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Research Studies is a compilation of published research articles funded by Ƶor authored by Ƶresearchers.

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1 to 25 of 97 Research Studies Displayed
Muir KJ, Agarwal AK, Golinelli D
Association of emergency department nurse and physician work environment agreement on clinician job and patient outcomes.
The objective of this cross-sectional study was to determine if emergency department clinicians agreed on the quality of work environments. The responses of emergency nurses and physicians in almost half of the study hospitals indicated disagreement on the quality of the work environment, which suggested that the two essential collaborators in high-stakes care differed on deficiencies in emergency department environments.
AHRQ-funded; HS028978.
Citation: Muir KJ, Agarwal AK, Golinelli D . Association of emergency department nurse and physician work environment agreement on clinician job and patient outcomes. BMC Health Serv Res 2025 May 16; 25(1):709. doi: 10.1186/s12913-025-12720-x..
Keywords: Emergency Department, Provider: Nurse, Provider: Physician, Burnout
Ameling J, Houchens N, Greene MT
Sacred moment experiences among internal medicine physicians.
The purpose of this study was to investigate meaningful connection experiences among physicians and their relationship to clinician wellbeing. Researchers conducted a national cross-sectional survey of randomly selected US internal medicine physicians without subspecialties between June 2023 and May 2024. Among 629 respondents (44.3% response rate), 67.7% reported experiencing “sacred moments” with patients, yet only 4.5% regularly discussed these experiences with colleagues. Factors most strongly associated with experiencing sacred moments included identifying as very spiritual and having strong purpose in life and work. Physicians who experienced sacred moments multiple times yearly showed significantly lower odds of extreme burnout compared to those experiencing them less frequently. Similarly, discussing these experiences with colleagues correlated with reduced burnout likelihood. The findings suggest that both experiencing and discussing meaningful patient connections may support physician wellbeing.
AHRQ-funded; HS028963.
Citation: Ameling J, Houchens N, Greene MT . Sacred moment experiences among internal medicine physicians. JAMA Netw Open 2025 May; 8(5):e2513159. doi: 10.1001/jamanetworkopen.2025.13159..
Keywords: Provider: Physician, Burnout
Linzer M, O'Brien EC, Sullivan E
Burnout in modern-day health care: Where are we, and how can we markedly reduce it? A meta-narrative review from the EUREKA* project.
The objectives of this review were to describe the evolution of burnout research and to identify gaps and the next steps to advance the field and reduce burnout. Findings indicated that, despite a consensus that burnout posed a global crisis, no agreement on how to address it had been established. Research into organizational contributors to burnout, evaluation of interventions, and organizational adoption of research findings into systemic action were urgently needed.
AHRQ-funded; HS029436.
Citation: Linzer M, O'Brien EC, Sullivan E . Burnout in modern-day health care: Where are we, and how can we markedly reduce it? A meta-narrative review from the EUREKA* project. Health Care Manage Rev 2025 Apr-Jun; 50(2):57-66. doi: 10.1097/hmr.0000000000000433..
Keywords: Burnout, Provider: Health Personnel
Martinez MF, O'Shea KJ, Kern MC
The health and economic burden of employee burnout to U.S. employers.
The authors developed a computational model that represented different engagement/burnout states and stressors within and outside the workplace. Their findings indicated that employee disengagement/burnout can cost employers several times more than the average cost of health insurance and the cost of training per employee.
AHRQ-funded; HS028165.
Citation: Martinez MF, O'Shea KJ, Kern MC . The health and economic burden of employee burnout to U.S. employers. Am J Prev Med 2025 Apr; 68(4):645-55. doi: 10.1016/j.amepre.2025.01.011..
Keywords: Healthcare Costs, Burnout
Johnson CT, Owen NS, Hessels AJ
Influence of psychological safety and safety climate perceptions on nurses’ infection prevention and occupational safety practices and environment.
