Whole Person Wellness Program
Certified Coach Training
Find a Practitioner
Tai Chi & Qigong
Massage & Bodywork
Music & Sound Healing
Natural Vision Care
More Alternative Therapies
Emergency /First Aid
Obesity & Weight Loss
Complementary Medicine (CAM)
Flower Remedy Practitioner
Massage & Bodywork
Vision Care / Training
Which of the following is an antioxidant?
Burned Out, Depressed Surgeons More Likely to Commit More Major Medical Errors
by Healthy News - 12/12/2009
Back to Healthy News Archive
Factors putting patients at risk go well beyond fatigue, largest study of its kind suggests
November 23, 2009 - Surgeons who are burned out or depressed are more likely to say they had recently committed a major error on the job, according to the largest study to date on physician burnout. The new findings suggest that the mental well-being of the surgeon is associated with a higher rate of self-reported medical errors, something that may undermine patient safety more than the fatigue that is often blamed for many of the medical mistakes.
Although surgeons do not appear more likely to make mistakes than physicians in other disciplines, surgical errors may have more severe consequences for patients due to the interventional nature of the work. Some estimate that as many as 10 percent of hospitalized patients are impacted by medical errors.
ï¿½People have talked about fatigue and long working hours, but our results indicate that the dominant contributors to self-reported medical errors are burnout and depression,ï¿½ said
Charles M. Balch, M.D
., a professor of surgery at the Johns Hopkins University School of Medicine and one of the studyï¿½s leaders. ï¿½All of us need to take this into account to a greater degree than in the past. Frankly, burnout and depression hadnï¿½t been on everybodyï¿½s radar screen.ï¿½
Nine percent of the 7,905 surgeons who responded to a June 2008 survey commissioned by the American College of Surgeons for a study led by researchers from Johns Hopkins University School of Medicine and the Mayo Clinic reported having made a major medical mistake in the previous three months. Overall, 40 percent of the surgeons who responded to the survey said they were burned out.
Researchers asked a variety of questions, including queries that rated three elements of burnout ï¿½emotional exhaustion, depersonalization and personal accomplishment ï¿½ and others that screened for depression.
Each one-point increase on a scale that measured depersonalization ï¿½ a feeling of withdrawal or of treating patients as objects rather than as human beings ï¿½ was associated with an 11 percent increase in the likelihood of reporting an error. Each one-point increase on a scale measuring emotional exhaustion was associated with a 5 percent increase.
Mistakes also varied by specialty. Surgeons practicing obstetrics/gynecology and plastic surgery were much less likely to report errors than general surgeons.
Researchers acknowledged the limitations of self-reporting surveys, saying they couldnï¿½t tell from their research whether burnout and depression led to more medical errors or whether medical errors triggered burnout and depression among the surgeons who made the mistakes.
The results are being published online today in the
Annals of Surgery
and will be published in the printed journal in an upcoming issue.
Notably, the research shows that the number of nights on call per week and the number of hours worked were not associated with reported errors after controlling for other factors.
ï¿½The most important thing for those of us who work with other surgeons who do not appear well is to address it with them so that they can get the help they need,ï¿½ says
Julie A. Freischlag, M.D.,
chair of the Department of Surgery at the Johns Hopkins University School of Medicine and another of the studyï¿½s authors.Â
Provided by Healthy News on 12/12/2009
From Our Friends
Popular & Related Products
Chakra Suite - Halpern
Multi-Vitamin Liquid - Child
See Clearly Naturally
Ola Loa Drink Your Vitamins
Popular & Featured Events
Wellness Inventory Certification Training
September 16-December 16, 2014
Teleclass, CA USA
Additional Calendar Links
Stevia Products & Info
Dimensions of Wellness
Find a Practitioner
What Doctor's Don't Tell You
Discount Lab Tests
Global Health Calendar
The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.
Are you ready to embark on a personal wellness journey with our whole person approach?
Improve work-life balance
Enhance your health/wellbeing
Are you looking to create or enhance a culture of wellness in your organization?
Whole person approach
Do you want to become a wellness coach?
Whole person focus
Dimensional wellness model