Asleep at the Wheel and OR - EBM

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In a message dated 5/7/2005 1:37:44 A.M. Central Standard Time,  
medicb4 at haapis.net writes:

I hope  you are being sarcastic, but falling asleep at the wheel and 
dying on your  way home seriously screws any future patient care pretty  
effectively.



I have heard of patients who have died because of lack of continuity of  
care, as a matter of fact Libby Zion was such a case.  The medical resident  that 
did not Ms Zion, and gave a verbal order used fatigue as her  defense.   
WRONG.    I see problems every month in  Sentinel Event Committee reviews caused 
because of multiple handoffs of the  patient.   Continuity of care.   I have not 
seen a single  case regarding fatigue in the sentinel event process.    
 
I keep hearing about doctors falling asleep and hurting themselves at the  
wheel of a car.   I am aware of such cases after drinking at a social  event, 
but I am really not aware of such a case following a physicians  call.   I am 
not aware of a surgeon falling asleep at the operating  table.   Please we need 
a little EBM here.      Provide the data for the claim made above.   
 
k

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