This study’s aim was to describe and examine the relationships among elements of infection prevention practices, the care environment, psychological safety, and safety climate in adult medical surgical units in the wake of the COVID-19 pandemic. Electronic surveys were given to nurses in adult inpatient medical surgical units in the Northeast. A total of 259 nurses responded. Overall psychological safety had an average rating of 3.5 (neutral) on a scale of 1 to 5. There were better ratings for safety climate (4.0) but also identified areas for improvement. Eight out of twelve infection practices were correlated with higher safety climate scores and ten with higher psychological safety scores. Nine out of ten environmental factors were correlated with higher safety climate and higher psychological safety scores.
AHRQ-funded; HS026418.
Citation: Johnson CT, Owen NS, Hessels AJ . Influence of psychological safety and safety climate perceptions on nurses’ infection prevention and occupational safety practices and environment. Nursing Reports 2025 Feb; 15(2):37..
Keywords: Patient Safety, Prevention, Healthcare-Associated Infections (HAIs), Provider: Nurse, Burnout
Burden M, Keniston A, Pell J
Unlocking inpatient workload insights with electronic health record event logs.
This article explores how electronic health record (EHR) event logs can provide valuable insights into inpatient clinician workload and work design. Conventional workload measures like work relative value units inadequately capture the full scope of clinical effort in hospital settings. The authors identify potential EHR event log measures relevant to inpatient settings, including time metrics, workload indicators, responsiveness measures, teamwork assessments, and care efficiency markers. They discuss opportunities for applying these metrics in practice management, education, and quality improvement initiatives to optimize work design and potentially reduce clinician burnout. Despite promising applications, challenges remain in standardizing data aggregation practices, validating measures, and ensuring appropriate data interpretation. The authors emphasize that organizations must develop best practices around data privacy, foster psychological safety when sharing insights, and encourage interdisciplinary collaboration when making decisions based on these metrics.
AHRQ-funded; HS029020.
Citation: Burden M, Keniston A, Pell J . Unlocking inpatient workload insights with electronic health record event logs. J Hosp Med 2025 Jan; 20(1):79-84. doi: 10.1002/jhm.13386.
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Hospitals
Janczewski LM, Buchheit JT, Golisch KB
Contemporary evaluation of work-life integration and well-being in US surgical residents: a national mixed-methods study.
A nationwide study examined work-life integration among surgical residents, analyzing responses from 7,233 participants. The research revealed that many residents struggled with balancing professional and personal responsibilities, with over 44% completing work tasks at home. Female residents and those with children reported more difficulties managing work-life conflicts. The investigation identified several program interventions that supported better integration, including protected time for health maintenance, family priorities, and scheduling flexibility. Work-life conflicts showed significant associations with career dissatisfaction and burnout.
AHRQ-funded; HS029532.
Citation: Janczewski LM, Buchheit JT, Golisch KB . Contemporary evaluation of work-life integration and well-being in US surgical residents: a national mixed-methods study. J Am Coll Surg 2024 Dec; 239(6):515-26. doi: 10.1097/xcs.0000000000001135.
Keywords: Provider: Physician, Surgery
Ruppel H, Dougherty M, Kodavati M
The association between alarm burden and nurse burnout in U.S. hospitals.
This cross-sectional study examined survey data to assess association between nurses' experience of alarms and burnout. The associations were found to remain largely unchanged after adjusting for hospital characteristics, practice environment, and nurse staffing, but the authors conclude that the potential impact of alarms on nurses' well-being is an important consideration as technology advances.
AHRQ-funded; HS028978.
Citation: Ruppel H, Dougherty M, Kodavati M . The association between alarm burden and nurse burnout in U.S. hospitals. Nurs Outlook 2024 Nov-Dec; 72(6):102288. doi: 10.1016/j.outlook.2024.102288.
Keywords: Burnout, Provider: Nurse, Hospitals
Tawfik D, Bayati M, Liu J
Predicting primary care physician burnout from electronic health record use measures.
