Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident.
Med Care
; 54(10): 937-43, 2016 10.
Article
em En
| MEDLINE
| ID: mdl-27213542
ABSTRACT
BACKGROUND:
Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the "second victim").OBJECTIVES:
To investigate the prevalence of health care professionals being personally involved in a patient safety incident (PSI), as well as the relationship of involvement and degree of harm with problematic medication use, excessive alcohol consumption, risk of burnout, work-home interference (WHI), and turnover intentions. RESEARCHDESIGN:
Multilevel path analyses were conducted to analyze cross-sectional survey data from 37 Belgian hospitals.SUBJECTS:
A total of 5788 nurses (79.4%) and physicians (20.6%) in 26 acute and 11 psychiatric hospitals were included.MEASURES:
"Involvement in a patient safety incident during the prior 6 months," "degree of harm," and 5 outcomes were measured using self-report scales.RESULTS:
Nine percent of the total sample had been involved in a PSI during the prior 6 months. Involvement in a PSI was related to a greater risk of burnout (ß=0.40, OR=2.07), to problematic medication use (ß=0.33, OR=1.84), to greater WHI (ß=0.24), and to more turnover intentions (ß=0.22). Harm to the patient was a predictor of problematic medication use (ß=0.14, OR=1.56), risk of burnout (ß=0.16, OR=1.62), and WHI (ß=0.19).CONCLUSIONS:
Second victims experience significant negative outcomes in the aftermath of a PSI. An appropriate organizational response should be provided to mitigate the negative effects.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Médicos
/
Esgotamento Profissional
/
Erros Médicos
/
Enfermeiras e Enfermeiros
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Med Care
Ano de publicação:
2016
Tipo de documento:
Article