Hueto Madrid Juan Antonio, Hargreaves Judith, Buchelt Beata
Department of Oral and Maxillofacial Surgery, Vall D´Hebron Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
Department of Health Economics and Governmental Affairs, Gothenburg, Sweden.
J Patient Saf. 2025 Sep 1;21(6):424-436. doi: 10.1097/PTS.0000000000001369. Epub 2025 Jun 9.
This review aimed to explore the prevalence of burnout among health care professionals working in the operating room (OR) and its impact on patient safety and care quality.
A focused narrative review was conducted, utilizing PubMed, CINAHL, Semantic Scholar, WorldCat, Cochrane Library, and clinical trials registries. Full-text primary literature published in English between 2018 and 2024 was included. Studies specifically addressing burnout in the OR and its effects on patient safety and care quality were selected. Data extraction included prevalence rates, stress factors, and impacts on patient outcomes.
Burnout was found to be highly prevalent among OR health care professionals, particularly affecting surgeons, anesthesiologists, and OR nurses. Reported prevalence rates ranged from 10% to 83%, with the highest levels occurring during the COVID-19 pandemic. Burnout was linked to critical aspects of health care quality and safety, primarily through communication breakdowns and operational inefficiencies. Impaired communication contributed to safety incidents, while disruptions in OR scheduling and increased turnover times further exacerbated workflow challenges. Although studies directly connecting burnout to patient safety events were limited, burnout was consistently associated with poor decision-making, weakened teamwork, and higher staff turnover-factors that collectively undermine patient outcomes.
Burnout among OR health care professionals poses a significant threat to both staff well-being and patient safety, a challenge that was further intensified by the COVID-19 pandemic. Addressing burnout requires a multifaceted approach, including enhanced training, workload optimization, and robust support systems. Implementing comprehensive, context-specific interventions can improve staff resilience and patient safety.
本综述旨在探讨手术室医护人员职业倦怠的患病率及其对患者安全和护理质量的影响。
进行了一项重点叙述性综述，利用了PubMed、CINAHL、语义学者、世界Cat、Cochrane图书馆和临床试验注册库。纳入了2018年至2024年期间以英文发表的全文原始文献。选择了专门针对手术室职业倦怠及其对患者安全和护理质量影响的研究。数据提取包括患病率、压力因素以及对患者结局的影响。
发现职业倦怠在手术室医护人员中非常普遍，尤其影响外科医生、麻醉师和手术室护士。报告的患病率在10%至83%之间，在新冠疫情期间达到最高水平。职业倦怠与医疗质量和安全的关键方面相关，主要是通过沟通障碍和运营效率低下。沟通受损导致安全事件，而手术室排班的中断和周转时间的增加进一步加剧了工作流程挑战。尽管将职业倦怠与患者安全事件直接联系起来的研究有限，但职业倦怠始终与决策不佳、团队合作减弱和员工流失率较高相关，这些因素共同损害了患者结局。
手术室医护人员的职业倦怠对员工福祉和患者安全都构成了重大威胁，新冠疫情进一步加剧了这一挑战。解决职业倦怠需要采取多方面的方法，包括加强培训、优化工作量和强大的支持系统。实施全面、因地制宜的干预措施可以提高员工的适应能力和患者安全。