A study investigated electronic health record usage patterns as predictors of physician burnout among 233 primary care doctors across 60 clinics. Researchers collected data from wellness surveys and EHR efficiency measures between 2019 and 2020. High burnout scores appeared in 28% of surveys. The analysis examined various predictive models to identify burnout risk factors. Key indicators included physician age, team documentation practices, and order preferences. While individual burnout prediction showed limited accuracy, the models demonstrated moderate success in identifying high-risk clinics.
AHRQ-funded; HS027837.
Citation: Tawfik D, Bayati M, Liu J . Predicting primary care physician burnout from electronic health record use measures. Mayo Clin Proc 2024 Sep; 99(9):1411-21. doi: 10.1016/j.mayocp.2024.01.005..
Keywords: Burnout, Primary Care, Provider: Physician, Electronic Health Records (EHRs), Health Information Technology (HIT)
Chen Y, Chan CW, Dong J
Beyond order-based nursing workload: a retrospective cohort study in intensive care units.
Research comparing order-based versus clinically perceived nursing workloads in intensive care units revealed that order-based measurements often underestimate actual nursing burden. The study found that over half of cases showed higher clinically perceived workload than indicated by orders alone. Several factors contributed to increased workload perception, including weekend and night shifts, higher patient census, newly admitted patients, and male patients. The findings suggest the need for more comprehensive workload assessment methods.
AHRQ-funded; HS028454.
Citation: Chen Y, Chan CW, Dong J . Beyond order-based nursing workload: a retrospective cohort study in intensive care units. J Nurs Scholarsh 2024 Sep; 56(5):687-93. doi: 10.1111/jnu.12979..
Keywords: Intensive Care Unit (ICU), Nursing, Burnout, Provider: Nurse
Quigley DD, Slaughter ME, Qureshi N
Associations of primary care provider burnout with quality improvement, patient experience measurement, clinic culture, and job satisfaction.
This study examined the association between provider burnout and perspectives on quality improvement (QI), patient experience, clinic culture, and job satisfaction among providers at Federally Qualified Health Centers (FQHCs). A cross-sectional survey of 74 providers revealed that 30% reported burnout. Key findings indicated that supportive leadership and lower patient care pressures were linked to reduced burnout. The study suggests fostering provider-team relationships and QI discussions may mitigate burnout, highlighting the need for further research on effective leadership strategies.
AHRQ-funded; HS025920; HS029321.
Citation: Quigley DD, Slaughter ME, Qureshi N . Associations of primary care provider burnout with quality improvement, patient experience measurement, clinic culture, and job satisfaction. J Gen Intern Med 2024 Jul; 39(9):1567-74. doi: 10.1007/s11606-024-08633-w..
Keywords: Primary Care, Burnout, Quality Improvement, Patient Experience, Quality of Care, Provider: Clinician
Silver CM, Yuce TK, Clarke CN
Disparities in mentorship and implications for US surgical resident education and wellness.
This research investigates the role and impact of mentorship in surgical training programs across the United States. The study utilized a voluntary, anonymous survey distributed to residents in accredited general surgery residency programs following the 2019 American Board of Surgery In-Service Training Examination. The survey focused on residents' perceptions of meaningful mentorship, defined as having a mentor who genuinely cares about the resident and their career. The study examined factors associated with experiencing meaningful mentorship and its relationship to resident education and wellness outcomes. Approximately two-thirds of respondents reported having meaningful mentorship. The research found that non-White or Hispanic residents were less likely to report meaningful mentorship compared to non-Hispanic White residents. Senior residents were more likely to report meaningful mentorship than interns. The study revealed significant associations between meaningful mentorship and positive outcomes in both education and wellness. Residents with meaningful mentors were more likely to report operative autonomy and less likely to experience burnout, thoughts of leaving the program, or suicidal ideation.
AHRQ-funded; HS029532.
