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Article

Individual Circadian Preference, Shift Work, and Risk of Medication Errors: A Cross-Sectional Web Survey among Italian Midwives

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Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
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Obstetrics and Gynecology Unit, Azienda Ospedaliero-Universitaria S. Anna, 44121 Ferrara, Italy
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Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14071 Córdoba, Spain
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Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy
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Clinica Medica Unit, Azienda Ospedaliero-Universitaria S. Anna, 44121 Ferrara, Italy
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Department of Nursing Pharmacology and Physiotherapy, University of Córdoba, 14071 Córdoba, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(16), 5810; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165810
Received: 27 July 2020 / Revised: 6 August 2020 / Accepted: 7 August 2020 / Published: 11 August 2020
(This article belongs to the Special Issue Nursing and Society)
Background: In order to explore the possible association between chronotype and risk of medication errors and chronotype in Italian midwives, we conducted a web-based survey. The questionnaire comprised three main components: (1) demographic information, previous working experience, actual working schedule; (2) individual chronotype, either calculated by Morningness–Eveningness Questionnaire (MEQ); (3) self-perception of risk of medication error. Results: Midwives (n = 401) responded “yes, at least once” to the question dealing with self-perception of risk of medication error in 48.1% of cases. Cluster analysis showed that perception of risk of medication errors was associated with class of age 31–35 years, shift work schedule, working experience 6–10 years, and Intermediate-type MEQ score. Conclusions: Perception of the risk of medication errors is present in near one out of two midwives in Italy. In particular, younger midwives with lower working experience, engaged in shift work, and belonging to an Intermediate chronotype, seem to be at higher risk of potential medication error. Since early morning hours seem to represent highest risk frame for female healthcare workers, shift work is not always aligned with individual circadian preference. Assessment of chronotype could represent a method to identify healthcare personnel at higher risk of circadian disruption. View Full-Text
Keywords: circadian rhythm; chronotype; midwives; Morningness–Eveningness Questionnaire (MEQ); near misses; nurses; rhythms desynchronization; risk of medication errors; shift work; sleep circadian rhythm; chronotype; midwives; Morningness–Eveningness Questionnaire (MEQ); near misses; nurses; rhythms desynchronization; risk of medication errors; shift work; sleep
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MDPI and ACS Style

Cappadona, R.; Di Simone, E.; De Giorgi, A.; Boari, B.; Di Muzio, M.; Greco, P.; Manfredini, R.; Rodríguez-Borrego, M.A.; Fabbian, F.; López-Soto, P.J. Individual Circadian Preference, Shift Work, and Risk of Medication Errors: A Cross-Sectional Web Survey among Italian Midwives. Int. J. Environ. Res. Public Health 2020, 17, 5810. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165810

AMA Style

Cappadona R, Di Simone E, De Giorgi A, Boari B, Di Muzio M, Greco P, Manfredini R, Rodríguez-Borrego MA, Fabbian F, López-Soto PJ. Individual Circadian Preference, Shift Work, and Risk of Medication Errors: A Cross-Sectional Web Survey among Italian Midwives. International Journal of Environmental Research and Public Health. 2020; 17(16):5810. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165810

Chicago/Turabian Style

Cappadona, Rosaria, Emanuele Di Simone, Alfredo De Giorgi, Benedetta Boari, Marco Di Muzio, Pantaleo Greco, Roberto Manfredini, María A. Rodríguez-Borrego, Fabio Fabbian, and Pablo J. López-Soto 2020. "Individual Circadian Preference, Shift Work, and Risk of Medication Errors: A Cross-Sectional Web Survey among Italian Midwives" International Journal of Environmental Research and Public Health 17, no. 16: 5810. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165810

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