The Effect of Shift Structure on Performance: The Role of Fatigue for Paramedics

44 Pages Posted: 4 Oct 2010

See all articles by Tanguy Brachet

Tanguy Brachet

University of Pennsylvania - School of Medicine & CHOP; Charles River Associates (CRA) - Competition Practice

Guy David

University of Pennsylvania - Health Care Systems Department

Reena Duseja

University of California San Francisco

Multiple version iconThere are 2 versions of this paper

Date Written: September 2010

Abstract

The effect of shift structure on worker performance and productivity is an issue of increasing interest to firms and regulatory bodies. Using approximately 742,000 emergency medical incidents attended by 2,400 paramedics in the state of Mississippi, we evaluate the extent to which paramedics' performance towards the end of their shift is impacted by its length. We find evidence that their performance deteriorates towards the end of long shifts, and argue that fatigue is the mediating factor. These findings have implications for workforce organization, calling attention to regulation designed to limit extended work hours.

Suggested Citation

Brachet, Tanguy and David, Guy and Duseja, Reena, The Effect of Shift Structure on Performance: The Role of Fatigue for Paramedics (September 2010). NBER Working Paper No. w16418. Available at SSRN: https://ssrn.com/abstract=1685724

Tanguy Brachet (Contact Author)

University of Pennsylvania - School of Medicine & CHOP ( email )

3535 Market St, Suite 1029
Philadelphia, PA 19104
United States

Charles River Associates (CRA) - Competition Practice ( email )

United States

Guy David

University of Pennsylvania - Health Care Systems Department ( email )

3641 Locust Walk
Colonial Penn Center
Philadelphia, PA 19104-6358
United States

HOME PAGE: http://www.wharton.upenn.edu/faculty/david.html

Reena Duseja

University of California San Francisco ( email )

513 Parnassus Ave
San Francisco, CA 94143
United States

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