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The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review

机译:居民倦怠与医疗保健安全相关性和可接受性之间的关系:系统的文献综述

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There has been increasing interest in examining the relationship between physician wellbeing and quality of patient care. However, few reviews have specifically focused on resident burnout and quality of patient care. The purpose of this systematic literature review of the current scientific literature is to address the question, “How does resident burnout affect the quality of healthcare related to the dimensions of acceptability and safety?” This systematic literature review uses a multi-step screening process of publicly available peer-reviewed studies from five electronic databases: (1) Medline Current, (2) Medline In-process, (3) PsycINFO, (4) Embase, and (5) Web of Science. The electronic literature search resulted in the identification of 4638 unique citations. Of these, 10 articles were included in the review. Studies were assessed for risk of bias. Of the 10 studies that met the inclusion criteria, eight were conducted in the US, one in The Netherlands, and one in Mexico. Eight of the 10 studies focused on patient safety. The results of these included studies suggest there is moderate evidence that burnout is associated with patient safety (i.e., resident self-perceived medical errors and sub-optimal care). There is less evidence that specific dimensions of burnout are related to acceptability (i.e., quality of care, communication with patients). The results of this systematic literature review suggest a relationship between patient safety and burnout. These results potentially have important implications for the medical training milieu because residents are still in training and at the same time are asked to teach students. The results also indicate a need for more evidence-based interventions that support continued research examining quality of care measures, especially as they relate to acceptability.
机译:人们越来越关注检查医生的健康状况与患者护理质量之间的关系。但是,很少有评论专门针对居民的倦怠和患者护理质量。对当前科学文献进行系统的文献综述的目的是解决以下问题:“居民的倦怠如何影响与可接受性和安全性有关的医疗质量?”这篇系统的文献综述使用了来自五个电子数据库的可公开获得的同行评审研究的多步骤筛选过程:(1)Medline Current,(2)Medline In-process,(3)PsycINFO,(4)Embase和(5) )科学网。电子文献搜索结果确定了4638个独特的引文。其中,有10篇文章被纳入评论。评估研究的偏倚风险。在符合纳入标准的10项研究中,有8项是在美国进行的,一项是在荷兰进行的,另一项是在墨西哥进行的。 10项研究中有8项关注患者安全。这些纳入研究的结果表明,有中等程度的证据表明倦怠与患者的安全性有关(即居民自我感觉不到的医疗错误和次优护理)。很少有证据表明职业倦怠的特定方面与可接受性有关(即护理质量,与患者的沟通)。该系统文献综述的结果表明患者安全性与倦怠之间存在联系。这些结果可能会对医学培训环境产生重要影响,因为居民仍在接受培训,同时要求他们教学生。结果还表明,需要更多基于证据的干预措施,以支持继续研究护理措施的质量,尤其是与可接受性相关的研究。

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