Citation: Silver CM, Yuce TK, Clarke CN . Disparities in mentorship and implications for US surgical resident education and wellness. JAMA Surg 2024 Jun; 159(6):687-95. doi: 10.1001/jamasurg.2024.0533.
Keywords: Education: Continuing Medical Education, Surgery, Provider: Physician
Sullivan EE, Etz RS, Gonzalez MM
You cannot function in "overwhelm": helping primary care navigate the slow end of the pandemic.
The purpose of this study was to elucidate underlying organizational factors that contributed to the deterioration of primary care clinicians' mental health during the COVID-19 pandemic. Data was taken from a national survey of primary care clinicians. Survey findings showed that clinicians shifted from feelings of anxiety and uncertainty at the start of the pandemic to isolation, lack of fulfillment, and plans to leave the profession. The authors note that the frequency with which clinicians spoke of depression, burnout, and moral injury was striking. The findings also identified responses that could alleviate the mental health crisis. The authors concluded that attention to clinician mental health should be directed to on-demand, confidential support so they can receive needed care without worrying about stigma or loss of license for accepting help.
AHRQ-funded; HS028253.
Citation: Sullivan EE, Etz RS, Gonzalez MM . You cannot function in "overwhelm": helping primary care navigate the slow end of the pandemic. J Healthc Manag 2024 May-Jun; 69(3):190-204. doi: 10.1097/jhm-d-23-00102..
Keywords: Primary Care, Ambulatory Care and Surgery, Burnout, Provider
Muir KJ, Porat-Dahlerbruch J, Nikpour J
Top factors in nurses ending health care employment between 2018 and 2021.
The objective of this cross-sectional study was to examine top contributing factors to nurses ending health care employment between 2018-2021 in New York and Illinois. Researchers analyzed survey data (RN4CAST-NY/IL) from registered nurses; differences in contributing factors are described by nurse age, employment status, prior setting of employment, and through exemplar nurse quotes. The results showed that although planned retirement was the leading factor, nurses also cited burnout or emotional exhaustion, insufficient staffing, or family obligations. The researchers concluded that addressing these issues is within the scope of employers and may improve nurse retention.
AHRQ-funded; HS028978.
Citation: Muir KJ, Porat-Dahlerbruch J, Nikpour J . Top factors in nurses ending health care employment between 2018 and 2021. JAMA Netw Open 2024 Apr; 7(4):e244121. doi: 10.1001/jamanetworkopen.2024.4121..
Keywords: Provider: Nurse, Burnout
Muir KJ, Merchant RM, Lasater KB
Emergency nurses' reasons for not recommending their hospital to clinicians as a good place to work.
The objective of this qualitative study was to examine why emergency nurses do not recommend their hospital to other clinicians as a good place to work. Open-text responses to the RN4CAST-NY/IL survey from registered nurses licensed in New York and Illinois were analyzed. Nurses did not recommend their workplace as a good place to work because of poor staffing, nonresponsive hospital leadership, unsafe work conditions, workplace violence, and a lack of feeling valued.
AHRQ-funded; HS028978.
Citation: Muir KJ, Merchant RM, Lasater KB . Emergency nurses' reasons for not recommending their hospital to clinicians as a good place to work. JAMA Netw Open 2024 Apr; 7(4):e244087. doi: 10.1001/jamanetworkopen.2024.4087.
Keywords: Provider: Nurse, Hospitals, Burnout, Nursing, Emergency Department
Gustavson AM, Patrick A, Ludescher M
Building and sustaining organizational capacity for the rehabilitation profession to support long COVID care.
This article addresses the challenges in scaling organizational capacity for Long COVID rehabilitation care, using the Minneapolis Veterans Affairs Health Care System (MVAHCS) as an illustrative example. The authors employ the Interactive Systems Framework to explore organizational capacity and present a logic model depicting the relationships between contextual determinants, capacity-building strategies, and potential outcomes. The study describes the MVAHCS Long COVID clinic, staffed by a part-time rehabilitation physician and physical therapist, highlighting the current limitations in patient capacity and interdisciplinary communication. The authors emphasize the importance of understanding and regularly reevaluating determinants of organizational capacity in the context of evolving Long COVID definitions and care. They propose that enhanced organizational capacity may lead to improved outcomes at organizational, staff/provider, and patient/family levels. These outcomes could include reduced staff turnover, improved patient satisfaction, reduced provider burnout, and enhanced quality of life for patients.
