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Clarifications Needed on Study of Association Between Physician Burnout and Patient Safety

Clarifications Needed on Study of Association Between Physician Burnout and Patient Safety Letters pletely unadopting the test in the inpatient setting. This can tal health survey. The implications of burnout have often been help provide appropriate patient care and reduce direct and considered in terms of the personal consequences for the phy- downstream costs that result from inappropriate medical sician: relationship breakdowns, substance abuse, and suicidal 2 1 care. This has been done at our academic center. ideation. As the study by Panagioti and colleagues demon- With regard to use of guaiac-based FOBT in the outpa- strates, there is growing recognition that burnout also results in tient setting, during the period of testing, patients should be loss of empathy, decreased productivity, and an increased like- counseled to avoid certain fresh vegetables that have peroxi- lihood of errors or omissions that may reduce the quality of care dase activity (eg, cabbage, carrots, spinach, celery, squash, po- and patient safety. tatoes, onions, green beans, leeks) and supplements or foods There are some important considerations when evaluat- containing ascorbic acid that can decrease test sensitivity. ing this data. Nearly 80% of the included studies were Similarly, patients should be counseled to avoid intake of an- cross-sectional, which is a design often beset with different http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Clarifications Needed on Study of Association Between Physician Burnout and Patient Safety

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2019.0149
Publisher site
See Article on Publisher Site

Abstract

Letters pletely unadopting the test in the inpatient setting. This can tal health survey. The implications of burnout have often been help provide appropriate patient care and reduce direct and considered in terms of the personal consequences for the phy- downstream costs that result from inappropriate medical sician: relationship breakdowns, substance abuse, and suicidal 2 1 care. This has been done at our academic center. ideation. As the study by Panagioti and colleagues demon- With regard to use of guaiac-based FOBT in the outpa- strates, there is growing recognition that burnout also results in tient setting, during the period of testing, patients should be loss of empathy, decreased productivity, and an increased like- counseled to avoid certain fresh vegetables that have peroxi- lihood of errors or omissions that may reduce the quality of care dase activity (eg, cabbage, carrots, spinach, celery, squash, po- and patient safety. tatoes, onions, green beans, leeks) and supplements or foods There are some important considerations when evaluat- containing ascorbic acid that can decrease test sensitivity. ing this data. Nearly 80% of the included studies were Similarly, patients should be counseled to avoid intake of an- cross-sectional, which is a design often beset with different

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Apr 4, 2019

References