Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study
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Short time between shifts and risk of injury among Danish hospital workers : a register-based cohort study. / Nielsen, Helena B.; Hansen, Åse Marie; Conway, Sadie H.; Dyreborg, Johnny; Hansen, Johnni; Kolstad, Henrik A.; Larsen, Ann D.; Nabe-Nielsen, Kirsten; Pompeii, Lisa A.; Garde, Anne H.
In: Scandinavian Journal of Work, Environment & Health, Vol. 45, No. 2, 2019, p. 166-173.Research output: Contribution to journal › Journal article › peer-review
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TY - JOUR
T1 - Short time between shifts and risk of injury among Danish hospital workers
T2 - a register-based cohort study
AU - Nielsen, Helena B.
AU - Hansen, Åse Marie
AU - Conway, Sadie H.
AU - Dyreborg, Johnny
AU - Hansen, Johnni
AU - Kolstad, Henrik A.
AU - Larsen, Ann D.
AU - Nabe-Nielsen, Kirsten
AU - Pompeii, Lisa A.
AU - Garde, Anne H
PY - 2019
Y1 - 2019
N2 - Objectives Short time between consecutive work shifts (quick returns, ie, ≤11 hours between shifts) is associated with sleepiness and fatigue, both of which have been linked to risk of injury. This paper aims to study quick returns between work shifts and risk of injury among Danish hospital workers. Method The study population included 69 200 employees, primarily working at hospitals, corresponding to 167 726 person years at risk between 2008-2015. Information on working hours was obtained from payroll data in the Danish Working Hour Database and linked, at an individual level, with data on 11 834 injury records identified in the National Patient Register and the Danish Register of Causes of Death. Multivariate Poisson regression models were used to calculate incidence rate ratios (IRR) with 95% confidence intervals (CI). Results Results showed the shorter the time between shifts, the higher the risk of injury. Thus, an elevated risk of injury was observed after quick returns compared with the standard 15-17 hours between shifts (IRR 1.39, 95% CI 1.23-1.58). Furthermore, when assessing the number of days since a quick return, the risk of injury was especially high within the first two days (day 1: IRR 1.39, 95% CI 1.23-1.58; day 2: IRR 1.39, 95% CI 1.21-1.58) following a quick return. Conclusions Our results suggest that quick returns increased the risk of injury, in particular within the first two days following a quick return. These findings point towards avoiding or reducing the number of quick returns in order to lower employees' risk of injury.
AB - Objectives Short time between consecutive work shifts (quick returns, ie, ≤11 hours between shifts) is associated with sleepiness and fatigue, both of which have been linked to risk of injury. This paper aims to study quick returns between work shifts and risk of injury among Danish hospital workers. Method The study population included 69 200 employees, primarily working at hospitals, corresponding to 167 726 person years at risk between 2008-2015. Information on working hours was obtained from payroll data in the Danish Working Hour Database and linked, at an individual level, with data on 11 834 injury records identified in the National Patient Register and the Danish Register of Causes of Death. Multivariate Poisson regression models were used to calculate incidence rate ratios (IRR) with 95% confidence intervals (CI). Results Results showed the shorter the time between shifts, the higher the risk of injury. Thus, an elevated risk of injury was observed after quick returns compared with the standard 15-17 hours between shifts (IRR 1.39, 95% CI 1.23-1.58). Furthermore, when assessing the number of days since a quick return, the risk of injury was especially high within the first two days (day 1: IRR 1.39, 95% CI 1.23-1.58; day 2: IRR 1.39, 95% CI 1.21-1.58) following a quick return. Conclusions Our results suggest that quick returns increased the risk of injury, in particular within the first two days following a quick return. These findings point towards avoiding or reducing the number of quick returns in order to lower employees' risk of injury.
U2 - 10.5271/sjweh.3770
DO - 10.5271/sjweh.3770
M3 - Journal article
C2 - 30264848
VL - 45
SP - 166
EP - 173
JO - Scandinavian Journal of Work, Environment & Health
JF - Scandinavian Journal of Work, Environment & Health
SN - 0355-3140
IS - 2
ER -
ID: 203243085