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Burnout, depression, and medication errors among family physicians.

Dina Fawzy Abd Elsadek1, Amira B Kassem2, Fayek ElKhwsky3

  • 1Department of Biomedical Informatics and Medical Statistics, Medical Research Institute, Alexandria University, Alexandria, Egypt. mri.dina.m.informatics19@alexu.edu.eg.

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PubMed
Summary

Physician burnout and depression are common in primary care, yet this study found no significant link between these conditions and prescribing errors. Other factors like physician demographics and setting influence error rates, not burnout.

Keywords:
BurnoutDepressionMedication errorPhysiciansPrescribing errors

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Area of Science:

  • Medical Research
  • Healthcare Management
  • Patient Safety

Background:

  • Physician burnout is a global healthcare concern impacting well-being and patient care.
  • The relationship between physician burnout and medication errors is debated, with conflicting results from self-reported versus objective measures.
  • Understanding burnout's impact on prescribing accuracy is crucial for patient safety.

Purpose of the Study:

  • To investigate the prevalence of physician burnout and its association with prescribing errors in ambulatory care settings.
  • To identify risk factors for prescribing errors in primary healthcare.

Main Methods:

  • A cross-sectional study involving 118 physicians across 25 primary healthcare centers in Alexandria, Egypt.
  • Burnout and depression screened using the Professional Fulfillment Index and Patient Health Questionnaire-9.
  • Prescribing errors objectively assessed by clinical pharmacists reviewing 50 prescriptions per physician for suitability and process errors.

Main Results:

  • High prevalence of burnout (42.39%), depression (42.93%), and low professional fulfillment (89.13%) among physicians.
  • A significant rate of prescribing errors (46.34%) was detected, with common types including dosage issues and incomplete information.
  • No statistically significant association found between physician burnout, depression, or fulfillment and the occurrence of prescribing errors.

Conclusions:

  • Prescribing errors are common in primary care but not significantly linked to physician burnout or depression.
  • Physician demographics (male, consultant) and work setting (rural) were associated with higher error rates.
  • Further research and targeted interventions are needed to address physician burnout and its complex relationship with patient safety.