Cited by 353Healthcare professionals’ stress and burnoutStress and Burnout ResearchOccupational Health and Burnout

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Emotional exhaustion and workload predict clinician-rated and objective patient safety

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Welp, Annalena, Meier, Laurenz L., Manser, Tanja·2015·Frontiers in Psychology

DOI 10.3389/fpsyg.2014.01573PMC PMC4302790

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Abstract

AIMS: To investigate the role of clinician burnout, demographic, and organizational characteristics in predicting subjective and objective indicators of patient safety. BACKGROUND: Maintaining clinician health and ensuring safe patient care are important goals for hospitals. While these goals are not independent from each other, the interplay between clinician psychological health, demographic and organizational variables, and objective patient safety indicators is poorly understood. The present study addresses this gap. METHOD: Participants were 1425 physicians and nurses working in intensive care. Regression analysis (multilevel) was used to investigate the effect of burnout as an indicator of psychological health, demographic (e.g., professional role and experience) and organizational (e.g., workload, predictability) characteristics on standardized mortality ratios, length of stay and clinician-rated patient safety. RESULTS: Clinician-rated patient safety was associated with burnout, trainee status, and professional role. Mortality was predicted by emotional exhaustion. Length of stay was predicted by workload. Contrary to our expectations, burnout did not predict length of stay, and workload and predictability did not predict standardized mortality ratios. CONCLUSION: At least in the short-term, clinicians seem to be able to maintain safety despite high workload and low predictability. Nevertheless, burnout poses a safety risk. Subjectively, burnt-out clinicians rated safety lower, and objectively, units with high emotional exhaustion had higher standardized mortality ratios. In summary, our results indicate that clinician psychological health and patient safety could be managed simultaneously. Further research needs to establish causal relationships between these variables and support to the development of managerial guidelines to ensure clinicians' psychological health and patients' safety.

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Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925
Conservation of resources: A new attempt at conceptualizing stress
Hobfoll, S. E. (1989) · American Psychologist · doi:10.1037/0003-066x.44.3.513 · Cited by 18,187
Sources of method bias in social science research and recommendations on how to control it
Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2012) · Annual Review of Psychology · doi:10.1146/annurev-psych-120710-100452 · Cited by 15,744
The measurement of experienced burnout
Maslach, C., & Jackson, S. E. (1981) · Journal of Organizational Behavior · doi:10.1002/job.4030020205 · Cited by 14,496
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
Job burnout
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 · cited 5×
“Burnout is a core aspect of reduced workrelated psychological health and represents a severe, chronic strain response of the individual to enduring stress at work (Maslach and Jackson,1981; Maslach et al., 2001).”
BackgroundInfluential
Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign
Karasek, R. A. (1979) · Administrative Science Quarterly · doi:10.2307/2392498 · Cited by 12,597
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586
Untitled work
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863
A New Simplified Acute Physiology Score (SAPS II) Based on a European/North American Multicenter Study
Le Gall, J.-R. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.270.24.2957 · Cited by 7,773
Book Review
Wall, A. (2000) · British Journal of Healthcare Management · doi:10.12968/bjhc.2000.6.9.19311 · Cited by 5,912
Social and Psychological Resources and Adaptation
Hobfoll, S. E. (2002) · Review of General Psychology · doi:10.1037/1089-2680.6.4.307 · Cited by 4,594 · cited 2×
“Hobfoll (2002) argues that burnout develops particularly in this third case.”
Background
Self-efficacy and work-related performance: A meta-analysis.
