Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study.

The presence of hope has been found to influence an individual's ability to cope with stressful situations. The objective of this study is to evaluate the relationship between medical errors, hope and burnout among practicing physicians using validated metrics. Prospective cohort study was conducted among hospital based physicians practicing in Japan (N = 836). Measures included the validated Burnout Scale, self-assessment of medical errors and Herth Hope Index (HHI). The main outcome measure was the frequency of self-perceived medical errors, and Poisson regression analysis was used to evaluate the association between hope and medical error. A total of 361 errors were reported in 836 physician-years. We observed a significant association between hope and self-report of medical errors. Compared with the lowest tertile category of HHI, incidence rate ratios (IRRs) of self-perceived medical errors of physicians in the highest category were 0.44 (95%CI, 0.34 to 0.58) and 0.54 (95%CI, 0.42 to 0.70) respectively, for the 2(nd) and 3(rd) tertile. In stratified analysis by hope score, among physicians with a low hope score, those who experienced higher burnout reported higher incidence of errors; physicians with high hope scores did not report high incidences of errors, even if they experienced high burnout. Self-perceived medical errors showed a strong association with physicians' hope, and hope modified the association between physicians' burnout and self-perceived medical errors

日本の病院勤務医の仕事満足度と医療の質

京都大学0048新制・課程博士博士(社会健康医学)甲第15032号社医博第29号新制||社医||6(附属図書館)27493京都大学大学院医学研究科社会健康医学系専攻(主査)教授 今中 雄一, 教授 中原 俊隆, 教授 松田 文彦学位規則第4条第1項該当Doctor of Public HealthKyoto UniversityDA

Self-reported medical errors, burnout, and depression among male and female practicing physicians.

*<p>WHO-5, World Health Organization-Five Well-being Index.</p

Relationship between burnout, depression, or hope and incidence of self-reported medical errors among male and female practicing physicians, 2009.

*<p>WHO-5, World Health Organization-Five Well-being Index.</p>†<p><b>I</b>RR, incidence rate ratio adjusted for age and sex.</p

Participating physicians' characteristics, 2009.

<p>Participating physicians' characteristics, 2009.</p

Association between burnout and medical errors: subgroup analysis by depressive symptoms evaluated by WHO-5 or Herth Hope Index score among practicing physicians, males and females, 2009.

<p>WHO-5, World Health Organization-Five Well-being Index; HHI, Herth Hope Index; IRR, Incidence rate ratio adjusted for age and sex.</p