Skip to main content

Table 2 Quality of Care Outcomes

From: The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review

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