Psychoactive substance use among American anesthesiologists: a 30-year retrospective study

Lutsky, I; Hopwood, Margaret B.; Abram, Stephen E.; Jacobson, George; Haddox, J. David; Kampine, John P.

doi:10.1007/bf03010092

Cited by 50 publications

(39 citation statements)

References 23 publications

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“…11 Ease of access to opioids, benzodiazepines, and other substances may contribute to the apparent overrepresentation of anesthesiologists with substance abuse problems. 12,13 Considerable efforts have gone towards reducing abuse of controlled substances within the specialty. These have relied mainly on heightened awareness to recognize the early symptoms and signs of substance abuse, education (e.g., lectures by recovering physicians), and strict substance control (e.g., daily accounting, establishing operating room pharmacies) in order to detect and discourage substance abuse.…”

Section: Résumémentioning

confidence: 99%

Substance abuse: a national survey of Canadian residency program directors and site chiefs at university-affiliated anesthesia departments

Boulis

Khanduja

Downey

et al. 2015

Can J Anesth/J Can Anesth

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Section: Résumémentioning

confidence: 99%

Substance abuse: a national survey of Canadian residency program directors and site chiefs at university-affiliated anesthesia departments

Boulis

Khanduja

Downey

et al. 2015

Can J Anesth/J Can Anesth

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“…Substance abuse among anesthesiologists is a current concern of the Brazilian Society of Anesthesiology. Anesthesiology is the highest risk group among medical specialties to develop addiction 35 . While in the United States only 3% of doctors belong to the specialty, they make up between 13% to 35% of physicians treated for substance abuse 36,37 .…”

Section: Occupational Diseasesmentioning

confidence: 99%

“…There is withdrawal from family, friends, and leisure activities; mood swings; episodes of anger; irritability and hostility; longer permanence at the hospital even when offduty; more duty calls and extra calls; refusal towards rest breaks; frequent restroom visits; weight loss; pallor and request of increasing or inappropriate amounts of opioids for specifi c cases 39,44,45 . Addiction and alcohol abuse typically take years to become apparent 31,35,36 . For this reason, it is recommended that professionals with a high degree of suspicion be handled by psychiatrists specialized in substance abuse, in terms of diagnosis and treatment 45 .…”

Section: Occupational Diseasesmentioning

confidence: 99%

Riscos e doenças ocupacionais relacionados ao exercício da anestesiologia

Volquind¹,

Bagatini²,

Monteiro³

et al. 2013

Rev. Bras. Anestesiol.

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Background and objectives: The practice of anesthesiology is not without risks to the anesthesiologist. The operating room (OR), in which anesthesiologists spend most of their time, is regarded as an unhealthy workplace due to the potential risks it offers. In this review, we propose an analysis of the occupational hazards that anesthesiologists are exposed in their daily practice. Content: We present a classifi cation of risk and its relationship to occupational diseases. Conclusion: Control of occupational hazards to which anesthesiologists are exposed daily is necessary in order to develop an appropriate workplace and minimize risks to the good practice of anesthesiology. This contributes to decrease absenteeism, improve patients' care and quality of life of anesthesiologists.

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“…The implication of doctors' responsibility in accident investigation only increases these inherent stressful working conditions. Together, they can lead to impaired performance and health [14,15].…”

Section: Application Of the Incident Reporting System In Belgiummentioning

confidence: 99%

Reporting systems in healthcare from a case-by-case experience to a general framework: an example in anaesthesia

Nyssen¹,

Aunac

Faymonville³

et al. 2004

European Journal of Anaesthesiology

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SummaryReporting systems are becoming more widespread in healthcare. Since they may become mandatory under the pressure of insurance companies and administrative organizations, it is important to begin to go beyond a case-by-case approach and to move to a system where there is a general reflection on the best conditions of development and setting up of such systems in medicine. In this paper, we review existing reporting systems, break down their components, examine how they are constructed and propose some ideas on how to articulate them in a dynamic process in order to improve the validity of the tool as mediator of safety, quality and well-being at work. Following their development in industrial and aviation areas, accident reporting systems are becoming more widespread in healthcare. The intention behind their implementation is to systematically collate and analyse the risks associated with medical activities in order to propose remedial and preventative actions. Several factors can explain the expansion of such systems in the medical sector. First, the progress of technology in general together with the development of increased technology in medicine itself have shed light on the role played by human errors in medical accidents. Reporting systems therefore first focused on the identification of patient injuries attributable to human errors. Second, the relationships between doctors and patients have changed and the public has been calling for clearer information concerning the risks associated with medicine. Third, litigation for medical negligence has increased to such an extent in many English-speaking countries that insurance companies, administration organizations and state health ministries have pressed for the development of strategies that can proactively prevent injuries. Professional organizations also have played a role in the development of reporting systems. Fearing medico-legal consequences, doctors and hospital staff have started to become aware of the need to change the myth of an error-free system in medicine and see in reporting systems one means to change culture and attitude towards human errors.In a recent report produced by the Quality of Health Care in America project [1], different existing reporting systems in medicine were reviewed. They varied according to a number of features. Some systems were mandatory by internal or external structures, whereas others were voluntary and confidential. Some systems focused on adverse patient injuries while others were extended to any event which could have, or did harm, anyone in the hospital, including

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Psychoactive substance use among American anesthesiologists: a 30-year retrospective study

Cited by 50 publications

References 23 publications

Substance abuse: a national survey of Canadian residency program directors and site chiefs at university-affiliated anesthesia departments

Substance abuse: a national survey of Canadian residency program directors and site chiefs at university-affiliated anesthesia departments

Riscos e doenças ocupacionais relacionados ao exercício da anestesiologia

Reporting systems in healthcare from a case-by-case experience to a general framework: an example in anaesthesia

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