Abstract

Burnout is an occupational hazard in healthcare, often linked to reduced quality and safety. An investigation on the relationship between such problems induced by the COVID-19 pandemic and patient safety in acute-care hospitals is especially timely. Analysis of burnout trajectories suggests chronic levels of emotional exhaustion among nurses and support staff and sustained elevations in depersonalization among nurses throughout the pandemic. Evidence that higher burnout correlates with increased rates of medical errors or adverse events, a weakened safety culture, and negative reporting attitudes provides a foundation for associated decreases in patient safety. Although several mechanisms have been proposed, none have been directly tested. The elevated level of pandemic-related stressors faced by acute-care hospitals may exacerbate the usual burnout–safety relationship. Nevertheless, the available information remains useful for guiding practical action, future research, and persuasively informing policy.

Keywords

  • Pandemic Burnout Patient Safety Acute Care Healthcare Organizations Crisis ManagementWorkforce burno

References

  1. Inala, R. Designing Scalable Technology Architectures for Customer Data in Group Insurance and Investment Platforms.
  2. Carmassi, C., Foghi, C., Dell’Oste, V., Cordone, A., Bertelloni, C. A., Bui, E., & Dell’Osso, L. (2020). PTSD symptoms in healthcare workers facing the three coronavirus outbreaks: What can we expect after the COVID-19 pandemic. Psychiatry Research, 292, 113312. doi:10.1016/j.psychres.2020.113312
  3. Gottimukkala, V. R. R. (2020). Energy-Efficient Design Patterns for Large-Scale Banking Applications Deployed on AWS Cloud. power, 9(12).
  4. de Lima Garcia, C., de Abreu, L. C., Ramos, J. L. S., de Castro, C. F. D., Smiderle, F. R. N., dos Santos, J. A., & Bezerra, I. M. P. (2019). Influence of burnout on patient safety: Systematic review and meta-analysis. Medicina, 55(9), 553. doi:10.3390/medicina55090553
  5. Dzau, V. J., Kirch, D., & Nasca, T. (2020). Preventing a parallel pandemic—A national strategy to protect clinicians’ well-being. The New England Journal of Medicine, 383(6), 513–515. doi:10.1056/NEJMp2011027
  6. Elhadi, M., Msherghi, A., Elgzairi, M., Alhashimi, A., Bouhuwaish, A., Biala, M., Abuelmeda, S., Khel, S., Khaled, A., Alsoufi, A., & others. (2020). Burnout syndrome among hospital healthcare workers during the COVID-19 pandemic and civil war: A cross-sectional study. Frontiers in Psychiatry, 11, 579563. doi:10.3389/fpsyt.2020.579563
  7. Gottimukkala, V. R. R. (2020). Energy-Efficient Design Patterns for Large-Scale Banking Applications Deployed on AWS Cloud. power, 9(12)
  8. Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLOS ONE, 11(7), e0159015. doi:10.1371/journal.pone.0159015
  9. Hartzband, P., & Groopman, J. (2020). Physician burnout, interrupted. The New England Journal of Medicine, 382(26), 2485–2487. doi:10.1056/NEJMp2003149
  10. Keerthi Amistapuram , "Energy-Efficient System Design for High-Volume Insurance Applications in Cloud-Native Environments," International Journal of Innovative Research in Electrical, Electronics, Instrumentation and Control Engineering (IJIREEICE), DOI 10.17148/IJIREEICE.2020.81209
  11. World Health Organization. (2020). Patient safety incident reporting and learning systems: Technical report and guidance. World Health Organization
  12. Varri, D. B. S. (2020). Automated Vulnerability Detection and Remediation Framework for Enterprise Databases. Online Journal of Engineering Sciences, 1(1), 1–12. Retrieved from https://www.scipublications.com/journal/index.php/ojes/article/view/1354
  13. Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907. doi:10.1016/j.bbi.2020.05.026
