2019/08/30 by Cíntia de Lima Garcia, Luíz Carlos de Abreu, José Lucas Souza Ramos +4 · 2 citations
Health Professions · Medicine · Psychology · Nursing · #Healthcare professionals’ stress and burnout #Patient Safety and Medication Errors #Medical Malpractice and Liability Issues #Burnout #Patient safety #Workload #Teamwork #Systematic review #Organizational safety #Meta-analysis #Medicine #Psychology #Nursing #MEDLINE #Health care #Clinical psychology #Social psychology #Organizational commitment
paper · pdf · doi:10.3390/medicina55090553
openalex publication_date 2019/08/30 · openalex created_date 2019/09/05 · openalex updated_date 2026/08/04
Background and Objectives: Several factors can compromise patient safety, such as ineffective teamwork, failed organizational processes, and the physical and psychological overload of health professionals. Studies about associations between burn out and patient safety have shown different outcomes. Objective: To analyze the relationship between burnout and patient safety. Materials and Methods: A systematic review with a meta-analysis performed using PubMed and Web of Science databases during January 2018. Two searches were conducted with the following descriptors: (i) patient safety AND burnout professional safety AND organizational culture, and (ii) patient safety AND burnout professional safety AND safety management. Results: Twenty-one studies were analyzed, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses, and it is associated with external factors such as: high workload, long journeys, and ineffective interpersonal relationships. Good patient safety practices are influenced by organized workflows that generate autonomy for health professionals. Through meta-analysis, we found a relationship between the development of burnout and patient safety actions with a probability of superiority of 66.4%. Conclusion: There is a relationship between high levels of burnout and worsening patient safety.