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Minerva Medicolegale 2013 March;133(1):39-45

language: Italian

Shiftwork maladaptation syndrome and night accidents: state of the art

Delli Carri R. 1, Massimelli M. 2

1 Dirigente Medico Legale INAIL Ivrea, Torino, Italia;
2 Specialista in Medicina Legale e delle Assicurazioni, Torino, Italia


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The management of the risk of accidents in the night-shift workers requires a proper evaluation of both the socio-cultural aspects and the psycho-physiological aspect of every individual through which an outline of shifts appropriate to individual needs must be planned. The productive aspect must be secondary. In its specificity, night work is recognized as “antibiological” and therefore considered a risk factor that has important consequences on the likelihood of injuries. The goal that should be pursued in planning a turn-based system is primarily to avoid the occurrence of health problems, trying to minimize the shift phase of the circadian rhythm in order to better enhance individual performance. Compensatory strategies in the psycho-physical shift need to be planned, as shifts cannot be managed only with a logic of monetary compensation.

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