Stajković, A. D., & Luthans, F. (1998) · Psychological Bulletin · doi:10.1037/0033-2909.124.2.240 · Cited by 4,130
Multilevel Analysis
Hox, J., Moerbeek, M., & van de Schoot, R. (2010) · doi:10.4324/9780203852279 · Cited by 3,469
Maslach Burnout Inventory
Maslach, C., & Jackson, S. E. (1979) · PsycTESTS Dataset · doi:10.1037/t55656-000 · Cited by 2,360
Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States
Aiken, L. H., Sermeus, W., den Heede, K. V., Sloane, D. M., Busse, R., McKee, M., Bruyneel, L., Rafferty, A. M., Griffiths, P., Moreno‐Casbas, T., et al. (2012) · BMJ · doi:10.1136/bmj.e1717 · Cited by 2,279
Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study
Aiken, L. H., Sloane, D. M., Bruyneel, L., den Heede, K. V., Griffiths, P., Busse, R., Diomidous, M., Kinnunen, J., Kózka, M., Lesaffre, E. M. E. H., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(13)62631-8 · Cited by 2,242
Safety at work: A meta-analytic investigation of the link between job demands, job resources, burnout, engagement, and safety outcomes.
Nahrgang, J. D., Morgeson, F. P., & Hofmann, D. A. (2010) · Journal of Applied Psychology · doi:10.1037/a0021484 · Cited by 1,826
The incidence and nature of in-hospital adverse events: a systematic review
de Vries, E. N., Ramrattan, M. A., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2008) · BMJ Quality & Safety · doi:10.1136/qshc.2007.023622 · Cited by 1,787
Association of Perceived Medical Errors With Resident Distress and Empathy: A Prospective Longitudinal Study
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
To Err is Human
Brown, A. B., & Patterson, D. A. (2001) · Cited by 1,390
Best-practice recommendations for defining, identifying, and handling outliers
Aguinis, H., Gottfredson, R. K., & Joo, H. (2013) · Organizational Research Methods · doi:10.1177/1094428112470848 · Cited by 1,341
Association of resident fatigue and distress with perceived medical errors
West, C. P. (2009) · JAMA · doi:10.1001/jama.2009.1389 · Cited by 999
The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care*
Rothschild, J. M., Landrigan, C. P., CRONIN, J. W., Kaushal, R., Lockley, S. W., Burdick, E., Stone, P. H., Lilly, C. M., Katz, J. T., Czeisler, C. A., et al. (2005) · Critical Care Medicine · doi:10.1097/01.ccm.0000171609.91035.bd · Cited by 925
Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study
Hakanen, J. J., & Schaufeli, W. B. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.02.043 · Cited by 883
Maslach C, Schaufeli W, Leiter M. Job burnout. Annu Rev Psychol 2001; 52: 397-422.
Dedić, G. (2002) · Vojnosanitetski pregled · Cited by 855
Nurse staffing, burnout, and health care-associated infection.
Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012) · American Journal of Infection Control · doi:10.1016/j.ajic.2012.02.029 · Cited by 763
Impact of Relational Coordination on Quality of Care, Postoperative Pain and Functioning, and Length of Stay
Gittell, J. H., Fairfield, K. M., Bierbaum, B., Head, W. C., Jackson, R. W., Kelly, M., Laskin, R. S., Lipson, S. J., Siliski, J. M., Thornhill, T., et al. (2000) · Medical Care · doi:10.1097/00005650-200008000-00005 · Cited by 675
Nurses’ intention to leave their profession: A cross sectional observational study in 10 European countries
Heinen, M. M., van Achterberg, T., Schwendimann, R., Zander, B., Matthews, A., Kózka, M., Ensio, A., Sjetne, I. S., Moreno‐Casbas, T., Ball, J., et al. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.09.019 · Cited by 531
Linking physician burnout and patient outcomes: Exploring the dyadic relationship between physicians and patients
Halbesleben, J. R. B., & Rathert, C. (2008) · Health Care Management Review · doi:10.1097/01.hmr.0000304493.87898.72 · Cited by 519
Burnout contagion among intensive care nurses
Bakker, A. B., Blanc, P. M. L., & Schaufeli, W. B. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03494.x · Cited by 501
Is there a relationship between burnout and objective performance? A critical review of 16 studies
Taris, T. W. (2006) · Work & Stress · doi:10.1080/02678370601065893 · Cited by 393
Nine equivalents of nursing manpower use score (NEMS)
Miranda, D. R., Moreno, R. P., & Iapichino, G. (1997) · Intensive Care Medicine · doi:10.1007/s001340050406 · Cited by 382
The impact of the work environment of nurses on patient safety outcomes: A multi-level modelling approach
Kirwan, M., Matthews, A., & Scott, P. A. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.08.020 · Cited by 336
The Link Between Teamwork and Patients’ Outcomes in Intensive Care Units
Wheelan, S. A., Burchill, C. N., & Tilin, F. (2003) · American Journal of Critical Care · doi:10.4037/ajcc2003.12.6.527 · Cited by 324
Validation de la traduction de l'Inventaire d'épuisement professionnel de Maslach et Jackson.
