Tracking errors related to fatigue?

[meanmaryjean, DNP, RN]

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!

[Esme12, ASN, BSN, RN]

We have placed it apart of the incident report if they felt fatigue was a factor.

[Double-Helix, BSN, RN]

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.

[MunoRN, RN]

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).

[classicdame, MSN, EdD]

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.