AHRQ-funded; HS026379.
Citation: Gustavson AM, Patrick A, Ludescher M . Building and sustaining organizational capacity for the rehabilitation profession to support long COVID care. Cardiopulm Phys Ther J 2024 Jan; 35(1):2-6. doi: 10.1097/cpt.0000000000000237..
Keywords: COVID-19, Workforce, Provider, Healthcare Delivery
Jardon C, Choi KR
COVID-19 experiences and mental health among graduate and undergraduate nursing students in Los Angeles.
This observational study’s purpose was to 1) describe the mental health of nursing students during the COVID-19 pandemic, (2) investigate relationships between stressful COVID-19 experiences and mental health, and (3) examine correlates of mental health service use. The authors created a web-based survey to assess COVID-19 experiences, self-reported mental health, and mental health service utilization among nursing students in Los Angeles in spring 2021 (N = 174, 30.1% response rate). The survey measured stressful COVID-19 experiences (personal COVID-19 illness, hospitalization of close friends or family, and death of close friends or family), loneliness, resilience, depression, anxiety, COVID-19-related traumatic stress, and utilization of campus and noncampus mental health services. Students were found to have high levels of depression (30%), anxiety (38%), and traumatic stress (30%). No relationship was found between stressful COVID-19 experiences and mental health, but loneliness was associated with higher odds of mental health problems and resilience with lower odds. Students with primary caregiving responsibilities (OR = 0.22) and students who identified as Asian/Pacific Islander (OR = 0.24) had lower odds of mental health service utilization.
AHRQ-funded; HS026407.
Citation: Jardon C, Choi KR . COVID-19 experiences and mental health among graduate and undergraduate nursing students in Los Angeles. J Am Psychiatr Nurses Assoc 2024 Jan-Feb; 30(1):86-94. doi: 10.1177/10783903211072222..
Keywords: COVID-19, Provider: Nurse, Education: Academic, Burnout
Yilmaz S, LeClaire M, Begnaud A
Developing LHS scholars' competency around reducing burnout and moral injury.
The study addresses the lack of a wellness competency focusing on burnout and moral injury prevention within Learning Health Systems (LHS). Experts collaborated to develop pathways for implementing such programs, emphasizing distinctions between moral injury and burnout, proposing interventions, and integrating expert input. The study found that a competency aimed at equipping scholars with skills for measuring, intervening, and embedding burnout and moral injury prevention into LHS structures, would potentially improve work lives and patient outcomes within LHS.
AHRQ-funded; HS026379.
Citation: Yilmaz S, LeClaire M, Begnaud A . Developing LHS scholars' competency around reducing burnout and moral injury. Learn Health Syst 2024 Jan; 8(1):e10378. doi: 10.1002/lrh2.10378..
Keywords: Learning Health Systems, Health Systems, Burnout, Provider: Health Personnel
Salwei ME, Hoonakker PLT, Pulia M
Retrospective analysis of the human-centered design process used to develop a clinical decision support in the emergency department: PE Dx Study Part 2.
With the growing implementation and use of health IT such as Clinical Decision Support (CDS), there is increasing attention on the potential negative impact of these technologies on patients (e.g., medication errors) and clinicians (e.g., increased workload, decreased job satisfaction, burnout). Human-Centered Design (HCD) and Human Factors (HF) principles are recommended to improve the usability of health IT and reduce its negative impact on patients and clinicians; however, challenges persist. The purpose of this study was to examine how a Human-Centered Design (HCD) process impacts the usability of health IT. The researchers conducted a systematic retrospective analysis of the HCD process utilized in the design of a Clinical Decision Support (CDS) for pulmonary embolism diagnosis in the emergency department (ED). The study identified gaps in the current HCD process, 7 design outcomes of the HCD process, and the need for a continuous health IT design process.
