The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Burnout and perceived quality of care among German clinicians in surgery
Abstract
OBJECTIVE: Burnout is highly prevalent among clinicians but there is not much known about the association between burnout and quality of care. In this paper, burnout, perceived quality of care and medical errors among German clinicians in surgery are explored. DESIGN: Data were collected during 2008 by a cross-sectional, standardized mail survey. PARTICIPANTS: and SETTING: A total of 1311 clinicians in surgery in 489 German hospitals. Measure(s) Burnout was measured by using the Copenhagen Burnout Inventory (CBI). The measurement of self-rated patient care was based on a 13 item instrument (Chirurgisches Qualitätssiegel) and two questions assessing the frequency of medical errors. RESULTS: About 48.7% of the clinicians meet the criteria for burnout according to the CBI. Moreover, in multivariate logistic regression analyses, burnout is significantly associated with perceived quality of care among male (odds ratios vary from 1.5 to 2.6) but not among female surgeons (odds ratios vary from 1.3 to 1.5). CONCLUSIONS: The high prevalence of burnout in our study corresponds with former studies of burnout among physicians. Furthermore, the results of the study suggest a relationship between burnout and perceived quality of care among men. Thus, reducing burnout among surgeons could not only improve their health and well-being but also the quality of care.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The job demands-resources model of burnout.
Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001) · Journal of Applied Psychology · doi:10.1037/0021-9010.86.3.499 · Cited by 13,643
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.397 · Cited by 12,852
Adverse health effects of high-effort/low-reward conditions.
Siegrist, J. (1996) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.1.1.27 · Cited by 5,713
The Copenhagen Burnout Inventory: A new tool for the assessment of burnout
Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005) · Work & Stress · doi:10.1080/02678370500297720 · Cited by 3,136 · cited 11×
“Compared with the more often used multidimensional Maslach Burnout Inventory (MBI) [29] personal burnout according to the CBI can be measured in one total score.”
BackgroundMethodResultInfluentialBurnout and self-reported patient care in an internal medicine residency program
Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-5-200203050-00008 · Cited by 2,165
Physician wellness: a missing quality indicator
Wallace, J. E., Lemaire, J. B., & Ghali, W. A. (2009) · The Lancet · doi:10.1016/s0140-6736(09)61424-0 · Cited by 1,608
West, C. P., Huschka, M. M., Novotny, P. J., Sloan, J. A., Kolars, J. C., Habermann, T. M., & Shanafelt, T. D. (2006) · JAMA · doi:10.1001/jama.296.9.1071 · Cited by 1,454
Rates of medication errors among depressed and burnt out residents: prospective cohort study
Fahrenkopf, A. M., Sectish, T. C., Barger, L. K., Sharek, P. J., Lewin, D., Chiang, V. W., Edwards, S., Wiedermann, B. L., & Landrigan, C. P. (2008) · BMJ · doi:10.1136/bmj.39469.763218.be · Cited by 1,175
Shanafelt, T. D., Sloan, J. A., & Habermann, T. M. (2003) · The American Journal of Medicine · doi:10.1016/s0002-9343(03)00117-7 · Cited by 813
Thomas, N. K. (2004) · JAMA · doi:10.1001/jama.292.23.2880 · Cited by 750
Cited by
Physician burnout: contributors, consequences and solutions
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018) · Journal of Internal Medicine · doi:10.1111/joim.12752 · Cited by 2,768
Healthcare staff wellbeing, burnout, and patient safety: a systematic review
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016) · PLOS ONE · doi:10.1371/journal.pone.0159015 · Cited by 1,683
How does burnout affect physician productivity? A systematic literature review
Dewa, C. S., Loong, D., Bonato, S., Thanh, N. X., & Jacobs, P. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-325 · Cited by 622
Chou, L.-P., Li, C.-Y., & Hu, S. C. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-004185 · Cited by 386
Emotional exhaustion and workload predict clinician-rated and objective patient safety
Welp, A., Meier, L. L., & Manser, T. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.01573 · Cited by 353
Metadata
- Authors
- Klein, J., Grosse Frie, K., Blum, K., & von dem Knesebeck, O.
- Venue
- International Journal for Quality in Health Care
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-10-08
- Volume
- 22
- Issue
- 6
- Pages
- 525-530
- ISSN
- 1353-4505 (ISSN-L)
- 1464-3677
- OpenAlex
- W2125830014
- Cited by
- 182
- References
- 11
- FWCI
- 6.14
- Type
- journal article
- Language
- en
- Open access
- closed
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Burnout and perceived quality of care among German clinicians in surgery. https://app.cochat.ai/papers/10.1093/intqhc/mzq056
- The paper
- Klein, J., Grosse Frie, K., Blum, K., & von dem Knesebeck, O. (2010). Burnout and perceived quality of care among German clinicians in surgery. International Journal for Quality in Health Care. https://doi.org/10.1093/intqhc/mzq056
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