Dion, G., & Tessier, R. (1994) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/0008-400x.26.2.210 · Cited by 301
Burnout and job performance: The moderating role of selection, optimization, and compensation strategies.
Demerouti, E., Bakker, A. B., & Leiter, M. P. (2014) · Journal of Occupational Health Psychology · doi:10.1037/a0035062 · Cited by 298
Clinical review: Medication errors in critical care
Moyen, E., Camiré, E., & Stelfox, H. T. (2008) · Critical Care · doi:10.1186/cc6813 · Cited by 292
Risk-Adjusted Morbidity in Teaching Hospitals Correlates with Reported Levels of Communication and Collaboration on Surgical Teams but Not with Scale Measures of Teamwork Climate, Safety Climate, or Working Conditions
Davenport, D. L., Henderson, W. G., Mosca, C. L., Khuri, S. F., & Mentzer, R. M. (2007) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2007.07.039 · Cited by 279
Job burnout and cognitive functioning: A systematic review
Deligkaris, P., Panagopoulou, E. P., Montgomery, A., & Masoura, E. V. (2014) · Work & Stress · doi:10.1080/02678373.2014.909545 · Cited by 268
Interruptions to workflow: Their relationship with irritation and satisfaction with performance, and the mediating roles of time pressure and mental demands
Baethge, A., & Rigotti, T. (2013) · Work & Stress · doi:10.1080/02678373.2013.761783 · Cited by 262
The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units
Vogus, T. J., & Sutcliffe, K. M. (2007) · Medical Care · doi:10.1097/mlr.0b013e318053674f · Cited by 259
Burnout, engagement and resident physicians' self-reported errors
Prins, J., der Heijden, F. M. M. A. V., Hoekstra‐Weebers, J. E. H. M., Bakker, A. B., van de Wiel, H. B. M., Jacobs, B., & Gazendam-Donofrio, S. M. (2009) · Psychology Health & Medicine · doi:10.1080/13548500903311554 · Cited by 257
Nurse Burnout and Patient Safety Outcomes: Nurse Safety Perception Versus Reporting Behavior
Halbesleben, J. R. B., Wakefield, B. J., Wakefield, D. S., & Cooper, L. B. (2008) · Western Journal of Nursing Research · doi:10.1177/0193945907311322 · Cited by 236
Nurse Experience and Education
Blegen, M. A., Vaughn, T. E., & Goode, C. J. (2001) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200101000-00007 · Cited by 230
Contingent Leadership and Effectiveness of Trauma Resuscitation Teams.
Yun, S., Faraj, S. A., & Sims, H. P. (2005) · Journal of Applied Psychology · doi:10.1037/0021-9010.90.6.1288 · Cited by 230
Patient Safety Climate in 92 US Hospitals
Singer, S. J., Gaba, D. M., Falwell, A., Lin, S., Hayes, J., & Baker, L. C. (2008) · Medical Care · doi:10.1097/mlr.0b013e31817e189d · Cited by 222
The Impact of the Euro
(2000) · Palgrave Macmillan UK eBooks · doi:10.1057/9780230372443 · Cited by 221
What Exactly Is Patient Safety?
