Fatigue risk management in healthcare: A scoping literature review

Despite growing awareness of the risks associated with occupational fatigue, healthcare systems continue to rely on fragmented, informal, and largely individual approaches to fatigue management. In contrast to other high-risk industries, healthcare has yet to embed fatigue management within formal safety governance structures. Advancing practice in this area requires a shift towards system-level thinking that is supported by organisational leadership, effective fatigue monitoring, and workforce education. Additionally, this shift also demands a cultural reorientation that recognises fatigue as a predictable and manageable safety risk that necessitates organisational accountability rather than individual resilience to prioritise both staff wellbeing and patient safety.