Journal article
Association of Pediatric Resident Physician Depression and Burnout With Harmful Medical Errors on Inpatient Services
Academic medicine, v 94(8), pp 1150-1156
01 Aug 2019
PMID: 31045601
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose To determine whether higher rates of medical errors were associated with positive screenings for depression or burnout among resident physicians. Method The authors conducted a prospective cohort study from 2011 to 2013 in seven pediatric academic medical centers in the United States and Canada. Resident physicians were screened for burnout and depression using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS). A two-step surveillance methodology, involving a research nurse and two physician reviewers, was used to measure and categorize errors. Bivariate and mixed-effects regression models were used to evaluate the relationship between burnout, depression, and rates of harmful, nonharmful, and total errors. Results A total of 388/537 (72%) resident physicians completed the MBI-HSS and HANDS surveys. Seventy-six (20%) and 178 (46%) resident physicians screened positive for depression and burnout, respectively. Screening positive for depression was associated with a 3.0-fold higher rate of harmful errors (incidence rate ratio = 2.99 [95% CI 1.40-6.36], P = .005). However, there was no statistically significant association between depression and total or nonharmful errors or between burnout and harmful, nonharmful, or total errors. Conclusions Resident physicians with a positive depression screen were three times more likely than those who screened negative to make harmful errors. This association suggests resident physician mental health could be an important component of patient safety. If further research confirms resident physician depression increases the risk of harmful errors, it will become imperative to determine what interventions might mitigate this risk.
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Details
- Title
- Association of Pediatric Resident Physician Depression and Burnout With Harmful Medical Errors on Inpatient Services
- Creators
- Katherine A. Brunsberg - Childrens Hosp, Minneapolis, MN USAChristopher P. Landrigan - Harvard Med Sch, Pediat, Boston, MA 02115 USABriana M. Garcia - Univ Calif San Francisco, Sch Med, San Francisco, CA USACarter R. Petty - Boston Childrens Hosp, Boston, MA USATheodore C. Sectish - Harvard Med Sch, Boston, MA 02115 USAArabella L. Simpkin - Massachusetts Gen Hosp, Ctr Educ Innovat & Scholarship, Boston, MA 02114 USANancy D. Spector - Drexel Univ, Coll Med, Pediat, Philadelphia, PA 19104 USAAmy J. Starmer - Harvard Med Sch, Pediat, Boston, MA 02115 USADaniel C. West - Univ Calif San Francisco, Sch Med, Pediat, San Francisco, CA USASharon Calaman - Drexel University
- Publication Details
- Academic medicine, v 94(8), pp 1150-1156
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Grant note
- Pfizer Fred Lovejoy Resident Research and Education Award Harvard Catalyst R18AE000029 / U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation Medical Research Foundation; UK Research & Innovation (UKRI); Medical Research Council UK (MRC) 1K12HS019456 / Oregon Comparative Effectiveness Research K12 Program, Agency for Healthcare Research and Quality Physicians' Services Incorporated Foundation (of Ontario)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000482301800027
- Scopus ID
- 2-s2.0-85067188873
- Other Identifier
- 991019167879204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Health Care Sciences & Services