P. Daniel Patterson
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Variations in Sleep, Fatigue, and Difficulty with Concentration Among Emergency Medical Services Clinicians During Shifts of Different Durations Open
We sought to characterize momentary changes in fatigue, sleepiness, and difficulty with concentration during short and long duration shifts worked by emergency medical services (EMS) and fire personnel across the United States. In addition…
Blunted Blood Pressure Dipping During Night Shift Work: Does It Matter? Can We Intervene? Open
Cardiovascular disease (CVD) is the leading cause of adult death in the United States. Numerous studies show that night shift workers face a disproportionately higher risk of CVD compared to non‐shift workers. Despite these data, the scien…
Comparison of 45-min nap versus no-nap during simulated night shift work on endothelial function: a randomized crossover feasibility trial Open
ClinicalTrials.gov (NCT05436951, registered on June 23, 2022).
The effect of a night shift nap on post-night shift performance, sleepiness, mood, and first recovery sleep: A randomized crossover trial Open
OBJECTIVES: This study aimed to test the effect of a 30-minute nap versus a 2-hour nap opportunity taken during a simulated night shift on performance, fatigue, sleepiness, mood, and sleep at the end of shift and during post-night shift re…
Acute Effect of Night Shift Work on Endothelial Function with and without Naps: A Scoping Review Open
We examined the breadth and depth of the current evidence investigating napping/sleeping during night shift work and its impact on non-invasive measures of endothelial function. We used a scoping review study design and searched five datab…
The Emergency Medical Services Sleep Health Study: A cluster-randomized trial Open
While intention-to-treat analyses revealed no differences in sleep quality or fatigue at 3 months, per protocol findings identified select groups of EMS clinician shift workers who may benefit from sleep health education. Our findings may …
Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research Open
Background The public safety sector includes law enforcement officers (LEO), corrections officers (CO), firefighter service (FF), wildland firefighting (WFF), and emergency medical services (EMS), as defined in the National Occupational Re…
2022 Systematic Review of Evidence-Based Guidelines for Prehospital Care Open
Multiple national organizations and federal agencies have promoted the development, implementation, and evaluation of evidence-based guidelines (EBGs) for prehospital care. Previous efforts have identified opportunities to improve the qual…
View article: COVID-19 Vaccine Uptake and Intent Among Emergency Healthcare Workers
COVID-19 Vaccine Uptake and Intent Among Emergency Healthcare Workers Open
Objective: Vaccine hesitancy limits population protection from SARS-CoV (coronavirus disease [COVID-19]). Vaccine hesitancy among healthcare workers (HCW) could put patients and coworkers at risk. Methods: We surveyed 475 emergency departm…
Response to: Emergency Medicine Residents Experience Acute Stress While Working in the Emergency Department Open
Author(s): Janicki, Adam J.; Frisch, Stephanie O.; Patterson, P. Daniel; Brown, Aaron; Frisch, Adam
Emergency Medicine Residents Experience Acute Stress While Working in the Emergency Department Open
EM residents experience acute subjective and physiologic stress while working clinically. HR, HRV, and self-reported stress are feasible indicators to assess the acute stress response during residency training. These findings should be stu…
The Longitudinal Study of Turnover and the Cost of Turnover in Emergency Medical Services Open
Few studies have examined employee turnover and associated costs in emergency medical services (EMS). The purpose of this study was to quantify the mean annual rate of turnover, total median cost of turnover, and median cost per terminatio…
Should public safety shift workers be allowed to nap while on duty? Open
Fatigue and sleep deficiency among public safety personnel are threats to wellness, public and personal safety, and workforce retention. Napping strategies may reduce work‐related fatigue, improve safety and health, yet in some public safe…
Acute Stress Among Emergency Medicine Residents Working in the Emergency Department Open
Author(s): Janicki, Adam; Frisch, Adam; Frisch, Stephanie; Patterson, P. Daniel; Brown, Aaron
Correlation of Admission Variables and a Standardized PA Admission Exam Open
PURPOSE: Candidate selection for physician assistant (PA) education and training is challenged by a lack of standards or guidance.1,2 A standardized exam for PA applicants may guide admissions decisions and predict student success in achie…
Fatigue in Emergency Medical Services Systems Open
This project produced five evidence-based guidelines (EBGs) for fatigue risk management tailored to Emergency Medical Services (EMS) operations using the National Prehospital EBG Model Process and the Grading of Recommendations Assessment,…
Systematic Review Methodology for the Fatigue in Emergency Medical Services Project Open
We describe a protocol for conducting multiple, simultaneous systematic reviews connected to fatigue with the goal of creating an EBG for fatigue risk management in the EMS setting. Our approach may be informative to others challenged with…
Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services Open
Based on a review of the evidence, the panel developed a guideline with 5 recommendations for fatigue risk management in EMS operations.
Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis Open
Reviewed literature indicated that fatigue training improved safety and health outcomes in shift workers. Further research is required to identify the optimal components of fatigue training programs to maximize the beneficial outcomes.
Shorter Versus Longer Shift Durations to Mitigate Fatigue and Fatigue-Related Risks in Emergency Medical Services Personnel and Related Shift Workers: A Systematic Review Open
The quality of existing evidence on the impact of shift duration on fatigue and fatigue-related risks is low or very low. Despite these limitations, this systematic review suggests that for outcomes considered critical or important to EMS …
Absence and Need for Fatigue Risk Management in Emergency Medical Services Open
Fatigue in the Emergency Medical Services (EMS) workplace is widespread. Reports of fatigue-related events that involve ambulance crashes, personnel injury, patient death, and other negative outcom...
Reliability and Validity of Survey Instruments to Measure Work-Related Fatigue in the Emergency Medical Services Setting: A Systematic Review Open
In this systematic review, limited evidence of the reliability and validity of 14 different survey instruments to assess the fatigue and/or sleepiness status of EMS personnel and related shift worker groups was identified.