From battles to burnout: investigating the role of interphysician conflict in physician burnout.

Ashley E Amick; Caitlin Schrepel; Maralyssa Bann; Bjorn Watsjold; Joshua Jauregui; Jonathan S Ilgen; Dave W Lu; Stefanie S Sebok-Syer

Study

From battles to burnout: investigating the role of interphysician conflict in physician burnout.

September 20, 2023

Amick AE, Schrepel C, Bann M, et al. Acad Med. 2023;98(9):1076-1082.

View more articles from the same authors.

Disruptive behaviors, including experiencing or witnessing coworker conflict, can lead to staff burnout and adverse events. In this study, emergency medicine and internal medicine physicians reported on conflicts with other physicians they'd experienced in the workplace. Participants reported feeling demoralized and burnt out after a conflict and brought those feelings to future interactions, priming the situation for additional conflict.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs.

August 23, 2023

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency.

December 17, 2014

Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs.

February 6, 2013

Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations.

February 13, 2019

Are physician assistants able to correctly identify prescribing errors? A cross-sectional study.

September 20, 2023

Physician assistants and the disclosure of medical error.

June 18, 2014

Disclosure of harmful medical errors in out-of-hospital care.

August 29, 2012

Ethical issues in patient safety research: a systematic review of the literature.

September 9, 2015

The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking.

November 16, 2016

Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups.

February 17, 2016

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial.

February 14, 2024

Association between end-of-rotation resident transition in care and mortality among hospitalized patients.

December 14, 2016

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain.

July 14, 2021

Can medical record reviewers reliably identify errors and adverse events in the ED?

May 25, 2016

Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.

May 25, 2016

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

To do no harm - and the most good - with AI in health care.

March 13, 2024

Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system.

January 22, 2020

Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians?

February 18, 2015

Crisis checklists for the operating room: development and pilot testing.

January 30, 2005

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

The safety of inpatient health care.

January 25, 2023

Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study.

October 18, 2023

The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

March 16, 2016

Preventable deaths in patients admitted from emergency department.

June 21, 2006

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors.

June 27, 2018

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.

September 14, 2022

Out-of-hospital pediatric patient safety events: results of the CSI chart review.

November 15, 2017

Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS.

November 23, 2016

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

Regional variations in diagnostic practices.

May 12, 2010

Work system barriers and facilitators of a team health information technology.

September 13, 2023

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

March 11, 2020

Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals.

April 25, 2018

Factors associated with workarounds in barcode-assisted medication administration in hospitals.

August 26, 2020

The role of feedback in emergency ambulance services: a qualitative interview study.

April 6, 2022

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.

July 12, 2023

Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.

March 22, 2017

Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children.

August 17, 2016

Addressing the elephant in the room: a shame resilience seminar for medical students.

August 28, 2019

Risk factors for i.v. compounding errors when using an automated workflow management system.

July 27, 2016

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

December 2, 2015

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records.

August 24, 2016

Emergency department crowding and risk of preventable medical errors.

May 16, 2012

Understanding patient-centred readmission factors: a multi-site, mixed-methods study.

January 25, 2017

Preventability and causes of readmissions in a national cohort of general medicine patients.

May 4, 2016

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.

August 12, 2015

Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.

February 7, 2024

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program.

June 14, 2017

Improving end-of-rotation transitions of care among ICU patients

December 4, 2019

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs.

July 27, 2016

Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment.

January 26, 2022

Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.

July 23, 2014

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.

April 7, 2010

Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.

August 8, 2018

Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer.

January 10, 2018

Improving safety and quality of care with enhanced teamwork through operating room briefings.

July 23, 2014

Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis.

September 23, 2020

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial.

August 18, 2021

Automated identification of diagnostic labelling errors in medicine.

June 8, 2022

Determinants of patient-reported medication errors: a comparison among seven countries.

April 27, 2011

Injuries before and after diagnosis of cancer: nationwide register based study.

October 19, 2016

Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU.

February 5, 2014

Diagnostic error in pediatric cancer.

January 17, 2018

Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.

June 24, 2015

Association of surgeon-patient sex concordance with postoperative outcomes,

December 22, 2021

Readiness of US general surgery residents for independent practice.

October 4, 2017

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study.

July 20, 2022

Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds.

October 18, 2023

Physician reporting of clinically significant events through a computerized patient sign-out system.

September 14, 2011

Using inpatient hospital discharge data to monitor patient safety events.

May 8, 2013

Association of hydrocodone schedule change with opioid prescriptions following surgery.

September 5, 2018

Implementation of participatory organizational change in long term care to improve safety.

September 1, 2021

Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).

May 5, 2021

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report.

July 8, 2020

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

August 24, 2011

Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial.

May 23, 2012

Medication reconciliation and patient safety in trauma: Applicability of existing strategies.

February 19, 2020

The Research on Adverse Drug Events and Reports (RADAR) project.

May 18, 2005

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Applying aviation factors to oral and maxillofacial surgery—the human element.

February 1, 2012

Medication safety teams' guided implementation of electronic medication administration records in five nursing homes.

January 14, 2009

Nursing home error and level of staff credentials.

April 18, 2007

Information flow during pediatric trauma care transitions: things falling through the cracks.

September 11, 2019

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

International evaluation of an AI system for breast cancer screening.

January 29, 2020

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.

January 4, 2021

Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims.

April 14, 2021

Targeted versus universal decolonization to prevent ICU infection.

May 1, 2013

Related Resources

Patient Safety Innovations

Suicide Prevention in an Emergency Department Population: ED-SAFE

April 24, 2024

Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study.

April 10, 2024

The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis.

April 10, 2024

Interview

In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Perspectives on Safety

Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

WebM&M Cases

Walking Out of a Hospital After Attempted Suicide

September 27, 2023

WebM&M Cases

Prolonged DKA in Pregnancy: A Case of Communication Breakdown.

August 30, 2023

Student mistakes and teacher reactions in bedside teaching.

July 19, 2023

The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.

June 21, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness.

May 24, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols?

February 15, 2023

“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors.

December 21, 2022

Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development.

November 9, 2022

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience?

September 28, 2022

Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care.

July 13, 2022

Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study.

June 1, 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

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study.

October 13, 2021

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

September 15, 2021

Medical Office Survey on Patient Safety Culture.

September 1, 2021

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

Racism in pain medicine: we can and should do more.

July 14, 2021

Transforming Education on Diagnostic Reasoning: Ready, Set, Go!

June 2, 2021

Racial bias among emergency providers: strategies to mitigate its adverse effects.

May 26, 2021

See More About The Topic

Hospitals

Emergency Medicine

Internal Medicine

Psychological and Social Complications

Culture of Safety

From battles to burnout: investigating the role of interphysician conflict in physician burnout.

Suicide Prevention in an Emergency Department Population: ED-SAFE

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

From battles to burnout: investigating the role of interphysician conflict in physician burnout.

Suicide Prevention in an Emergency Department Population: ED-SAFE

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

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