Time Out: The Impact of Physician Burnout on Patient Care Quality and Safety in Perioperative Medicine.


Journal

The Permanente journal
ISSN: 1552-5775
Titre abrégé: Perm J
Pays: United States
ID NLM: 9800474

Informations de publication

Date de publication:
15 06 2023
Historique:
medline: 16 6 2023
pubmed: 6 6 2023
entrez: 6 6 2023
Statut: ppublish

Résumé

Perioperative care delivery is a patient-centered, multidisciplinary process. It relies heavily on synchronized teamwork from a well-coordinated team. Perioperative physicians-surgeons and anesthesiologists-face enormous challenges in surgical care delivery due to changing work environments, post-COVID consequences, shift work disorder, value conflict, escalating demands, regulatory complexity, and financial uncertainties. Physician burnout in this working environment has become increasingly prevalent. It is not only harmful to physicians' health and well-being, but it also affects the quality and safety of patient care. Additionally, the economic costs associated with physician burnout are untenable due to the high turnover rate, high recruitment expenses, and potential early permanent exit from medical practice. In this deteriorating environment of unbalanced physician supply/demand, recognizing, managing, and preventing physician burnout may help preserve the system's most valuable asset and contribute to higher quality and safety of patient care. Leaders in government agencies, health care systems, and organizations must work together to re-engineer the health care system for better physicians and patient care.

Identifiants

pubmed: 37278062
doi: 10.7812/TPP/23.015
pmc: PMC10266854
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

