Association of resident fatigue and distress with perceived medical errors.

Colin P. West; Angelina D. Tan; Thomas M. Habermann; Jeff A. Sloan; Tait D. Shanafelt

Study

Association of resident fatigue and distress with perceived medical errors.

September 30, 2009

West CP, Tan AD, Habermann TM, et al. JAMA. 2009;302(12):1294-300.

View more articles from the same authors.

In this longitudinal survey of residents in a single internal medicine training program, residents who reported higher levels of burnout or psychological distress were more likely to report committing serious medical errors.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.

September 6, 2006

Burnout and satisfaction with work-life balance among US physicians relative to the general US population.

September 12, 2012

Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014.

January 13, 2016

Addressing physician burnout: the way forward.

February 22, 2017

Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years of the COVID-19 pandemic.

October 26, 2022

Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout.

June 1, 2022

Physician task load and the risk of burnout among US physicians in a national survey.

December 2, 2020

Impact of organizational leadership on physician burnout and satisfaction.

February 3, 2016

Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.

July 18, 2018

Burnout and medical errors among American surgeons.

December 9, 2009

Charter on Physician Well-being.

April 11, 2018

Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.

April 29, 2009

Special report: suicidal ideation among American surgeons.

February 2, 2011

An organizational framework to reduce professional burnout and bring back joy in practice.

May 17, 2017

The business case for investing in physician well-being.

October 18, 2017

Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic.

April 29, 2020

Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout.

December 7, 2016

Work–life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis.

October 24, 2018

Estimating the attributable cost of physician burnout in the United States.

June 5, 2019

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

January 4, 2006

Association of physician burnout with suicidal ideation and medical errors.

January 27, 2021

Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout.

April 26, 2017

Nursing resources and patient outcomes in intensive care: a systematic review of the literature.

November 14, 2007

A prospective study of suicide screening tools and their association with near-term adverse events in the ED.

September 30, 2015

Health care providers’ negative implicit attitudes and stereotypes of American Indians.

March 31, 2021

Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers.

October 4, 2023

Reducing retained foreign objects in the operating room: a quality improvement initiative.

December 20, 2023

Nurses' and patients' appraisals show patient safety in hospitals remains a concern.

November 21, 2018

Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction.

January 25, 2023

Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps.

December 6, 2023

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York.

February 27, 2008

What near misses tell us about risk and safety in mental health care.

November 30, 2011

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.

November 26, 2014

Nurse staffing, burnout, and health care-associated infection.

August 15, 2012

The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

June 16, 2010

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program.

September 14, 2011

Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.

June 22, 2016

Noise levels in Johns Hopkins Hospital.

December 21, 2005

Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study.

November 28, 2018

Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians.

September 26, 2018

Patients' concerns about medical errors during hospitalization.

January 3, 2007

Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.

January 13, 2021

Near misses: paradoxical realities in everyday clinical practice.

February 11, 2009

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.

November 6, 2013

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.

August 5, 2020

Patient concerns about medical errors in emergency departments.

March 6, 2005

Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals.

June 2, 2021

Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests.

December 9, 2020

Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures.

February 6, 2008

Measuring team performance in healthcare: review of research and implications for patient safety.

June 25, 2008

A framework for engaging physicians in quality and safety.

August 24, 2011

Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.

December 5, 2018

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.

August 14, 2019

The mixed blessings of smart infusion devices and health care IT.

October 8, 2014

An educational and audit tool to reduce prescribing error in intensive care.

October 29, 2008

Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments.

January 25, 2012

Debriefing after critical incidents for anaesthetic trainees.

January 25, 2006

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study.

September 14, 2016

Impact of nursing on hospital patient mortality: a focused review and related policy implications.

February 22, 2006

Patient perceptions of mistakes in ambulatory care.

September 22, 2010

Variation in caregiver perceptions of teamwork climate in labor and delivery units.

July 5, 2006

Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.

May 4, 2022

Staffing matters—every shift.

