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Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis

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Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC (CUSABC) Convênio Acre/FMABC-007/2015, Santo André, São Paulo 09060-870, Brazil
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Departamento de Enfermagem, Faculdade de Juazeiro do Norte (FJN), Juazeiro do Norte, Ceará 63010-475, Brazil
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Departamento de Enfermagem. Faculdade de Medicina ESTACIO de Juazeiro do Norte (ESTACIO FMJ), Juazeiro do Norte, Ceará 63.048-080, Brazil
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Programa de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória, Espírito Santo 29045-402, Brazil
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Laboratório de Escrita Científica, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória, Espírito Santo 29045-402, Brazil
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Graduate Entry Medical School, University of Limerick, V94 T9PX Limerick, Ireland
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Departamento de Enfermagem. Universidade Federal do Acre (UFAC), Rio Branco, Acre 69.915-900, Brazil
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Programa de Mestrado em Ciências da Saúde da Amazônia, Bolsista CAPES Brasil, Universidade Federal do Acre (UFAC), Rio Branco, Acre 69.915-900, Brazil
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Author to whom correspondence should be addressed.
Medicina 2019, 55(9), 553; https://doi.org/10.3390/medicina55090553
Received: 30 June 2019 / Revised: 16 August 2019 / Accepted: 23 August 2019 / Published: 30 August 2019
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. View Full-Text
Keywords: Patient safety; burnout professional safety; organizational culture; safety management Patient safety; burnout professional safety; organizational culture; safety management
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MDPI and ACS Style

Garcia, C.d.L.; Abreu, L.C.d.; Ramos, J.L.S.; Castro, C.F.D.d.; Smiderle, F.R.N.; Santos, J.A.d.; Bezerra, I.M.P. Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. Medicina 2019, 55, 553.

AMA Style

Garcia CdL, Abreu LCd, Ramos JLS, Castro CFDd, Smiderle FRN, Santos JAd, Bezerra IMP. Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. Medicina. 2019; 55(9):553.

Chicago/Turabian Style

Garcia, Cíntia d.L.; Abreu, Luiz C.d.; Ramos, José L.S.; Castro, Caroline F.D.d.; Smiderle, Fabiana R.N.; Santos, Jaçamar A.d.; Bezerra, Italla M.P. 2019. "Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis" Medicina 55, no. 9: 553.

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