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Occup Med (Lond). 2016 Oct;66(7):506-513. doi: 10.1093/occmed/kqw030.

Common mental disorders related to incidents and behaviour in physicians.

Author information

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.

KEYWORDS:

Burnout; depression; fatigue; medical error; physician; resident.

PMID:
27605575
DOI:
10.1093/occmed/kqw030
[Indexed for MEDLINE]

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