Preventive Medicine, Hospital Universitario de Salamanca, Salamanca, Castilla y León, Spain
Preventive Medicine, Hospital Clinico San Carlos, Madrid, Comunidad de Madrid, Spain.
BMJ Open. 2024 Nov 21;14(11):e089687. doi: 10.1136/bmjopen-2024-089687.
Burnout, a disorder caused by chronic stress at work, involves emotional exhaustion, depersonalisation and reduced professional efficacy. The prevalence of burnout appears to be high among physicians worldwide. Burnout may affect different dimensions of healthcare, such as patient safety. Several systematic reviews and meta-analyses have examined the relationship between physician burnout and quality of care, although with some controversial results. To our knowledge, no overview of systematic reviews and meta-analyses has been conducted, specifically evaluating physician burnout, patient safety and other relevant aspects of quality of care. The main objective of this study will be to evaluate the available evidence of the association between physician burnout and patient safety.
An overview of systematic reviews and meta-analyses will be carried out. Systematic reviews with or without meta-analyses assessing the relationship between burnout in physicians and quality of care will be included. The primary outcome will be patient safety (ie, the occurrence of any adverse event related to healthcare which could have resulted, or did result, in unnecessary harm to patients). Secondary outcomes will be patient satisfaction and professionalism. Literature searches will be conducted (from their inception onwards) in PubMed/MEDLINE, EMBASE and Cochrane Database of Systematic Reviews. Two researchers will select studies that meet the predefined eligibility criteria and proceed to extract information from each included study. The methodological characteristics, measures of association and qualitative conclusions of the reviews will be assessed. The methodological quality of each review will also be analysed using the AMSTAR-2 (A MeaSurement Tool to Assess systematic Reviews) tool. A descriptive synthesis will be carried out using evidence tables and graphs.
The proposed research mainly involves the analysis of existing studies, approval from a research ethics committee is not required. This overview of systematic reviews will help to gain a better understanding of the association between physician burnout and patient safety. Our findings could support future research, recommendations and policies in this area. We plan to publish the full study in a peer-reviewed journal.
Open Science Framework: https://osf.io/wr73u/.
burnout 是一种由工作中慢性压力引起的疾病，涉及情绪疲惫、去人性化和职业效能降低。 burnout 在全球范围内的医生中似乎很普遍。 burnout 可能会影响医疗保健的不同方面，例如患者安全。几项系统评价和荟萃分析研究了医生 burnout 与护理质量之间的关系，但结果存在一些争议。据我们所知，尚无专门评估医生 burnout、患者安全和护理质量其他相关方面的系统评价和荟萃分析综述。本研究的主要目的将是评估医生 burnout 与患者安全之间关联的现有证据。
将进行系统评价和荟萃分析综述。将纳入评估医生 burnout 与护理质量之间关系的系统评价，无论是否进行荟萃分析。主要结局将是患者安全（即发生任何与医疗保健相关的不良事件，这些事件可能已经或导致患者不必要的伤害）。次要结局将是患者满意度和专业性。将从其开始在 PubMed/MEDLINE、EMBASE 和 Cochrane 系统评价数据库中进行文献检索。两名研究人员将选择符合预先确定的纳入标准的研究，并从每个纳入的研究中提取信息。将评估综述的方法学特征、关联度量和定性结论。还将使用 AMSTAR-2（系统评价测量工具）工具分析每个综述的方法学质量。将使用证据表和图形进行描述性综合。
拟议的研究主要涉及对现有研究的分析，不需要研究伦理委员会的批准。本系统评价综述将有助于更好地了解医生 burnout 与患者安全之间的关联。我们的研究结果可以为该领域的未来研究、建议和政策提供支持。我们计划在同行评议的期刊上发表全文研究。
开放科学框架：https://osf.io/wr73u/。
