Author(s) | Medical Errors (ME) | Quality of Care (QoC) | Communication/Attitudes |
---|---|---|---|
Beckman et al. (2012) [26] USA | Multivariate analysis outcome: Desirability as a physician (95% CI): Burnout Yes/No: Beta: 0.063 (−0.20, 0.08), p = 0.38 MBI-DP: Beta: −0.0006 (−0.01, 0.01), p = 0.93 MBI-EE: Beta: −0.0028 (−0.01, 0.004), p = 0.43 MBI-PA: Beta: −0.0032 (−0.01, 0.01), p = 0.47 | Multivariate analysis outcome: Effective Communication (95% CI): Burnout Yes/No: Beta: 0.3046 (0.10, 0.51), p < 0.01 MBI-DP: Beta: 0.0239 (0.0066, 0.0412), p < 0.01 MBI-EE: Beta: 0.0090 (0.0004, 0.0177), p = 0.05 MBI-PA: Beta: 0.0020 (−0.01, 0.02), p = 0.81 | |
Block et al. (2013) [30] USA | Make errors due to fatigue: High burnout: 88% Medium burnout: 88% Low burnout: 43% Make errors due to workload:* High burnout: 94% Medium burnout: 76% Low burnout: 67% Forget to order med: High burnout: 41% Medium burnout: 18% Low burnout: 14% Forget to convey info:* High burnout: 41% Medium burnout: 35% Low burnout: 14% *Significant difference across tertiles (p < 0.05) | ||
de Oliveira et al. (2013) [31] USA | Significant differences between high burnout risk only vs low burnout for all items: • I make mistakes without negative consequences to my patients • I perform procedures without appropriate training • I make mistakes with negative consequences to my patients • I fall short in the quality of care I provide to my patients • I do not have enough time or attention for my patients • I have made medication errors involving the wrong drug or dose in the last year • I do not monitor the patient in the operating room as closely as I should | ||
Fahrenkopf et al. (2008) [25] USA | Based on chart: Rates of error/resident month: Burnout = 0.45 (0.20, 0.98) No burnout = 0.53 (0.21, 1.33) p = 0.4 Self-report: Made significant medical error due to sleep deprivation: Burnout = 29% No burnout = 10% p = 0.05 Self-report: Mean number of errors over past month: Burnout = 2.3 No burnout = 1.0 p = 0.02 | ||
Passalacqua and Segrin (2012) [28] USA | Correlation between patient-centered communication and burnout: r = −0.52, p < 0.001 Correlation between pre-post empathy decline and burnout: r = 0.28, p < 0.01 | ||
Prins et al. (2009) [32] The Netherlands | Correlation between: Moderate burnout and action/inexperience errors: r = 0.18, p < 0.001 Severe burnout and inaction/inexperience errors: r = 0.10, p < 0.001 Moderate burnout and errors due to lack of time: r = 0.36, p < 0.001 Severe burnout and errors due to lack of time: r = 0.23, p < 0.001 | ||
Shanafelt et al. (2002) [33] USA | Odds Ratio of self-reported suboptimal patient care practiced monthly or weekly (95% CI): Lowest DP reference group 2nd Quintile DP 0.78 (0.19, 3.13), p > 0.20 3rd Quintile DP1.51 (0.45, 5.12), p > 0.20 4th Quintile DP4.00 (1.05, 15.21), p = 0.04 Highest DP 4.96 (1.39, 17.71), p = 0.01 | ||
Toral-Villanueva et al. (2009) [34] Mexico | Odds Ratios of self-reported suboptimal patient care practiced monthly (95% CI): High EE: OR = 5.6 (2.9, 10.8) High DP: OR = 4.4 (2.3, 8.5) Low PA: OR = 2.1 (1.1, 4.0) With burnout: OR = 5.5 (2.7, 11.2), p < 0.001 Odds Ratios of self-reported suboptimal patient care practiced weekly (95% CI): High EE: OR = 8.3 (2.8, 24.3) High DP: OR = 3.3 (1.2, 8.9) With burnout: OR = 5.2 (1.6, 16.3), p = 0.005 | ||
West et al. (2006) [27] USA | Association of burnout with a self-perceived major medical error in the following 3 months (95% CI): Controlling for depression and empathy: DP: OR = 1.10 (1.04, 1.16), p = 0.001 EE: OR = 1.07 (1.03, 1.12), p < 0.001 PA: OR = 0.93 (0.88, 0.99), p = 0.02 | ||
West et al. (2009) [29] USA | Association of burnout with a self-perceived major medical error in the following 3 months (95% CI): Controlling for fatigue: DP: OR = 1.08 (1.04, 1.11), p < 0.001 EE: OR = 1.05 (1.03, 1.07), p < 0.001 PA: OR = 0.95 (0.92, 0.97), p < 0.001 Association of burnout with a self-perceived major medical error in the following 3 months (95% CI): Controlling for sleepiness: DP: OR = 1.05 (0.98, 1.12), p = 0.15 EE: OR = 1.07 (1.03, 1.10), p < 0.001 PA: OR = 0.94 (0.89, 0.99), p = 0.02 |