Emanuel, L. L., Berwick, D., Conway, J., Combes, J., Hatlie, M. J., Leape, L. L., REASON, J. T., Schyve, P. M., Vincent, C. A., & Walton, M. (2009) · Journal of Medical Regulation · doi:10.30770/2572-1852-95.1.13 · Cited by 205
The link between leadership and safety outcomes in hospitals
Squires, M., Tourangeau, A. E., Laschinger, H. K. S., & Doran, D. M. (2010) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2010.01181.x · Cited by 204
Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals—A cross sectional study
Schubert, M., Ausserhofer, D., Desmedt, M., Schwendimann, R., Lesaffre, E. M. E. H., Li, B., & Geest, S. D. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.09.016 · Cited by 195
Impact of nursing on hospital patient mortality: a focused review and related policy implications
Tourangeau, A. E. (2006) · BMJ Quality & Safety · doi:10.1136/qshc.2005.014514 · Cited by 191
Job Satisfaction and Burnout among Intensive Care Unit Nurses and Physicians
Myhren, H., Ekeberg, Ø., & STOKLAND, O. (2013) · Critical Care Research and Practice · doi:10.1155/2013/786176 · Cited by 188
Burnout as a Predictor of Medically Certified Sick-Leave Absences and Their Diagnosed Causes
Toppinen-Tanner, S., Ojajärvi, A., Väänänen, A., Kalimo, R., & Jäppinen, P. (2005) · Behavioral Medicine · doi:10.3200/bmed.31.1.18-32 · Cited by 182
Burnout and perceived quality of care among German clinicians in surgery
Klein, J., Frie, K. G., Blum, K., & Knesebeck, O. V. D. (2010) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzq056 · Cited by 180
Burnout in ICU Caregivers: A Multicenter Study of Factors Associated to Centers
Merlani, P., Verdon, M., Businger, A., Domenighetti, G., Pargger, H., & Ricou, B. (2011) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201101-0068oc · Cited by 174
Emergency physicians accumulate more stress factors than other physicians-results from the French SESMAT study
Estryn-Behar, M. R., Doppia, M.-A., Guetarni, K., Fry, C., Machet, G., Pelloux, P., Aune, I., Muster, D., Lassaunière, J.-M., & Prudhomme, C. (2010) · Emergency Medicine Journal · doi:10.1136/emj.2009.082594 · Cited by 168
REVIEW OF JOOP J. HOX MULTILEVEL ANALYSIS – TECHNIQUES AND APPLICATIONS, Second Edition, Routledge (2010)
Hritcu, R.-O.-S. (2014) · RePEc: Research Papers in Economics · Cited by 160
A tale of two systems—Nurses practice environment, well being, perceived quality of care and patient safety in private and public hospitals in South Africa: A questionnaire survey
Coetzee, S. K., Klopper, H. C., Ellis, S. M., & Aiken, L. H. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.11.002 · Cited by 150
Adverse drug events in intensive care units: Risk factors, impact, and the role of team care
Kane‐Gill, S. L., Jacobi, J., & Rothschild, J. M. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181dd8364 · Cited by 147
Interactive effects of nurse-experienced time pressure and burnout on patient safety: A cross-sectional survey
Teng, C.-I., Shyu, Y.-I. L., Chiou, W.-K., Fan, H.-C., & Lam, S. M. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2010.04.005 · Cited by 145
Conceptualising barriers to incident reporting: a psychological framework
Pfeiffer, Y., Manser, T., & Wehner, T. (2010) · BMJ Quality & Safety · doi:10.1136/qshc.2008.030445 · Cited by 138
Self-citation
Coordination Patterns Related to High Clinical Performance in a Simulated Anesthetic Crisis
Manser, T., Harrison, T. K., Gaba, D. M., & Howard, S. K. (2009) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e3181981d36 · Cited by 130
Self-citation
Validation of the French version of the Hospital Survey on Patient Safety Culture questionnaire
