Physician Burnout and Medical Errors: Exploring the Relationship, Cost, and Solutions.
| Autor: | Li CJ; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA., Shah YB; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA., Harness ED; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA., Goldberg ZN; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.; Jefferson College of Population Health, Philadelphia, PA., Nash DB; Jefferson College of Population Health, Philadelphia, PA. |
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| Jazyk: | angličtina |
| Zdroj: | American journal of medical quality : the official journal of the American College of Medical Quality [Am J Med Qual] 2023 Jul-Aug 01; Vol. 38 (4), pp. 196-202. Date of Electronic Publication: 2023 Jun 29. |
| DOI: | 10.1097/JMQ.0000000000000131 |
| Abstrakt: | Physician burnout has demonstrated risks to providers and patients through medical errors. This review aims to synthesize current data surrounding burnout and its impacts on quality to inform targeted interventions that benefit providers and patients. Preferred Reporting Items for Systematic Reviews and Meta-Analyses scoping review methodology was utilized to identify studies of quantitative metrics for burnout and medical errors. Three independent reviewers conducted screening, study selection, and data extraction. Of 1096 identified articles, 21 were analyzed. Overall, 80.9% used the Maslach Burnout Inventory to evaluate for burnout. Moreover, 71.4% used self-reported medical errors as their primary outcome measure. Other outcome measures included observed/identified clinical practice errors and medication errors. Ultimately, 14 of 21 studies found links between burnout and clinically significant errors. Significant associations exist between burnout and medical errors. Physician demographics, including psychological factors, well-being, and training level, modulate this relationship. Better metrics are necessary to quantify errors and their impacts on outcomes. These findings may inform novel interventions that target burnout and improve experiences. (Copyright © 2023 the American College of Medical Quality.) |
| Databáze: | MEDLINE |
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