the high cost of fatigue - wmc€¦ · ©national safety council 2010 1 ® © 2017 national safety...

©National Safety Council 2010 1

®

© 2017 National Safety Council

The High Cost of Fatigue

Becky Turpin

Director

National Safety Council

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Who is NSC?

Our Mission:

The National Safety Council eliminates

preventable deaths at work, in homes

and communities, and on the road through leadership, research, education

and advocacy.

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Fatigue impairment

Cost of fatigue

Causes of fatigue

Managing fatigue


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“Fatigue describes the feelings of

tiredness, sleepiness, reduced

energy and increased effort

needed to perform tasks at a

desired level.”

What is fatigue?

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Causes of fatigue

Work or tasks demands

Sleep loss

Circadian rhythm misalignment

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Causes of fatigue

Work or tasks demands

Sleep loss

Circadian rhythm misalignment


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nsc.org/FatigueSurvey

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Why are we not getting

enough sleep?

Untreated sleep disorders

Not prioritizing sleep

Work schedules interfere


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50-70 million people in the U.S.

are living with a sleep disorder

Up to 90% are

undiagnosed and untreated

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Sleep problems costs the U.S.

economy

$410 billion annually

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Obstructive

Sleep Apnea Insomnia

Blocked airway

during sleep-

loud snoring

34% of men,

17% of women

have OSA

Trouble falling or

staying asleep

10% of Americans

have chronic

insomnia


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Obstructive

Sleep Apnea Insomnia

Trouble falling or

staying asleep

Blocked airway

during sleep-

loud snoring

34% of men,

17% of women

have OSA

10% of Americans

have chronic

insomnia

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How do sleep problems

affect the workplace?

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Sleep problems

affect productivity


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decrease in

productivity6%

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decrease in

productivity6%

For an untreated insomniac,

that’s about 11 days a year in

presenteeism

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Sleep deficiency and untreated sleep

disorders costs employers…

$1,700 per employee per year

for missed days of work

$2,500 per employee per year

in productivity loss


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Sleep problems

affect safety

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of

work injuries could be attributed to

sleep problems

13%

In 2014, a meta-analysis showed…

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Workers had <2 hours of

sleep

Three Mile Island Tracy Morgan’s Crash

Meltdown occurred at

4:00am

Trucker was sleep

deprived

Credit: Sleep Health Institute of Brigham and Women’s Hospital – Sleep Matters Initiative

NASA Shuttle Challenger


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NTSB study found…

20% of investigations identified

fatigue as a probable cause,

contributing factor, or a finding

Marcus, J. H., & Rosekind, M. R. (2017). Fatigue in transportation: NTSB

investigations and safety recommendations. Injury prevention, 23(4), 232-238.

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NTSB study found…

Fatigue was a factor in

40% of highway crashes

Marcus, J. H., & Rosekind, M. R. (2017). Fatigue in transportation: NTSB

investigations and safety recommendations. Injury prevention, 23(4), 232-238.

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of fatal crashes involve

a drowsy driver21%

Tefft, B. C. (2014). Prevalence of motor vehicle crashes involving drowsy drivers, United

States, 2009-2013. Washington, DC: AAA Foundation for Traffic Safety.


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Accidents and injuriesare very costly for employers.

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Sleep problems

affect health


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Obstructive

Sleep Apnea is associated with…

Insomniais associated with…

Depression

Hypertension

Mortality

Diabetes

Hypertension

Cardiovascular

disease

Heart attack

Stroke

Mortality

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Obstructive

Sleep Apnea is associated with…

Insomniais associated with…

Depression

Hypertension

Mortality

Diabetes

Hypertension

Cardiovascular

disease

Heart attack

Stroke

Mortality

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Sleep deficiency and untreated sleep

disorders costs employers…

$3,000 per employee per year in

increased health care costs


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An employer with 700

employees can expect to pay

$1 million a year for tired employees

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How much is fatigue costing your

organization?

Visit nsc.org/TiredatWork

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http://www.nsc.org/TiredatWork


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Sleep Health Program is

Education + Screening




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How much is fatigue costing your

organization?


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“When you live and

breathe safety like we do, screening and

treating drivers with sleep apnea is just

the right thing to do.”

- Tom DiSalvi,

- Schneider vice president of safety and loss prevention




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Drivers with untreated OSA

had 5x the crash risk as

those complying with treatment

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Treated OSA Untreated OSA5x crash risk

70 preventable

crashes

14 preventable

crashes


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OSA treatment resulted in a 73%

reduction in preventable crashes

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OSA treatment resulted 47.8%

reduction in per member per month

(PMPM) health care spending

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Cost of crashes

Health care expenditures


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Fatigue can be managed at

home, and in the workplace

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nsc.org/fatiguekit


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Best practices in shift scheduling

Rotation

• Forward rotate shifts

• Ex: day-afternoon-night

• Slowly rotate shifts

• Ex: 2 weeks on days, 2 weeks

on night

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Rotation

• Forward rotate shifts

• Ex: day-afternoon-night

• Slowly rotate shifts

• Ex: 2 weeks on days, 2 weeks

on night

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Shift returns

Provide at least

10 hours off between shifts, but 12 is optimal


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Night shifts

• Allow 30 minute naps

• End shift at set time

• Limit consecutive shifts

• No more than 4 night shifts in

a row

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Night shifts





a row

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Night shifts





a row


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Night shifts





a row

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nsc.org/fatiguekit

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NSC Fatigue Initiative

Where have we been

and where are we going?


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NSC Fatigue InitiativeResources available

nsc.org/fatiguekit

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NSC.org/TiredatWorkReport

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NSC Fatigue Initiative

Where are we going?


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Policies, practices,

programs and

procedures that

incorporates fatigue risk

management into an

existing safety system.

FRMS

Fatigue risk

management

systems

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nsc.org/Fatigue

nsc.org/TiredatWork

Questions?

[email protected]

the high cost of fatigue - wmc€¦ · ©national safety council 2010 1 ® © 2017 national safety...

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