Occelli, P., Quenon, J., Krêt, M., Domecq, S., Delaperche, F., Claverie, O., Castets-Fontaine, B., Amalberti, R., Auroy, Y., Parneix, P., et al. (2013) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzt047 · Cited by 116
CHRONOLOGY OF MEDICATION ERRORS BY NURSES: ACCUMULATION OF STRESSES AND PTSD SYMPTOMS
Rassin, M., Kanti, T., & Silner, D. (2005) · Issues in Mental Health Nursing · doi:10.1080/01612840500184566 · Cited by 112
Development of the German version of the Hospital Survey on Patient Safety Culture: Dimensionality and psychometric properties
Pfeiffer, Y., & Manser, T. (2010) · Safety Science · doi:10.1016/j.ssci.2010.07.002 · Cited by 109
Self-citation
Mortality After Hospital Discharge in ICU Patients*
Brinkman, S., de Jonge, E., Abu–Hanna, A., Arbous, M. S., de Lange, D. W., & de Keizer, N. F. (2013) · Critical Care Medicine · doi:10.1097/ccm.0b013e31827ca4e1 · Cited by 108
Antecedents of Severe and Nonsevere Medication Errors
Chang, Y., & Mark, B. A. (2009) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2009.01253.x · Cited by 101
Job Satisfaction and Burnout
Harrington, D., Bean, N., Pintello, D., & Mathews, D. (2001) · Administration in Social Work · doi:10.1300/j147v25n03_01 · Cited by 99
Trend in burnout among Swiss doctors
Arigoni, F., BOVIER, P. A., & Sappino, A. P. (2010) · Swiss Medical Weekly · doi:10.4414/smw.2010.13070 · Cited by 95
Burnout research: Adding an off-work and day-level perspective The views expressed inWork & StressCommentaries are those of the author(s), and do not necessarily represent those of any other person or organization, or of the journal.
Sonnentag, S. (2005) · Work & Stress · doi:10.1080/02678370500386473 · Cited by 80
Adaptation in anaesthesia team coordination in response to a simulated critical event and its relationship to clinical performance
Burtscher, M. J., Manser, T., Kolbe, M., Grote, G., Grande, B., Spahn, D. R., & Wacker, J. (2011) · British Journal of Anaesthesia · doi:10.1093/bja/aer039 · Cited by 78
Self-citation
Psychometric properties of the Maslach Burnout Inventory for Human Services among Italian nurses: a test of alternative models
Pisanti, R., Lombardo, C., Lucidi, F., Violani, C., & Lazzari, D. (2012) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2012.06114.x · Cited by 75
Contribution of job strain to nurses’ consideration of leaving the profession - results from the longitudinal European nurses’ early exit study
Hasselhorn, H. M., Conway, P. M., Widerszal‐Bazyl, M., Simon, M., Tackenberg, P., Schmidt, S. G., Camerino, D., & Müller, B. H. (2008) · ePrints Soton (University of Southampton) · Cited by 73
Using a Structured Review of the Literature to Identify Key Factors Associated With the Current Nursing Shortage
Duvall, J. J., & ANDREWS, D. R. (2010) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2010.02.002 · Cited by 72
Performance and burnout in intensive care units
Keijsers, G. J., Schaufeli, W. B., Le Blanc, P. M., Zwerts, C., & Miranda, D. R. (1995) · Work & Stress · doi:10.1080/02678379508256897 · Cited by 71
Skill mix in nursing: a selective review of the literature
Gibbs, I., McCaughan, D., & Griffiths, M. (1991) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1991.tb01630.x · Cited by 65
Associations between stress at work and attitudes towards retirement in hospital physicians
Sutinen, R., Mika Kivimaki, B., Elovainio, M. J., & Forma, P. (2005) · Work & Stress · doi:10.1080/02678370500151760 · Cited by 65
Adverse Drug Events in Intensive Care Units: A Cross-Sectional Study of Prevalence and Risk Factors
Seynaeve, S., Verbrugghe, W., Claes, B., Vandenplas, D. B. Y., Reyntiens, D., & Jorens, P. G. (2011) · American Journal of Critical Care · doi:10.4037/ajcc2011818 · Cited by 59
Validation of "nine equivalents of nursing manpower use score" on an independent data sample