December 12, 2012

Use of the common gas outlet for supplementary oxygen during Caesarean section.

December 7, 2005

Clinical impact associated with corrected results in clinical microbiology testing.

June 22, 2005

The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction.

April 23, 2012

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events.

February 15, 2006

Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement.

December 8, 2010

Nursing crew resource management: a follow-up report from the Veterans Health Administration.

March 13, 2013

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative.

February 8, 2006

Economic impact of medication error: a systematic review.

May 17, 2017

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

June 22, 2011

Surgical never events in the United States.

January 9, 2013

Team working in intensive care: current evidence and future endeavors.

September 15, 2010

Cluster randomized trial to evaluate the impact of team training on surgical outcomes.

October 5, 2016

Supplemental nurse staffing in hospitals and quality of care.

August 29, 2007

Improving patient safety and optimizing nursing teamwork using crew resource management techniques.

March 14, 2012

Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review.

May 25, 2016

The World Health Organization '5 moments of hand hygiene': the scientific foundation.

May 23, 2012

Race differences in reported harmful patient safety events in healthcare system high reliability organizations.

January 23, 2019

Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.

February 18, 2015

What is an ethically informed approach to managing patient safety risk during discharge planning?

January 20, 2020

Surgical 'never events': how common are adverse occurrences?

May 24, 2006

Regret among primary care physicians: a survey of diagnostic decisions.

April 15, 2020

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.

April 17, 2024

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

February 17, 2010

Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery.

April 3, 2005

A contemporary analysis of closed claims related to wrong site surgery.

March 29, 2023

Farewell to a cancer that never was.

May 31, 2017

Chronic hospital nurse understaffing meets COVID-19: an observational study.

September 9, 2020

Safer out of hours primary care.

July 7, 2010

Medical malpractice lawsuits involving surgical residents.

September 20, 2017

Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.

December 21, 2005

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

April 21, 2005

Addressing systemic racism in nursing homes: a time for action.

April 14, 2021

The need to include assisted living in responding to the COVID-19 pandemic.

May 20, 2020

Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.

April 19, 2006

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

September 21, 2011

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.

March 7, 2012

Related Resources

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums.

October 19, 2022

Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.

October 12, 2022

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory.

May 18, 2022

Simulation-based education enhances patient safety behaviors during central venous catheter placement.

September 15, 2021

The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment.

September 25, 2019

Use of "Doctor" badges for physician role identification during clinical training.

September 11, 2019

Perceived bullying among internal medicine residents.

September 4, 2019

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.

August 14, 2019

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.

July 24, 2019

Patient safety superheroes in training: using a comic book to teach patient safety to residents.

July 17, 2019

Patient and physician experience with interhospital transfer: a qualitative study.

May 29, 2019

Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision.

May 15, 2019

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.

March 20, 2019

Sleep and alertness in a duty-hour flexibility trial in internal medicine.

March 13, 2019

Patient safety outcomes under flexible and standard resident duty-hour rules.

March 13, 2019

"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.

December 12, 2018

About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices.

September 26, 2018

Education and reporting of diagnostic errors among physicians in internal medicine training programs.

September 19, 2018

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

Patient safety outcomes after two years of an enhanced internal medicine residency clinic handoff.

March 28, 2018

Do words matter? Stigmatizing language and the transmission of bias in the medical record.

January 26, 2018

Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study.

October 18, 2017

Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors.

September 13, 2017

Surgical residents' work hours and well-being in year 2 of the FIRST trial.

July 26, 2017

Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients.

August 19, 2015

Residency schedule, burnout and patient care among first-year residents.

September 4, 2013

Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial.

April 3, 2013

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

September 19, 2012

Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.

September 5, 2012

See More About The Topic

General Hospitals

Health Care Providers

Health Care Executives and Administrators

Educators

Internal Medicine

Association of resident fatigue and distress with perceived medical errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Association of resident fatigue and distress with perceived medical errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site