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Search results for "Fatigue and Sleep Deprivation"
Journal Article > Commentary
Dzau VJ, Kirch DG, Nasca TJ. N Engl J Med. 2018;378:312-314.
Physician burnout remains a critical threat to physician well-being and patient safety. Prodigious documentation requirements, escalating productivity demands, and deleterious organizational culture all contribute to physicians burning out at twice the rate of other professionals. In this commentary, leaders of the National Academy of Medicine, Association of American Medical Colleges, and Accreditation Council for Graduate Medical Education describe their crosscutting collaborative to understand burnout, teach about its dangers, and foster meaningful solutions. A related editorial highlights successful burnout initiatives such as standardized assessments and team-based models of primary care to reduce physicians' clerical burden. An Annual Perspective explored the relationship between burnout and patient safety and reviewed strategies to address burnout among clinicians.
Journal Article > Commentary
Bridgeman PJ, Bridgeman MB, Barone J. Am J Health Syst Pharm. 2018;75:147-152.
Journal Article > Study
Burnout and satisfaction with work-life balance among US physicians relative to the general US population.
Shanafelt TD, Boone S, Tan L, et al. Arch Intern Med. 2012;172:1377-1385.
Professional burnout—cynicism and a loss of enthusiasm and sense of accomplishment at work—has been shown to be common among both physicians and nurses. This cross-sectional survey of more than 7000 physicians found that burnout among physicians is more common than in the general population, with emergency physicians and primary care physicians the most commonly afflicted. Burnout has been shown to be one of several emotional influences on patient safety; it has also been linked to medical errors and disruptive behavior.
Cases & Commentaries
- Spotlight Case
- Web M&M
F. Daniel Duffy, MD; Christine K. Cassel, MD; October 2007
Following surgery, a woman on a patient-controlled analgesia pump is found to be lethargic and incoherent, with a low respiratory rate. The nurse contacted the attending physician, who dismisses the patient's symptoms and chastises the nurse for the late call.
Journal Article > Review
Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review.
Hignett S, Edmunds Otter M, Keen C. Int J Nurs Stud. 2016;59:1-14.
Adverse events are thought to be common in patients receiving home health care. This systematic review defined home care safety risks for both patients and caregivers, including awkward working positions, social distractions, abuse and violence, and other issues that are relatively unique to this care setting.
Special or Theme Issue
Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102.
Burnout has been linked to depression, work dissatisfaction, and increased rates of adverse events. Articles in this special issue explore health professionals' experiences regarding negative gossip as a risk factor for burnout, tools to assess burnout in health care, and the role of leadership in developing a culture that supports workers' well-being.
Perspectives on Safety > Interview
Patient Safety in Emergency Medicine, June 2010
Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova Scotia, Canada. Trained as an experimental psychologist, Dr. Croskerry went on to become an emergency medicine physician, and found himself surprised by the relatively scant amount of attention given to cognitive errors. He has gone on to become one of the world's foremost experts in safety in emergency medicine and in diagnostic errors. We spoke to him about both.