The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
Dyrbye LN, West CP, Sinsky CA, et al. JAMA Netw Open. 2022;5:e2213080.
Burnout is characterized as emotional exhaustion, depersonalization, and decreased sense of accomplishment at work which results in overwhelming negative emotions. Earlier studies have focused on the association of burnout with the electronic medical record and the COVID-19 pandemic, among others. This study focused on the association of physician burnout and mistreatment by patients, families and visitors. Survey respondents reported experiencing mistreatment (e.g., racially or ethnically offensive remarks) and discrimination (e.g., patients or families refusing to allow the physician to provide treatment based on their gender, race, or ethnicity) in the past year. Experiencing mistreatment or discrimination was associated with burnout.
Rotenstein LS, Melnick ER, Sinsky CA. JAMA. 2022;327:2079-2080.
… JAMA … Clinician well-being is increasingly seen as a quality and safety issue. This commentary discusses how … and technology use . … Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches …
Menon NK, Shanafelt TD, Sinsky CA, et al. JAMA Netw Open. 2020;3:e2028780.
Burnout may adversely affect physician wellness and consequently patient safety. This cross-sectional study of 1,354 physicians found that depression was associated with suicidal ideation, while burnout was associated with self-reported medical errors.
Fatigue among health care workers can increase the risk of errors. This large cross-sectional study of attending and house staff physicians found that sleep-related impairment was associated with increased burnout, decreased professional fulfillment, and increased self-reported clinically significant medical error. Organizational policies should focus on reducing sleep-related impairment in order to reduce harm to patients and physicians.
Harry EM, Sinsky CA, Dyrbye LN, et al. Jt Comm J Qual Patient Saf. 2021;47:76-85.
… effect on wellbeing of health care professionals. Among a sample of US physicians, the authors of this study found … setting, specialty, and hours worked per week. … Harry E, Sinsky C, Dyrbye LN, et al. Physician task load and the risk of burnout …
Shanafelt TD, Ripp JA, Trockel M. JAMA. 2020;323:2133-2134.
This article summarizes key considerations to ensure that healthcare professionals are supported and equipped to provide care for patients and communities during the COVID-19 pandemic. The authors discuss sources of anxiety amongst healthcare professionals and how healthcare leadership can communicate and connect with their teams to mitigate concerns to the extent they are able.
Han S, Shanafelt TD, Sinsky CA, et al. Ann Intern Med. 2019;170:784-790.
Burnout may adversely affect patient safety as well as physician wellness. While health care organizations are increasingly focused on measuring burnout and implementing targeted interventions for improvement, the financial costs associated with physician burnout are not well described. In this study, researchers estimate that in the United States, $4.6 billion in costs are incurred from physician turnover and reduced work hours related to burnout on an annual basis. They estimate that the cost for organizations is about $7600 per physician each year. These findings suggest that physician burnout is associated with substantial economic burden. An Annual Perspective discussed burnout and its effect on patient safety.
Schwartz SP, Adair KC, Bae J, et al. BMJ Qual Saf. 2019;28:142-150.
… BMJ Qual Saf … BMJ Qual Saf … Burnout is a highly prevalent patient safety issue. This survey study … work–life balance and burnout. Researchers validated a novel survey measure for work–life balance by asking … the work setting: individuals with different roles within a given setting (such as the intensive care unit, the …
Tawfik DS, Profit J, Morgenthaler TI, et al. Mayo Clin Proc. 2018;93:1571-1580.
… Clinic proceedings … Mayo Clin Proc … Physician burnout is a highly prevalent patient safety concern. Researchers … with prior studies . More than 10% of respondents reported a major medical error in the prior 3 months, and these rates …
Thomas LR, Ripp JA, West CP. JAMA. 2018;319:1541-1542.
… JAMA … JAMA … Clinician burnout is a growing concern with known patient safety implications. This commentary describes a charter for health care organizations to prioritize … includes elements known to contribute to safety, such as a positive work culture and leadership engagement . The …
Linzer M, Sinsky CA, Poplau S, et al. Health Aff (Millwood). 2017;36:1808-1814.
… Affairs … Health Aff (Millwood) … Clinician burnout is a pressing patient safety issue. This pre–post study found … communication, values alignment, and cohesion) led to a subsequent reduction in burnout and increased likelihood of …
Shanafelt TD, Goh J, Sinsky CA. JAMA Intern Med. 2017;177:1826-1832.
… … JAMA Intern Med … Burnout among physicians and nurses is a patient safety concern . This commentary suggests a model to track and communicate the financial burden …
Swensen S, Shanafelt TD. Jt Comm J Qual Patient Saf. 2017;43:308-313.
Burnout among health care workers is common, and it can have negative impacts on patient safety. This commentary describes aspirational and practical strategies that leaders can utilize to address burnout at the organizational and individual levels.
Dyrbye LN, Trockel M, Frank E, et al. Ann Intern Med. 2017;166:743-744.
… Med … Clinician burnout is increasingly recognized as a patient safety concern . This commentary summarizes the results of a consensus-building conference focused on physician burnout …
Shanafelt TD, Dyrbye LN, West CP. JAMA. 2017;317:901-902.
… of electronic health records. The authors also highlight a new initiative to collaboratively examine the phenomenon to develop improvement strategies. A previous Annual Perspective discussed the relationship …
Shanafelt TD, Noseworthy JH. Mayo Clin Proc. 2017;92:129-146.
Clinician burnout can affect the safety of teamwork and care delivery. This review suggests that focusing solely on individual behaviors is insufficient to reduce burnout in health care. The authors discuss how organizational strategies that encourage physician engagement can address burnout and its negative effects.
Sinsky CA, Colligan L, Li L, et al. Ann Intern Med. 2016;165.
… additional hours on the electronic health record at night. A PSNet interview with lead author ChristineSinsky calls for improving physician work satisfaction in …