160-168

Commentaires et corrections

Type : ErratumIn

Déclaration de conflit d'intérêts

Conflicts of InterestNone declared

Références

JAMA Netw Open. 2020 Jul 1;3(7):e209385
pubmed: 32614425
EClinicalMedicine. 2021 Aug 19;39:101090
pubmed: 34466795
Head Neck. 2020 Jul;42(7):1638-1644
pubmed: 32462783
JAMA. 2020 Jul 28;324(4):321-323
pubmed: 32556122
Front Psychol. 2019 Mar 13;10:284
pubmed: 30918490
Ann R Coll Surg Engl. 2020 Jul;102(6):401-407
pubmed: 32326734
Plast Reconstr Surg Glob Open. 2023 Apr 10;11(4):e4889
pubmed: 37051210
J Gen Intern Med. 2017 Apr;32(4):475-482
pubmed: 27785668
J Pediatr Surg. 2023 Mar;58(3):496-502
pubmed: 35914964
Adv Med Educ Pract. 2019 Aug 12;10:593-603
pubmed: 31496861
BMJ Qual Saf. 2012 Jan;21(1):84-8
pubmed: 22101101
Aesthet Surg J. 2020 May 16;40(6):691-699
pubmed: 31738821
Ann Thorac Surg. 2022 Dec;114(6):2383-2390
pubmed: 35337788
World Neurosurg. 2022 Aug;164:e446-e457
pubmed: 35533949
Mayo Clin Proc. 2018 Nov;93(11):1571-1580
pubmed: 30001832
J Vasc Surg. 2022 Feb;75(2):680-686
pubmed: 34478809
BMC Health Serv Res. 2018 Nov 27;18(1):851
pubmed: 30477483
JAMA Surg. 2021 May 1;156(5):e210265
pubmed: 33760000
BMC Med Educ. 2021 Nov 25;21(1):593
pubmed: 34823509
Ann Intern Med. 2019 Jun 4;170(11):784-790
pubmed: 31132791
Psychother Psychosom. 2021;90(1):11-27
pubmed: 32799204
Ann Surg. 2012 Apr;255(4):625-33
pubmed: 22388107
Hum Resour Health. 2020 Oct 31;18(1):83
pubmed: 33129313
Adv Surg. 2010;44:29-47
pubmed: 20919512
Mayo Clin Proc. 2017 Nov;92(11):1608-1611
pubmed: 29101929
Perioper Care Oper Room Manag. 2022 Sep;28:100272
pubmed: 35783339
Curr Opin Anaesthesiol. 2015 Apr;28(2):151-8
pubmed: 25695803
Soc Sci Med. 1997 Apr;44(7):1017-22
pubmed: 9089922
J Surg Educ. 2022 Sep-Oct;79(5):1206-1220
pubmed: 35659443
JAMA Surg. 2018 Apr 18;153(4):e176233
pubmed: 29490366
Mayo Clin Proc. 2017 Nov;92(11):1625-1635
pubmed: 29101932
Mayo Clin Proc. 2015 Dec;90(12):1600-13
pubmed: 26653297
World Psychiatry. 2016 Jun;15(2):103-11
pubmed: 27265691
Am J Surg. 2022 Jul;224(1 Pt A):228-238
pubmed: 34974884
West J Emerg Med. 2020 Aug 17;21(5):1059-1066
pubmed: 32970555
Am J Surg. 2023 Jan;225(1):46-52
pubmed: 36243560
Med Educ. 2011 Aug;45(8):835-42
pubmed: 21752080
Curr Probl Pediatr Adolesc Health Care. 2014 Apr;44(4):73
pubmed: 24810408
Acad Med. 2022 Mar 1;97(3):351-356
pubmed: 34192719
J Am Coll Radiol. 2020 Jul;17(7):921-926
pubmed: 32479798
Clin Colon Rectal Surg. 2019 Nov;32(6):407-414
pubmed: 31824232
J Am Coll Surg. 2016 Jun;222(6):1230-1239
pubmed: 27106639
BMJ. 2022 Sep 14;378:e070442
pubmed: 36104064
JAMA Netw Open. 2019 Jun 5;2(6):e196201
pubmed: 31225894
JAMA Surg. 2016 Oct 1;151(10):970-978
pubmed: 27410167
Health Care Manage Rev. 2007 Jul-Sep;32(3):203-12
pubmed: 17666991
Can J Anaesth. 2021 May;68(5):734-736
pubmed: 33475955
JAMA. 2006 Sep 6;296(9):1071-8
pubmed: 16954486
Lancet. 2016 Nov 5;388(10057):2272-2281
pubmed: 27692469
Behav Sci (Basel). 2018 Oct 25;8(11):
pubmed: 30366419
Ann Intern Med. 2016 Dec 06;165(11):753-760
pubmed: 27595430
Int J Health Care Qual Assur. 2014;27(4):293-307
pubmed: 25076604
J Am Med Inform Assoc. 2021 Apr 23;28(5):985-997
pubmed: 33463680
J Sch Health. 1983 Sep;53(7):404-7
pubmed: 6556388
Lancet. 2009 Nov 14;374(9702):1714-21
pubmed: 19914516
Lancet. 2019 Feb 2;393(10170):401
pubmed: 30722955
Ann Surg. 2022 Nov 1;276(5):e370-e376
pubmed: 33156059
Curr Opin Anaesthesiol. 2018 Jun;31(3):366-374
pubmed: 29668524
Curr Opin Anaesthesiol. 2022 Aug 1;35(4):502-507
pubmed: 35788544
Mayo Clin Proc. 2021 Mar;96(3):763-769
pubmed: 33673923
Best Pract Res Clin Anaesthesiol. 2022 Aug;36(2):299-310
pubmed: 36116911
J Med Life. 2019 Oct-Dec;12(4):354-360
pubmed: 32025253
Surgery. 2023 Mar;173(3):562-566
pubmed: 36572619
Biomed Res Int. 2017;2017:8648925
pubmed: 29318155
BMC Health Serv Res. 2014 Jul 28;14:325
pubmed: 25066375
Mayo Clin Proc. 2022 Dec;97(12):2248-2258
pubmed: 36229269
Crit Care. 2016 Apr 19;20(1):110
pubmed: 27095501
J Surg Res. 2023 May;285:205-210
pubmed: 36696707
Arch Intern Med. 2012 Oct 8;172(18):1377-85
pubmed: 22911330
Ann Surg. 2019 Feb;269(2):234-235
pubmed: 30169397
Am J Lifestyle Med. 2020 Mar 15;15(2):118-125
pubmed: 33786030
N Engl J Med. 2016 Jan 28;374(4):354-62
pubmed: 26816012
Anesth Analg. 2013 Jul;117(1):182-93
pubmed: 23687232
Surgery. 2022 Sep;172(3):885-889
pubmed: 35643829
Curr Trauma Rep. 2023;9(2):28-39
pubmed: 36688090
Surgery. 2023 May;173(5):1113-1119
pubmed: 36167700

Auteurs

Philip Shin (P)

Department of Anesthesiology, Southern California Permanente Medical Group, Pasadena, CA, USA.

Vimal Desai (V)

Department of Anesthesiology, Southern California Permanente Medical Group, Pasadena, CA, USA.

Antonio Hernandez Conte (AH)

Department of Anesthesiology, Southern California Permanente Medical Group, Pasadena, CA, USA.

Chunyuan Qiu (C)

Department of Anesthesiology, Southern California Permanente Medical Group, Pasadena, CA, USA.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH