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Common mental disorders related to incidents and behaviour in physicians

M A de Jong1, K Nieuwenhuijsen1, J K Sluiter1

  • 1Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, 1100 DE Amsterdam, The Netherlands.

Occupational Medicine (Oxford, England)
|September 9, 2016
PubMed
Abstract

Insights

Common mental disorders in physicians, such as burnout and depression, are linked to medical incidents. However, evidence for a connection to unprofessional behavior remains inconsistent.

Area of Science:

  • Medical research
  • Physician well-being
  • Patient safety

Background:

  • Common mental disorders (CMD), including burnout, stress, depression, and anxiety, are widespread among physicians.
  • These conditions may impact physician performance and patient care.

Purpose of the Study:

  • To examine the association between CMD and medical incidents.
  • To investigate the relationship between CMD and unprofessional behavior in hospital physicians.

Main Methods:

  • A systematic literature search was conducted on PubMed for studies published between 2003 and 2013.
  • Included studies focused on CMD, medical incidents, and/or unprofessional behavior in hospital physicians.
  • The strength of evidence was evaluated using a five-level scale.

Main Results:

  • Strong evidence indicates a significant association between burnout and medical incidents (OR 1.07-5.5).
  • Significant positive associations were found between depression and medical incidents (OR 2.21-3.29), fatigue and medical incidents (OR 1.37), and sleepiness and medical incidents (OR 1.10-1.37).
  • Inconsistent evidence exists for the association between burnout and unprofessional behavior; no significant associations were found for unprofessional behavior with depression, fatigue, or sleepiness.

Conclusions:

  • Common mental disorders in hospital physicians are associated with self-reported medical incidents.
  • The evidence linking CMD to unprofessional behavior in physicians is inconsistent.
Keywords:
Burnoutdepressionfatiguemedical errorphysicianresident.

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