M A de Jong1, K Nieuwenhuijsen1, J K Sluiter1. 1. Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, 1100 DE Amsterdam, The Netherlands.
Abstract
BACKGROUND: Common mental disorders (CMD-burnout, stress, depression and anxiety disorders) are prevalent in physicians. AIMS: To investigate the relationship between CMD and medical incidents and/or unprofessional behaviour in hospital physicians. METHODS: PubMed was searched for all articles published between 2003 and 2013 that study a relationship between CMD and medical incidents and/or unprofessional behaviour in hospital physicians. The strength of evidence was assessed through five levels of evidence. RESULTS: We included 15 studies. We found strong evidence for a significant association between burnout and the occurrence of medical incidents, based on two longitudinal and seven cross-sectional studies with a positive association [odds ratio (OR) 1.07-5.5]; one longitudinal study found a non-significant association (strong evidence). For the association between depression and medical incidents, four longitudinal studies and three cross-sectional studies found a significant positive association (strong evidence; OR 2.21-3.29). For the association between fatigue and medical incidents, one longitudinal study and one cross-sectional study showed a significant positive association, but one cross-sectional study showed a non-significant association (strong evidence; OR 1.37). For the association between sleepiness and medical incidents, one longitudinal study and two cross-sectional studies showed a significant positive association (strong evidence; OR 1.10-1.37). No significant association was found between burnout and unprofessional behaviour (inconsistent evidence). Nor was any evidence found for the association between unprofessional behaviour and depression, fatigue or sleepiness. CONCLUSIONS: CMD in hospital physicians were associated with the occurrence of self-reported medical incidents, but there was inconsistent evidence for unprofessional behaviour.
BACKGROUND: Common mental disorders (CMD-burnout, stress, depression and anxiety disorders) are prevalent in physicians. AIMS: To investigate the relationship between CMD and medical incidents and/or unprofessional behaviour in hospital physicians. METHODS: PubMed was searched for all articles published between 2003 and 2013 that study a relationship between CMD and medical incidents and/or unprofessional behaviour in hospital physicians. The strength of evidence was assessed through five levels of evidence. RESULTS: We included 15 studies. We found strong evidence for a significant association between burnout and the occurrence of medical incidents, based on two longitudinal and seven cross-sectional studies with a positive association [odds ratio (OR) 1.07-5.5]; one longitudinal study found a non-significant association (strong evidence). For the association between depression and medical incidents, four longitudinal studies and three cross-sectional studies found a significant positive association (strong evidence; OR 2.21-3.29). For the association between fatigue and medical incidents, one longitudinal study and one cross-sectional study showed a significant positive association, but one cross-sectional study showed a non-significant association (strong evidence; OR 1.37). For the association between sleepiness and medical incidents, one longitudinal study and two cross-sectional studies showed a significant positive association (strong evidence; OR 1.10-1.37). No significant association was found between burnout and unprofessional behaviour (inconsistent evidence). Nor was any evidence found for the association between unprofessional behaviour and depression, fatigue or sleepiness. CONCLUSIONS:CMD in hospital physicians were associated with the occurrence of self-reported medical incidents, but there was inconsistent evidence for unprofessional behaviour.
Authors: Boris Cheval; Stéphane Cullati; Jesper Pihl-Thingvad; Denis Mongin; Martina Von Arx; Pierre Chopard; Delphine S Courvoisier Journal: BMJ Open Date: 2018-03-27 Impact factor: 2.692
Authors: Muhammed Elhadi; Ala Khaled; Ans Bassam Malek; Ahmed El-Alem El-Azhari; Ahmed Zakaria Gwea; Ahmed Zaid; Salman Mabruk Elturki; Ahmed Aburgegah; Munir Ahmed K Abu Ageila; Abdulmueti Alhadi; Hafed Abdulwahhab Albashkar; Aliyah Mustafa Alshareef; Adel Basher Ben Nama; Nizar Aljarboue Mohammed Sahboun; Hazem Ahmed Journal: BMJ Open Date: 2020-08-27 Impact factor: 2.692