医生职业倦怠和医疗差错:探讨关系、成本和解决方案。

IF 1 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Chris J Li, Yash B Shah, Erika D Harness, Zachary N Goldberg, David B Nash
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引用次数: 1

摘要

医生职业倦怠已经证明了医疗差错对提供者和患者的风险。本综述旨在综合当前有关职业倦怠及其对质量影响的数据,为有针对性的干预措施提供信息,使提供者和患者受益。系统评价和荟萃分析的首选报告项目使用范围评价方法来确定职业倦怠和医疗差错的定量指标研究。三名独立审稿人进行筛选、研究选择和数据提取。在1096篇鉴定的文章中,有21篇被分析。总体而言,80.9%的受访员工使用马斯拉克职业倦怠量表进行职业倦怠评估。此外,71.4%的人使用自我报告的医疗差错作为主要结局指标。其他结果测量包括观察到的/确定的临床实践错误和用药错误。最终,21项研究中有14项发现了职业倦怠与临床重大失误之间的联系。职业倦怠与医疗差错之间存在显著关联。医师人口统计,包括心理因素、幸福感和培训水平,调节了这种关系。需要更好的度量来量化错误及其对结果的影响。这些发现可能为针对倦怠和改善体验的新干预提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physician Burnout and Medical Errors: Exploring the Relationship, Cost, and Solutions.

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.

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来源期刊
CiteScore
1.90
自引率
7.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The American Journal of Medical Quality (AJMQ) is focused on keeping readers informed of the resources, processes, and perspectives contributing to quality health care services. This peer-reviewed journal presents a forum for the exchange of ideas, strategies, and methods in improving the delivery and management of health care.
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