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Association Between Physician Depressive Symptoms and Medical Errors: A Systematic Review and Meta-analysis
- Source :
- JAMA Network Open, Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP
- Publication Year :
- 2019
-
Abstract
- This systematic review and meta-analysis examines whether physician depressive symptoms are associated with the risk for perceived or observed medical errors.<br />Key Points Question What are the magnitude and direction of associations between physician depressive symptoms and medical errors? Findings In this systematic review and meta-analysis of 11 studies involving 21 517 physicians, physicians with a positive screening for depression were highly likely to report medical errors. Examination of longitudinal studies demonstrated that the association between physician depressive symptoms and medical errors is bidirectional. Meaning This study found that physician depressive symptoms were associated with medical errors, highlighting the relevance of physician well-being to health care quality and underscoring the need for systematic efforts to prevent or reduce depressive symptoms among physicians.<br />Importance Depression is highly prevalent among physicians and has been associated with increased risk of medical errors. However, questions regarding the magnitude and temporal direction of these associations remain open in recent literature. Objective To provide summary relative risk (RR) estimates for the associations between physician depressive symptoms and medical errors. Data Sources A systematic search of Embase, ERIC, PubMed, PsycINFO, Scopus, and Web of Science was performed from database inception to December 31, 2018. Study Selection Peer-reviewed empirical studies that reported on a valid measure of physician depressive symptoms associated with perceived or observed medical errors were included. No language restrictions were applied. Data Extraction and Synthesis Study characteristics and RR estimates were extracted from each article. Estimates were pooled using random-effects meta-analysis. Differences by study-level characteristics were estimated using subgroup meta-analysis and metaregression. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline was followed. Main Outcomes and Measures Relative risk estimates for the associations between physician depressive symptoms and medical errors. Results In total, 11 studies involving 21 517 physicians were included. Data were extracted from 7 longitudinal studies (64%; with 5595 individuals) and 4 cross-sectional studies (36%; with 15 922 individuals). The overall RR for medical errors among physicians with a positive screening for depression was 1.95 (95% CI, 1.63-2.33), with high heterogeneity across the studies (χ2 = 49.91; P
- Subjects :
- Physician Impairment
medicine.medical_specialty
Psychological intervention
MEDLINE
PsycINFO
01 natural sciences
03 medical and health sciences
0302 clinical medicine
medicine
Humans
030212 general & internal medicine
0101 mathematics
Depression (differential diagnoses)
Original Investigation
Medical Errors
business.industry
Depression
Research
Health Policy
010102 general mathematics
General Medicine
Guideline
REVISÃO SISTEMÁTICA
3. Good health
Featured
Online Only
Systematic review
Meta-analysis
Family medicine
Relative risk
business
Subjects
Details
- ISSN :
- 25743805
- Volume :
- 2
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- JAMA network open
- Accession number :
- edsair.doi.dedup.....f851b40ee3c2540850de480d59fb2436