@article{ref1,
title="Increased risk of burnout for physicians and nurses involved in a patient safety incident",
journal="Medical care",
year="2016",
author="Van Gerven, Eva and Vander Elst, Tinne and Vandenbroeck, Sofie and Dierickx, Sigrid and Euwema, Martin and Sermeus, Walter and De Witte, Hans and Godderis, Lode and Vanhaecht, Kris",
volume="54",
number="10",
pages="937-943",
abstract="BACKGROUND: Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the &quot;second victim&quot;). <br><br>OBJECTIVES: To investigate the prevalence of health care professionals being personally involved in a patient safety incident (PSI), as well as the relationship of involvement and degree of harm with problematic medication use, excessive alcohol consumption, risk of burnout, work-home interference (WHI), and turnover intentions. RESEARCH DESIGN: Multilevel path analyses were conducted to analyze cross-sectional survey data from 37 Belgian hospitals. SUBJECTS: A total of 5788 nurses (79.4%) and physicians (20.6%) in 26 acute and 11 psychiatric hospitals were included. MEASURES: &quot;Involvement in a patient safety incident during the prior 6 months,&quot; &quot;degree of harm,&quot; and 5 outcomes were measured using self-report scales. <br><br>RESULTS: Nine percent of the total sample had been involved in a PSI during the prior 6 months. Involvement in a PSI was related to a greater risk of burnout (β=0.40, OR=2.07), to problematic medication use (β=0.33, OR=1.84), to greater WHI (β=0.24), and to more turnover intentions (β=0.22). Harm to the patient was a predictor of problematic medication use (β=0.14, OR=1.56), risk of burnout (β=0.16, OR=1.62), and WHI (β=0.19). <br><br>CONCLUSIONS: Second victims experience significant negative outcomes in the aftermath of a PSI. An appropriate organizational response should be provided to mitigate the negative effects.<p /> <p>Language: en</p>",
language="en",
issn="0025-7079",
doi="10.1097/MLR.0000000000000582",
url="http://dx.doi.org/10.1097/MLR.0000000000000582"
}