The Prevalence of Burnout and Depression and Their Association with Adherence to Safety and Practice Standards

Oliveira, Gildàsio S. De; Chang, Ray; Fitzgerald, Paul C.; Almeida, Marcela; Castro-Alves, Lucas Santana; Ahmad, Shireen; McCarthy, Robert J.

doi:10.1213/ane.0b013e3182917da9

Cited by 268 publications

(242 citation statements)

References 41 publications

Supporting

Mentioning

217

Contrasting

Unclassified

Order By: Relevance

“…12 Most studies evaluating health care professional burnout and quality of care have found an inverse relationship, 13–19 although this finding has not been universal. 20–22 Poor physician well-being in other domains (eg, fatigue, depression, poor quality of life) has been linked to reduced patient safety in many, 16,18,22,23 but not all, 21,24 studies. Most reports have been cross-sectional observational studies, and a nuanced understanding of the potentially bidirectional connection between physician well-being and patient safety remains in its infancy.…”

mentioning

confidence: 99%

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

Tawfik¹,

Profit²,

Morgenthaler³

et al. 2018

Mayo Clinic Proceedings

460

341

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

mentioning

confidence: 99%

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

Tawfik¹,

Profit²,

Morgenthaler³

et al. 2018

Mayo Clinic Proceedings

460

341

View full text Add to dashboard Cite

show abstract

“…Some studies have investigated increased risk of medical errors or lack of adherence to practice standards among physicians with burnout, however the impact on patients was not considered. 26,27 To our knowledge, only one study tried to provide a link between staff burnout and patient safety: in their large prospective multicenter study, Garrouste-Orgeas et al…”

Section: Discussionmentioning

confidence: 99%

Effect of emergency physician burnout on patient waiting times

et al. 2017

View full text Add to dashboard Cite

Objectives: Burnout is common amongst emergency physicians. This syndrome may negatively affect patient care and alter work productivity. We seek to assess whether burnout of emergency physicians impacts waiting times in the emergency department. Methods:Prospective study in an academic ED. All patients that visited the main ED for a four month period in 2016 were included. Target waiting times are assigned by triage nurse to patients on arrival depending on their severity. The primary endpoint was an exceeded target waiting time for ED patients. All emergency physicians were surveyed by a psychologist to assess their level of burnout using the Maslach Burnout Inventory. We defined the level of burnout of the day in the ED as the mean burnout level of the physicians working that day (8:30 to the 8:30 the next day). A logistic regression model was performed to assess whether burnout level of the day was independently associated with prolonged waiting times, along with previously reported predictors.Results: Target waiting time was exceeded in 7,524 patients (59%). Twenty six emergency physicians were surveyed. Median burnout score was 35 (Interquartile [24-49]). A burnout level of the day higher than 35 was independently associated with an exceeded target waiting time (adjusted odds ratio 1.54, 95% confidence interval 1.39 to 1.70), together with previously reported predictors (i.e. day of the week, time of the day, trauma, age and daily census).

show abstract

“…Residency training is considered a stressful period since it involves long working hours, sleep deprivation, and great responsibility for the lives of others, and therefore some stress seems inevitable (Thomas, 2004). Accordingly, burnout syndrome in medical residents has received increased attention in recent years, given its prevalence among these professionals and serious damages and disruptions associated with it (Doolittle & Windish, 2015;Jennings & Slavin, 2015;Lebensohn et al, 2013;Oliveira Júnior et al, 2013;Pereira-Lima & Loureiro, 2015;Thomas, 2004;West, Shanafelt, & Kolars, 2011).…”

mentioning

confidence: 99%

“…Burnout syndrome in medical residents has been associated with many negative impacts on them and on their patients, such as self-reporting of medical errors (Oliveira Júnior et al, 2013;Prins et al, 2009;West, Tan, Habermann, Sloan, & Shanafelt, 2009); deterioration in the quality of patient care (Shanafelt, Bradley, Wipf, & Back, 2002); suicidal ideation (Dyrbye & Shanafelt, 2016;van der Heijden, Dillingh, Bakker, & Prins, 2008), and mental health problems (Dyrbye & Shanafelt, 2016;Mariños, Otero, Málaga, & Tomateo, 2011;Oliveira Júnior et al, 2013;Pereira-Lima & Loureiro, 2015).…”

mentioning

confidence: 99%

Associations between social skills and burnout dimensions in medical residents

Pereira-Lima

Loureiro

2017

Estud. psicol. (Campinas)

View full text Add to dashboard Cite

Medical residency has been considered a stressful, overwhelming period, which can contribute to the development of burnout syndrome. Given the importance of interpersonal interactions for the professional practice of medicine, studies addressing protective factors against burnout focusing on social skills are needed. The objective of the present study was to investigate the associations between social skills and burnout dimensions in medical residents. A total of 305 residents were evaluated using the Inventário de Habilidades Sociais (Social Skills Inventory) and the Inventário da Síndrome de Burnout (Burnout Syndrome Inventory). Significant associations were found between all social skills factors and at least one burnout dimension; odds ratio results indicated a protective relationship, in which the residents with an elaborate repertoire of social skills were less likely to have indicators of burnout. Considering the fact that social skills can be learned, these results can contribute to the introduction of preventive measures.

show abstract

The Prevalence of Burnout and Depression and Their Association with Adherence to Safety and Practice Standards

Abstract: Burnout, depression, and suicidal ideation are very prevalent in anesthesiology residents. In addition to effects on the health of anesthesiology trainees, burnout and depression may also affect patient care and safety.

Cited by 268 publications

References 41 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

Effect of emergency physician burnout on patient waiting times

Associations between social skills and burnout dimensions in medical residents

Contact Info

Product

Resources

About