  14. Gadi, A. L. The Role of Digital Twins in Automotive R&D for Rapid Prototyping and System Integration
  15. Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976. doi:10.1001/jamanetworkopen.2020.3976
  16. Adusupalli, B., Singireddy, S., & Pandiri, L. Implementing Scalable Identity and Access Management Frameworks in Digital Insurance Platforms
  17. Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6), e790–e798. doi:10.1016/S2214-109X(20)30204-7
  18. Preethish Nandan, B. (2020). Advanced Testing Frameworks for Next - Generation Semiconductor Devices Using Machine Learning. International Journal of Science and Research (IJSR), 1911–1920. https://doi.org/10.21275/sr20125160704
  19. Muller, A. E., Hafstad, E. V., Himmels, J. P. W., Smedslund, G., Flottorp, S., Stensland, S. Ø., Stroobants, S., Van de Velde, S., & Vist, G. E. (2020). The mental health impact of the COVID-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research, 293, 113441. doi:10.1016/j.psychres.2020.113441
  20. Recharla, M. (2020). Targeted Gene Therapy for Spinal Muscular Atrophy: Advances in Delivery Mechanisms and Clinical Outcomes. International Journal of Science and Research (IJSR), 1921–1934. https://doi.org/10.21275/sr20126161624
  21. Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., Peters, D., Hodkinson, A., Riley, R., & Esmail, A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Internal Medicine, 178(10), 1317–1331. doi:10.1001/jamainternmed.2018.3713
  22. Balaji Adusupalli, Sneha Singireddy, Lahari Pandiri, "Implementing Scalable Identity and Access Management Frameworks in Digital Insurance Platforms," International Journal of Advanced Research in Computer and Communication Engineering (IJARCCE), DOI: 10.17148/IJARCCE.2020.91224
  23. Restauri, N., & Sheridan, A. D. (2020). Burnout and posttraumatic stress disorder in the coronavirus disease 2019 (COVID-19) pandemic: Intersection, impact, and interventions. Journal of the American College of Radiology, 17(7), 921–926. doi:10.1016/j.jacr.2020.05.021
  24. Pallav Kumar Kaulwar, "Designing Secure Data Pipelines for Regulatory Compliance in Cross-Border Tax Consulting," International Journal of Innovative Research in Electrical, Electronics, Instrumentation and Control Engineering (IJIREEICE), DOI 10.17148/IJIREEICE.2020.81208
  25. Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA, 323(21), 2133–2134. doi:10.1001/jama.2020.5893
  26. Koppolu, H. K. R. Beyond the Bedside: Examining the Influence of Family-Integrated Care Practices on Patient Outcomes and Satisfaction in Diverse Clinical Settings
  27. Sharifi, M., Asadi-Pooya, A. A., & Mousavi-Roknabadi, R. S. (2020). Burnout among healthcare providers of COVID-19: A systematic review. International Journal of Preventive Medicine, 11, 186. doi:10.4103/ijpvm.IJPVM_327_20
  28. Balaji Adusupalli, Lahari Pandiri, Sneha Singireddy, "DevOps Enablement in Legacy Insurance Infrastructure for Agile Policy and Claims Deployment," International Journal of Innovative Research in Electrical, Electronics, Instrumentation and Control Engineering (IJIREEICE), DOI 10.17148/IJIREEICE.2019.71209
  29. Walton, M., Murray, E., & Christian, M. D. (2020). Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. European Heart Journal: Acute Cardiovascular Care, 9(3), 241–247. doi:10.1177/2048872620922795
  30. West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: Contributors, consequences and solutions. Journal of Internal Medicine, 283(6), 516–529. doi:10.1111/joim.12752
  31. Zhang, Y., Wang, C., Pan, W., Zheng, J., Gao, J., Huang, X., Cai, S., Zhai, Y., Latour, J. M., & Zhu, C. (2020). Stress, burnout, and coping strategies of frontline nurses during the COVID-19 epidemic in Wuhan and Shanghai, China. Frontiers in Psychiatry, 11, 565520. doi:10.3389/fpsyt.2020.565520