Rebaeh, Abdulrhman Alansari, Amal Mahmoud Abdullah, Bano Loai Alsaleh, Khadija Yusuf Alansari, Lamya Khalid Alsugaih, Mays Nawaf Alharbi, Rema Jamal Alotaibi, Sara Adnan Aldabal

ABSTRACT:

Background: Sleep deprivation is a problem that faces on-call physicians, due to their extended working hours which will affect both the doctors’ and the patients’ health. One of the consequences of Sleep deprivation is medical error. Aim: To determine the effects of sleep deprivation on physicians’ mood and alertness during on-call, and patient’s safety in order to reduce medical errors and injuries among health care workers in Bahrain. Setting: Salmaniya Medical Complex – Bahrain Study design: cross-sectional study Methods and materials: The research was conducted at Salmaniya Medical Complex in Bahrain and the convenience sample was taken from selective departments: Medicine, Surgery, Pediatrics, and Obstetrics. Hundred and seventy-eight of residents and interns were selected randomly. A self-filled questionnaire was used to evaluate the immediate mood state of individual’s pre and post call. Data were entered and analysed using SPSS program version 21. Results: The vast majority of the sample were alert pre-call [93.2%] while the percentage of alertness post-call was significantly reduced [30.8 %]. The post-call total mood was significantly worse than their pre-call mood [33.6%] and [59.9%] respectively. Conclusion: Strong associations were found between alertness, mood disturbance and sleep deprivation during on-call. There was a significant reduction in physician’s alertness and their mood was negatively affected post-call. However, this study has several limitations. The study design, cross-sectional in nature, can only determine association and not causality. Key words: Sleep deprivation, on-call, physician, mood, alertness, Bahrain.

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