Burnout and medical errors among American surgeons

Tait D. Shanafelt, Charles M. Balch, Gerald Bechamps, Tom Russell, Lotte Dyrbye, Daniel Satele, Paul Collicott, Paul J. Novotny, Jeff Sloan, Julie Freischlag

Research output: Contribution to journalArticle

586 Citations (Scopus)

Abstract

Objective: To evaluate the relationship between burnout and perceived major medical errors among American surgeons. Background: Despite efforts to improve patient safety, medical errors by physicians remain a common cause of morbidity and mortality. Methods: Members of the American College of Surgeons were sent an anonymous, cross-sectional survey in June 2008. The survey included self-assessment of major medical errors, a validated depression screening tool, and standardized assessments of burnout and quality of life (QOL). Results: Of 7905 participating surgeons, 700 (8.9%) reported concern they had made a major medical error in the last 3 months. Over 70% of surgeons attributed the error to individual rather than system level factors. Reporting an error during the last 3 months had a large, statistically significant adverse relationship with mental QOL, all 3 domains of burnout (emotional exhaustion, depersonalization, and personal accomplishment) and symptoms of depression. Each one point increase in depersonalization (scale range, 0-33) was associated with an 11% increase in the likelihood of reporting an error while each one point increase in emotional exhaustion (scale range, 0-54) was associated with a 5% increase. Burnout and depression remained independent predictors of reporting a recent major medical error on multivariate analysis that controlled for other personal and professional factors. The frequency of overnight call, practice setting, method of compensation, and number of hours worked were not associated with errors on multivariate analysis. Conclusions: Major medical errors reported by surgeons are strongly related to a surgeon's degree of burnout and their mental QOL. Studies are needed to determine how to reduce surgeon distress and how to support surgeons when medical errors occur.

Original languageEnglish (US)
Pages (from-to)995-1000
Number of pages6
JournalAnnals of Surgery
Volume251
Issue number6
DOIs
StatePublished - Jun 2010
Externally publishedYes

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Medical Errors
Depersonalization
Quality of Life
Depression
Multivariate Analysis
Patient Safety
Surgeons
Cross-Sectional Studies
Morbidity
Physicians
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Shanafelt, T. D., Balch, C. M., Bechamps, G., Russell, T., Dyrbye, L., Satele, D., ... Freischlag, J. (2010). Burnout and medical errors among American surgeons. Annals of Surgery, 251(6), 995-1000. https://doi.org/10.1097/SLA.0b013e3181bfdab3

Burnout and medical errors among American surgeons. / Shanafelt, Tait D.; Balch, Charles M.; Bechamps, Gerald; Russell, Tom; Dyrbye, Lotte; Satele, Daniel; Collicott, Paul; Novotny, Paul J.; Sloan, Jeff; Freischlag, Julie.

In: Annals of Surgery, Vol. 251, No. 6, 06.2010, p. 995-1000.

Research output: Contribution to journalArticle

Shanafelt, TD, Balch, CM, Bechamps, G, Russell, T, Dyrbye, L, Satele, D, Collicott, P, Novotny, PJ, Sloan, J & Freischlag, J 2010, 'Burnout and medical errors among American surgeons', Annals of Surgery, vol. 251, no. 6, pp. 995-1000. https://doi.org/10.1097/SLA.0b013e3181bfdab3
Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D et al. Burnout and medical errors among American surgeons. Annals of Surgery. 2010 Jun;251(6):995-1000. https://doi.org/10.1097/SLA.0b013e3181bfdab3
Shanafelt, Tait D. ; Balch, Charles M. ; Bechamps, Gerald ; Russell, Tom ; Dyrbye, Lotte ; Satele, Daniel ; Collicott, Paul ; Novotny, Paul J. ; Sloan, Jeff ; Freischlag, Julie. / Burnout and medical errors among American surgeons. In: Annals of Surgery. 2010 ; Vol. 251, No. 6. pp. 995-1000.
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