Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident

Gerven, Eva Van; Elst, Tinne Vander; Vandenbroeck, Sofie; Dierickx, Sigrid; Euwema, Martin; Sermeus, Walter; Witte, Hans De; Godderis, Lode; Vanhaecht, Kris

doi:10.1097/mlr.0000000000000582

Cited by 79 publications

(80 citation statements)

References 31 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Blame-related distress among physicians following adverse patient outcomes, termed second victim syndrome , commonly manifests as depression and suicidality in addition to frustration, anxiety, burnout, and intent to leave medical practice. 58–62 The support systems for second victims remain underdeveloped in many practice settings, and our findings suggest that increased support may be needed for physicians involved in medical errors. 19,58,59 Conversely, depression and suicidality are well described among physicians in general and conceptually likely to affect job performance and predispose toward subsequent errors.…”

Section: Discussionmentioning

confidence: 88%

Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors

Tawfik¹,

Profit²,

Morgenthaler³

et al. 2018

Mayo Clinic Proceedings

496

349

View full text Add to dashboard Cite

Objective: To evaluate physician burnout, well-being, and work unit safety grades in relationship to perceived major medical errors. Participants and Methods: From August 28, 2014, to October 6, 2014, we conducted a population-based survey of US physicians in active practice regarding burnout, fatigue, suicidal ideation, work unit safety grade, and recent medical errors. Multivariate logistic regression and mixed-effects hierarchical models evaluated the associations among burnout, well-being measures, work unit safety grades, and medical errors. Results: Of 6695 responding physicians in active practice, 6586 provided information on the areas of interest: 3574 (54.3%) reported symptoms of burnout, 2163 (32.8%) reported excessive fatigue, and 427 (6.5%) reported recent suicidal ideation, with 255 of 6563 (3.9%) reporting a poor or failing patient safety grade in their primary work area and 691 of 6586 (10.5%) reporting a major medical error in the prior 3 months. Physicians reporting errors were more likely to have symptoms of burnout (77.6% vs 51.5%; P<.001), fatigue (46.6% vs 31.2%; P<.001), and recent suicidal ideation (12.7% vs 5.8%; P<.001). In multivariate modeling, perceived errors were independently more likely to be reported by physicians with burnout (odds ratio [OR], 2.22; 95% CI, 1.79–2.76) or fatigue (OR, 1.38; 95% CI, 1.15–1.65) and those with incrementally worse work unit safety grades (OR, 1.70; 95% CI, 1.36–2.12; OR, 1.92; 95% CI, 1.48–2.49; OR, 3.12; 95% CI, 2.13–4.58; and OR, 4.37; 95% CI, 2.06–9.28 for grades of B, C, D, and F, respectively), adjusted for demographic and clinical characteristics. Conclusion: In this large national study, physician burnout, fatigue, and work unit safety grades were independently associated with major medical errors. Interventions to reduce rates of medical errors must address both physician well-being and work unit safety.

show abstract

Section: Discussionmentioning

confidence: 88%

Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors

Tawfik¹,

Profit²,

Morgenthaler³

et al. 2018

Mayo Clinic Proceedings

496

349

View full text Add to dashboard Cite

show abstract

“…Waterman et al examined survey data from 3171 US and Canadian physicians in internal and family medicine, paediatrics and surgery to understand the impact of errors; while respondents indicated errors had a significant emotional and professional impact and female respondents were found to experience increased distress as compared with males, the authors did not describe the mistakes or patient outcomes and 77% of respondents in the study were male 3. Using survey data from 5788 nurses and physicians, Van Gerven et al found that involvement in an adverse event was associated with an increased risk of burnout, but the study was limited to the inpatient acute care hospital and psychiatric hospital settings, asked only about the prior 6 months and did not contain information on the mistakes themselves; in addition, physicians accounted for only 20.6% of respondents in the study 25. While Wu et al did chartacterise the types of mistakes contributing to the second victim effect as well as the impact on the provider and the patient early on, the study was small, involving 114 house officers, was limited to internal medicine, and only a third of respondents were women 14.…”

Section: Discussionmentioning

confidence: 99%

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM)

et al. 2019

View full text Add to dashboard Cite

BackgroundThe second victim effect is defined as emotional distress experienced by providers involved in mistakes. This study characterises events contributing to the second victim effect among a diverse sample of physician mothers, describes the impact on both provider and patient and seeks to determine the association between experiencing a mistake and burnout.MethodsIn this mixed-methods study, an anonymous, cross-sectional survey was posted to an online network of over 65 000 physician mothers on 17 June 2016. Self-reported involvement in a mistake provided opportunity to describe the error and impact on both provider and patient. Free-text responses were qualitatively coded to identify error types. Hypothesising that making a mistake contributes to burnout, self-reported burnout was examined using a single question. We used logistic regression to estimate the association between involvement in a mistake and burnout, adjusting for practice years, setting and specialty.Results5782 members completed the survey for an estimated response rate of 16.5% based on 34956 active users during the survey period. 2859 respondents reported involvement in a mistake (49%), which was associated with higher reported burnout (p<0.0001). 56% of those reporting a mistake provided descriptions. Qualitative analysis revealed that self-reported treatment errors were more common and diagnostic errors were most often reported to result in greater patient harm. Of those involved in a mistake, 82% reported feelings of guilt; 2.2% reported reducing clinical workload, taking leave or leaving the profession.ConclusionsPhysician mothers involved in errors experience negative outcomes and may be at increased risk for burnout. Additional research should focus on strategies to mitigate burnout associated with the second victim effect, particularly among women physicians and those with family responsibilities.

show abstract

“…However, the complexity of health care and intense workloads negatively impact on the physical and mental health of nurses, such as insomnia and depression (Fiabane, Giorgi, Sguazzin, & Argentero, ; Khamisa, Oldenburg, Peltzer, & Ilic, ; Weigl et al., ). These negative health outcomes decrease the nurses’ work efficiency (Milosevic et al., ) and increase the occurrence of incidents affecting patients’ safety (Van Gerven et al., ). Both physical and mental health mediated the relationship between psychological job demands and sickness absence among nurses (Roelen et al., ).…”

Section: Introductionmentioning

confidence: 99%

Associations of professional quality of life and social support with health in clinical nurses

Yang

Leung

et al. 2017

J Nurs Manag

View full text Add to dashboard Cite

show abstract

Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident

Abstract: Second victims experience significant negative outcomes in the aftermath of a PSI. An appropriate organizational response should be provided to mitigate the negative effects.

Cited by 79 publications

References 31 publications

Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors

Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM)

Associations of professional quality of life and social support with health in clinical nurses

Contact Info

Product

Resources

About