AHRQ-funded; HS026395; HS029042; HS024558; HS022086.
Citation: Salwei ME, Hoonakker PLT, Pulia M . Retrospective analysis of the human-centered design process used to develop a clinical decision support in the emergency department: PE Dx Study Part 2. Hum Factors Health 2023 Dec; 4:100055. doi: 10.1016/j.hfh.2023.100055..
Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Emergency Department
Watterson TL, Steege LM, Mott DA
Sociotechnical work system approach to occupational fatigue.
The impact of occupational fatigue has been researched in fields outside of health care such as transportation and industry. Studies with health care professionals such as physicians, medical residents, and nurses has highlighted the potential for occupational fatigue to affect patient, employee, and organizational outcomes. The researchers advise that a conceptual framework of occupational fatigue that is informed by a sociotechnical systems approach is needed. The purpose of this paper was to outline the health care professional occupational fatigue conceptual framework by following the Systems Engineering Initiative for Patient Safety (SEIPS) model and adapting the Conceptual Model of Occupational Fatigue in Nursing.
AHRQ-funded; HS027766.
Citation: Watterson TL, Steege LM, Mott DA . Sociotechnical work system approach to occupational fatigue. Jt Comm J Qual Patient Saf 2023 Sep; 49(9):485-93. doi: 10.1016/j.jcjq.2023.05.007..
Keywords: Provider: Health Personnel, Burnout
Apathy NC, Rotenstein L, Bates DW NC, Rotenstein L, Bates DW
Documentation dynamics: note composition, burden, and physician efficiency.
This study’s objective was to analyze how physician clinical note length and composition relate to electronic health record (EHR)-based measures of burden and efficiency that have been tied to burnout. This cross-sectional study examined EHR metadata capturing physician-level measures from 203,728 US-based ambulatory physicians using the Epic Systems EHR between September 2020 and May 2021. The authors calculated physician-level averages for four measures of interest and assigned physicians to overall note length deciles and note composition deciles from six sources, including templated text, manual text, and copy/paste text. They found that physicians in the top decile of note length demonstrated greater burden and lower efficiency than physicians in the median decile level, spending 39% more time in the EHR after hours and closing 5.6 percentage points fewer visits on the same day. Copy/paste use demonstrated a similar dose/response relationship, with top-decile copy/paste users closing 6.8 percentage points fewer visits on the same day and spending more time in the EHR after hours and on days off. Templated text such as Epic’s SmartTools demonstrated a non-linear relationship with burden and efficiency, with very low and very high levels of use associated with increased EHR burden and decreased efficiency.
AHRQ-funded; HS026116.
Citation: Apathy NC, Rotenstein L, Bates DW NC, Rotenstein L, Bates DW . Documentation dynamics: note composition, burden, and physician efficiency. Health Serv Res 2023 Jun; 58(3):674-85. doi: 10.1111/1475-6773.14097..
Keywords: Provider: Physician, Burnout, Electronic Health Records (EHRs), Health Information Technology (HIT)
Watterson TL, Chui MA
Subjective perceptions of occupational fatigue in community pharmacists.
The objective of this study was to describe subjective perceptions of occupational fatigue in community pharmacists. Wisconsin pharmacists who were eligible to participate completed a demographic questionnaire, a Pharmacist Fatigue Instrument, and semi-structured interview. Interview results were separated into overarching themes that included mental fatigue, physical fatigue, active fatigue, and passive fatigue. The researchers concluded that interventions aimed at improving occupational fatigue in community pharmacies should consider key themes of fatigue that pharmacists experience.
AHRQ-funded; HS027766.
