Association Between Physician Depressive Symptoms and Medical Errors

Pereira-Lima, Karina; Mata, Douglas A.; Loureiro, Sônia Regina; Crippa, José Alexandre S; Bolsoni, Lívia Maria; Sen, Srijan

doi:10.1001/jamanetworkopen.2019.16097

Cited by 112 publications

(84 citation statements)

References 68 publications

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“…In the present study, the prevalence of depressive, anxiety, and comorbid depressive and anxiety symptoms among Chinese frontline medical staff responding to the COVID-19 outbreak was 40.93%, 31.78%, and 26.00%, respectively, which was higher than reported peacetime estimates as well as estimates from the initial phase of the SARS epidemic [19][20][21][22][23]. A previous study conducted in southern China has reported that 28.13% of physicians had depressive symptoms, 25.67% had anxiety symptoms, and 19.01% had comorbid depressive and anxiety symptoms [20].…”

Section: Discussioncontrasting

confidence: 75%

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Chang

Xia

Gao

et al. 2020

Preprint

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Abstract Background: In China, mental health of frontline medical staff might be influenced by clinicians’ ability to handle the outbreak of coronavirus disease 2019 (COVID-19). Few studies to-date have addressed the association between clinicians’ competencies and mental health in this context. This cross-sectional study has examined the prevalence of mental health symptoms among frontline medical staff handling the COVID-19 outbreak, and explored the associations between their competencies, and separate and concurrent depressive and anxiety symptoms. Methods: A total of 623 frontline medical staff were included in this study, which took place from January 20, 2020 to February 20, 2020. Competencies, depressive symptoms, and anxiety symptoms were assessed using the short form of the Chinese clinical physicians’ competency model, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7 questionnaire, respectively. Logistic regression models were used to estimate the associations between one standard deviation increase in competency scores and the prevalence of mental health problems. Multivariate-adjusted odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated.Results: Among 623 staff members, the prevalence of depressive, anxiety, and comorbid depressive and anxiety symptoms was 40.93%, 31.78%, and 26.00%, respectively. Among the medical staff with higher total competency scores, the prevalence of depressive (OR=0.67, 95% CI: 0.55-0.81), anxiety (OR=0.68, 95% CI: 0.56-0.83), and comorbid anxiety and depressive symptoms (OR=0.69, 95% CI: 0.55-0.83) was lower than among their lower-scoring counterparts. Subgroup analyses stratified by core competency scores revealed similar associations as the main analyses.Conclusions: The present findings highlight the association between high core competency scores and lower prevalence of depressive, anxiety, and comorbid anxiety and depressive symptoms. Improving medical staff’s core competencies might help prevent mental health problems among frontline medical staff responding to COVID-19.

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Section: Discussioncontrasting

confidence: 75%

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Chang

Xia

Gao

et al. 2020

Preprint

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“…A systemic review and meta-analysis reported that according to a pooled analysis of 54 observational studies, the prevalence of depression or depressive symptoms was approximately 28.8%, ranging from 20.9% to 43.2% in individual studies depending on the scale used [ 12 ]. As our study reports high levels of depressive and anxiety symptoms, urgent psychological intervention plans are needed to prevent burnout and suicide risk in physicians and decrease the risk of medical errors [ [37] , [38] , [39] ].…”

Section: Discussionmentioning

confidence: 99%

Psychological status of healthcare workers during the civil war and COVID-19 pandemic: A cross-sectional study

Elhadi

Msherghi

Elgzairi

et al. 2020

Journal of Psychosomatic Research

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Objective Healthcare workers, particularly those working in departments that provide care for patients with coronavirus disease 2019 (COVID-19), are at a higher risk of this contagious disease than those who work in other departments. The aim of this study was to assess the psychological status of healthcare workers during the COVID-19 outbreak, which has compounded Libya's existing civil war-related problems. Methods A multi-center cross-sectional survey on depressive symptoms, anxiety symptoms, and abuse was conducted. The Hospital Anxiety and Depression Scale (HADS) was used to measure the prevalence of anxiety and depressive symptoms among healthcare workers. Results The data of 745 eligible healthcare workers from 15 hospitals were analyzed. Depressive and anxiety symptoms were compared to the basic characteristics of the participants to determine the association. A total of 420 (56.3%) participants had depressive symptoms, while 348 (46.7%) had anxiety symptoms. Age, residency status, department, stigmatization, and living in a conflict zone were significantly associated with depressive symptoms. Age, department, years of experience, working hours per week, internal displacement, stigmatization, living in a conflict zone, and verbal abuse were significantly associated with anxiety symptoms. Conclusion Our study presents important findings regarding depressive, anxiety symptoms, and abuse among physicians providing care during the COVID-19 outbreak and civil war in Libya. It also demonstrates several factors that can be associated with depressive and anxiety symptoms in this population.

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“…Causes of burnout include: increased clinical demands, inadequate staffing patterns, decreased control, poorly functioning teams, role ambiguity, moral distress, reimbursement issues, decreased time with patients, difficulty balancing personal and professional lives, inefficiency of the electronic medical record and isolation. Burnout also contributes to increased medical errors, patient dissatisfaction, high turnover rates and substantial financial losses (Hall, Johnson, Watt, Tsipa, & O’Connor, ; Pereira‐Lima et al, ; Willard‐Grace et al, ). For every newly licensed registered nurse who leaves their job in the first year of practice, it costs the institution up to three times the nurse’s annual salary when factoring in the costs associated with recruitment, training and orientation (Unruh & Zhang, ).…”

mentioning

confidence: 99%

Burnout, Depression and Suicide in Nurses/Clinicians and Learners: An Urgent Call for Action to Enhance Professional Well‐being and Healthcare Safety

Melnyk

2020

Worldviews Ev Based Nurs

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Association Between Physician Depressive Symptoms and Medical Errors

Abstract: This systematic review and meta-analysis examines whether physician depressive symptoms are associated with the risk for perceived or observed medical errors.

Cited by 112 publications

References 68 publications

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Psychological status of healthcare workers during the civil war and COVID-19 pandemic: A cross-sectional study

Burnout, Depression and Suicide in Nurses/Clinicians and Learners: An Urgent Call for Action to Enhance Professional Well‐being and Healthcare Safety

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