Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis
| Autor: | Italla Maria Pinheiro Bezerra, Cíntia de Lima Garcia, Jaçamar Aldenora dos Santos, Luiz Carlos de Abreu, Caroline Feitosa Dibai de Castro, José Lucas Souza Ramos, Fabiana Rosa Neves Smiderle |
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| Rok vydání: | 2019 |
| Předmět: |
Medicine (General)
Safety Management Health Personnel health care facilities manpower and services media_common.quotation_subject education MEDLINE Organizational culture Review Burnout Workflow 03 medical and health sciences Interpersonal relationship Patient safety R5-920 0302 clinical medicine Nursing health services administration Humans Medicine 030212 general & internal medicine Burnout Professional media_common Teamwork organizational culture 030504 nursing business.industry Workload General Medicine Meta-analysis burnout professional safety 0305 other medical science business psychological phenomena and processes |
| Zdroj: | Medicina Medicina, Vol 55, Iss 9, p 553 (2019) |
| ISSN: | 1648-9144 |
| DOI: | 10.3390/medicina55090553 |
| Popis: | Background and Objectives: Several factors can compromise patient safety, such as ineffective teamwork, failed organizational processes, and the physical and psychological overload of health professionals. Studies about associations between burn out and patient safety have shown different outcomes. Objective: To analyze the relationship between burnout and patient safety. Materials and Methods: A systematic review with a meta-analysis performed using PubMed and Web of Science databases during January 2018. Two searches were conducted with the following descriptors: (i) patient safety AND burnout professional safety AND organizational culture, and (ii) patient safety AND burnout professional safety AND safety management. Results: Twenty-one studies were analyzed, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses, and it is associated with external factors such as: high workload, long journeys, and ineffective interpersonal relationships. Good patient safety practices are influenced by organized workflows that generate autonomy for health professionals. Through meta-analysis, we found a relationship between the development of burnout and patient safety actions with a probability of superiority of 66.4%. Conclusion: There is a relationship between high levels of burnout and worsening patient safety. |
| Databáze: | OpenAIRE |
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