Tracking errors related to fatigue?

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  1. Do any of your institutions factor in fatigue as a contributor to errors? If so, can you share what documentation might look like, and HOW they account for this? Thanks!
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    http://allnurses.com/showthread.php?t=712188

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  3. 4 Comments so far...

  4. Asst. Admin
    We have placed it apart of the incident report if they felt fatigue was a factor.
  5. Our incident report forms (and our forms for unplanned extubation) have a section where the nurse can write in "contributing factors" to the incident. If the nurse felt that fatigue was a contributing factor, then that is where he or she would include that information.
    Last edit by Ashley, PICU RN on May 20, '12 : Reason: spelling
  6. For errors, near misses, and injuries we track; length of shift, at what hour in the shift it occurred, number of consecutive days worked prior, amount of time off prior to the workweek in question, and overtime and/or extra shifts worked (either if that shift was extra or if they had worked extra shifts prior to that).
  7. Guide
    we tracked OT hours with staff and agency and tried to find a correlation with med errors and incident reports in general. Result: More errors occured with our own staff on OT. Lesson learned.