Citation: Watterson TL, Chui MA . Subjective perceptions of occupational fatigue in community pharmacists. Pharmacy 2023 May 9; 11(3):84. doi: 10.3390/pharmacy11030084..
Keywords: Provider: Pharmacist, Burnout
Quigley DD, Slaughter ME, Qureshi N
Associations of pediatric nurse burnout with involvement in quality improvement.
The purpose of this study was to explore the relationships of inpatient pediatric nurse burnout with their perceptions on the importance of quality at the hospital, and with patient experience measurement, quality improvement (QI), unit culture, and staffing. The researchers implemented a cross-sectional study at an urban children's hospital and surveyed pediatric nurses about their perceptions including the Maslach Burnout Inventory. The study found that 27% of pediatric nurses reported burnout. Nurses who possessed greater confidence in patient experience measurement, received frequent patient experience performance reports, felt included in QI, and experienced QI efforts as integrated into patient care reported not being burned out when compared to those reporting burnout. Higher levels of open communication among nurses and unit-level teamwork were also related with lack of burnout, and a higher QI workload was related with burnout.
AHRQ-funded; HS025920.
Citation: Quigley DD, Slaughter ME, Qureshi N . Associations of pediatric nurse burnout with involvement in quality improvement. J Pediatr Nurs 2023 May-Jun; 70:e9-e16. doi: 10.1016/j.pedn.2022.11.001..
Keywords: Children/Adolescents, Burnout, Provider: Nurse, Quality Improvement, Quality of Care
Casalino LP, Jung HY, Bodenheimer T
The association of teamlets and teams with physician burnout and patient outcomes.
This cross-sectional observational study’s goal was to determine the prevalence and performance of primary care teamlets and teams. Survey participants included 688 general internists and family physicians. Physicians were assigned to one of four teamlet/team categories (e.g., teamlet/no team) and, in secondary analyses, to one of eight teamlet/team categories that classified teamlets into high, medium, and low collaboration as perceived by the physician (e.g., teamlet perceived-high collaboration/no team) based on their responses. The majority of physicians (77.4%) practiced in teamlets; 36.7% in teams. The four categories were divided as follows: 49.1% practiced in the teamlet/no team category; 28.3% in the teamlet/team category; 8.4% in no teamlet/team; 14.1% in no teamlet/no team. Results showed that 15.7%, 47.4%, and 14.4% of physicians practiced in perceived high-, medium-, and low-collaboration teamlets. Physicians who did not practice in a teamlet or team had significantly lower rate of burnout compared to the three teamlet/team categories. There were no significant differences in outcomes or Medicare spending by teamlet/team or teamlet perceived-collaboration/team categories compared to no teamlet/no team, for Medicare beneficiaries in general, or for dual-eligible beneficiaries.
AHRQ-funded; HS025716.
Citation: Casalino LP, Jung HY, Bodenheimer T . The association of teamlets and teams with physician burnout and patient outcomes. J Gen Intern Med 2023 May; 38(6):1384-92. doi: 10.1007/s11606-022-07894-7..
Keywords: Teams, Burnout, Primary Care, Provider: Physician
Barger LK, Weaver MD, Sullivan JP
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
The purpose of this study was to determine if long weekly work hours and shifts of extended duration are associated with adverse patient and physician safety outcomes. The criteria included work hours and shifts (≥24 hours) and for senior resident physicians (postgraduate year 2 and above; PGY2+). This study was conducted in the U.S. and spanned eight academic years. The analysis concluded that working 48 hours per week or longer, and extended shifts endanger even experienced (ie, PGY2+) resident physicians and their patients. It recommends lowering weekly work hour limits, as the European Union has done, and eliminating shifts of extended duration to protect the more than 150 000 physicians training in the US and their patients.
AHRQ-funded; HS012032.
Citation: Barger LK, Weaver MD, Sullivan JP . Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. BMJ Med 2023; 2(1):e000320. doi: 10.1136/bmjmed-2022-000320..
Keywords: Provider: Physician, Burnout, Patient Safety

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