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Burnout and medical errors among American surgeons
Tait D Shanafelt1, Charles M Balch, Gerald Bechamps
1Department of Internal Medicine, Division of Hematology, Mayo Clinic, Rochester, MN 55905, USA. shanafelt.tait@mayo.edu
Annals of Surgery
|November 26, 2009
Summary
Surgeon burnout significantly increases the likelihood of major medical errors. Addressing surgeon distress and supporting them after errors are crucial for patient safety.
Area of Science:
- Medical quality and safety
- Surgical practice
- Occupational health
Background:
- Physician medical errors contribute to patient morbidity and mortality.
- Despite patient safety initiatives, medical errors persist.
Purpose of the Study:
- To investigate the association between surgeon burnout and self-reported major medical errors.
- To explore the impact of burnout domains on error reporting.
Main Methods:
- Anonymous cross-sectional survey distributed to American College of Surgeons members.
- Utilized validated tools for assessing depression, burnout, and quality of life (QOL).
- Collected self-reported data on major medical errors within the past three months.
Main Results:
- 8.9% of surgeons reported a major medical error in the preceding 3 months.
- Burnout (emotional exhaustion, depersonalization, personal accomplishment) and depression symptoms were strongly linked to error reporting.
- Increased depersonalization and emotional exhaustion were significant predictors of reporting errors.
Conclusions:
- Surgeon burnout and diminished mental quality of life are significantly associated with major medical errors.
- Further research is needed to develop strategies for reducing surgeon distress and supporting those who commit errors.
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