Could the reason handoffs are so bad be because the person doing the handoff has been working for 16-24 hours straight? I mean in IT i see first hand the notes

Could the reason handoffs are so bad be because the person doing the handoff has been working for 16-24 hours straight? I mean in IT i see first hand the notes left by people on pager duty in the middle of the night, and they differ significantly from the same peoples notes after a restful night of sleep. Has there been any controlling in these studies i see mentioned through this entire thread for sleep deprivation present in people performing the handoffs? If they arent controlling for the amount of rest the people in the handoffs have had in the last 24 hours, im not sure i am willing to put much weight in these studies. >I'd prefer single physicians for 24 hr shifts rather than 2 or 3 handing off to each other per 24 hr shift. But if you came into the ER at 3am and the doctor you get has been working 23 hours, youre still going to need ot be handed off, and now youve received sleep deprivated care in the interim while waiting for a fresh doctor. Sure, for the guy who arrived just as a fresh doctor arrived, it might be beneficial to have them there for 24 hours, but how many new patients are they seeing in hours 12-24?