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ACOG Recommendations: Fatigue and Patient Safety

Obstet Gynecol; ePub 2018 Feb; ACOG, Gregg

The American College of Obstetricians and Gynecologists (ACOG) has issued a committee opinion regarding physician fatigue and patient safety that includes the following recommendations:

  • Physicians at all stages in their careers need to be conscious of the demands placed on them professionally and personally and should balance those demands with rest to avoid excessive fatigue or overcommitment.
  • The medical directors of outpatient units and chairs of hospital departments of obstetrics and gynecology may consider developing call schedules and associated policies that balance the need for continuity of care and the health care providers’ need for rest.
  • With the growing concern about the potential consequences of health care provider fatigue on patient safety, physicians should commit to evaluating the effects that fatigue has on their professional and personal lives and should demonstrate willingness to adjust workloads, work hours, and time commitments to avoid fatigue when caring for patients.


Fatigue and patient safety. ACOG Committee Opinion No. 730. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2018;131:e78–81.