Abstract
Background and Objectives: Several factors can compromise patient safety, such as ineffective teamwork, failed organizational processes, and the physical and psychological overload of health professionals. Studies about associations between burn out and patient safety have shown different outcomes. Objective: To analyze the relationship between burnout and patient safety. Materials and Methods: A systematic review with a meta-analysis performed using PubMed and Web of Science databases during January 2018. Two searches were conducted with the following descriptors: (i) patient safety AND burnout professional safety AND organizational culture, and (ii) patient safety AND burnout professional safety AND safety management. Results: Twenty-one studies were analyzed, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses, and it is associated with external factors such as: high workload, long journeys, and ineffective interpersonal relationships. Good patient safety practices are influenced by organized workflows that generate autonomy for health professionals. Through meta-analysis, we found a relationship between the development of burnout and patient safety actions with a probability of superiority of 66.4%. Conclusion: There is a relationship between high levels of burnout and worsening patient safety.
Highlights
Patient safety is one of the main challenges for quality of care, as adverse events are common in health services
Following a standardized Population, Intervention, Comparison and Outcome (PICO) format, this study investigates the relationship between burnout syndrome in the context of patient safety by observing the influence that this relationship can exert on the assistance and analyzing the results to understand the problem
The results revealed an association between burnout and patient safety permeating the work process, personal characteristics, and teamwork [20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40]
Summary
Patient safety is one of the main challenges for quality of care, as adverse events are common in health services. Based on evidence, training would be on clinical practice guidelines, adverse events, technologies used in the service, better working conditions, continuous guidance on infection prevention methods, and offering better psychological and emotional support to health professionals [3,4]. Several factors can compromise patient safety, such as ineffective teamwork, failed organizational processes, and the physical and psychological overload of health professionals. Results: Twenty-one studies were analyzed, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. Through meta-analysis, we found a relationship between the development of burnout and patient safety actions with a probability of superiority of 66.4%
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