Rothen, H. U., Küng, V., Ryser, D. H., Zürcher, R. M., & Regli, B. (1999) · Intensive Care Medicine · doi:10.1007/s001340050910 · Cited by 55
Relationships Among Teams, Culture, Safety, and Cost Outcomes
Brewer, B. B. (2006) · Western Journal of Nursing Research · doi:10.1177/0193945905282303 · Cited by 55
Influence of workplace demands on nurses' perception of patient safety
Ramanujam, R., Abrahamson, K. A., & Anderson, J. G. (2008) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2008.00382.x · Cited by 50
Evaluation of the nursing workload through the nine equivalents for nursing manpower use scale and the nursing activities score: A prospective correlation study
Monge, F. J. C., Rodríguez, G. M. R., Herranz, C. Q., Gómez, S. G., & Marín‐Morales, D. (2013) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2013.03.003 · Cited by 50
Patient safety culture: an Italian experience
Bagnasco, A., Tibaldi, L., Chirone, P., Chiaranda, C., Panzone, M. S., Tangolo, D., Aleo, G., Lazzarino, L., & Sasso, L. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03377.x · Cited by 48
Burnout, technology use, and ICU performance.
Schaufeli, W. B., Keijsers, G. J., & Miranda, D. R. (1995) · American Psychological Association eBooks · doi:10.1037/10173-016 · Cited by 40
Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams
Schraagen, J. M. (2011) · Theoretical Issues in Ergonomics Science · doi:10.1080/1464536x.2011.564481 · Cited by 26
Developing risk‐adjusted 30‐day hospital mortality rates
Tourangeau, A. E., & Tu, J. V. (2003) · Research in Nursing & Health · doi:10.1002/nur.10110 · Cited by 22
Does clinical incident seriousness and receipt of work-based support influence mood experienced by nurses at work? A behavioural diary study
Jones, M. C., & Johnston, D. W. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.02.014 · Cited by 13
Differences in Perceptions of Patient Safety Culture between Charge and Noncharge Nurses: Implications for Effectiveness Outcomes Research
Wilson, D. S., Redman, R. W., Talsma, A., & Aebersold, M. (2012) · Nursing Research and Practice · doi:10.1155/2012/847626 · Cited by 10

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Retracted
Estimating the Attributable Cost of Physician Burnout in the United States
Han, S., Shanafelt, T. D., Sinsky, C. A., Awad, K. M., Dyrbye, L. N., Fiscus, L. C., Trockel, M., & Goh, J. (2019) · Annals of Internal Medicine · doi:10.7326/m18-1422 · Cited by 939

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Authors: Welp, A., Meier, L. L., & Manser, T.
Affiliations: University of Fribourg (CH)
University Hospital Bonn (DE)
Corresponding author: Welp, Annalena
ORCID: Welp, Annalena
Meier, Laurenz L.
Manser, Tanja
Venue: Frontiers in Psychology
Publisher: Frontiers Media SA
Published: 2015-01-22
Volume: 5
Pages: 1573-1573
ISSN: 1664-1078 (ISSN-L)
DOI: 10.3389/fpsyg.2014.01573
PMC: PMC4302790
OpenAlex: W2145351877
Cited by: 353
References: 91
Citations by year: 2026: 19 · 2025: 22 · 2024: 34 · 2023: 38 · 2022: 39 · 2021: 66 · 2020: 42 · 2019: 38 · 2018: 28 · 2017: 15 · 2016: 6 · 2015: 5
FWCI: 32.91
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Frontiers in Psychology (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: National Science Foundation
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (128616)
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Keywords: clinician burnout, emotional exhaustion, workload, patient safety, intensive care unit, standardized mortality ratio, length of hospital stay, predictability, professional roles, organizational characteristics

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Emotional exhaustion and workload predict clinician-rated and objective patient safety

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