住院医师职业倦怠与用药错误关系的前瞻性研究(英文)

Prospective study of rates of medication errors among burnout residents

目的了解内科及儿科系统住院医师职业倦怠程度,同时调查职业倦怠与用药错误之间的关系。方法设计为前瞻性队列研究,采用Maslach职业倦怠量表(Maslach burnout inventory)对129位住院医师进行了调查。按照标准方法记录住院医师医嘱处方出现的用药错误,计算每位住院医生平均每月发生用药错误次数。结果本研究共发出调查问卷129份,收回有效问卷108份。在108份有效问卷中有76(70.37%)份符合职业倦怠诊断标准。调查期间共查出用药错误179次。职业倦怠住院医师发生用药错误的次数是正常住院医师的5.8倍;职业倦怠住院医师平均每月发生用药错误约1.6次(95%可信区间为0.58～4.32),正常住院医师平均每月发生用药错误为0.28次(95%可信区间为0.16～0.52),P<0.001。结论内科及儿科系统的住院医师普遍存在职业倦怠精神障碍,职业倦怠住院医师较正常住院医师更容易出现用药错误。

[ Objective ] To determine the prevalence of burnout in department residents in internal medicine and pediatrics, and to find out if there is a relation between burnout and medication errors. [Methods] A prospective study was designed. Totally 129 eligible residents in two teaching hospitals were participated in the study. Prevalence of burnout was recorded using the Maslaeh burnout inventory, the rate of medication errors was counted as per resident per month. [Results] A total of 108 questionnaires were got back. In the 108 participating residents 76 （70.37%） met the criteria for burnout. Active surveillance yielded a total of 179 errors made by the participants. Burnout residents made about 5.8 times as many medication errors per resident per month as residents who were not burnout： 1.63 （95% confidence interval： 0.58 to 4.32） compared with 0.28 （95% confidence interval： 0.16 to 0.52, P 〈0.001）. [ Conclusions] Burnout is a major problem in residents in internal medicine and pediatrics. Burnout residents make significandy more medical errors than their non-burnout counterparts.