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Prospective cohort study which evaluates factors that may influence the psychology and behavior of physicians

Research Project

Project/Area Number 21790580
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Public health/Health science
Research InstitutionKyoto University

Principal Investigator

HAYASHINO Yasuaki  Kyoto University, 医学研究科, 准教授 (70432383)

Project Period (FY) 2009 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2010: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2009: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords行動医学 / 医師の行動 / 医療ミス / 希望 / バーンアウト / 組織の健康度 / 睡眠の質
Research Abstract

Rationale, aims and objectives : Hope is an important resource that influences an individual's ability to cope with stressful situations. The objective of this study is to evaluate the association of medical errors with burnout, and hope among practicing physicians using validated metrics.
Method : Participants were physicians who had already completed residency training, and were working in hospital settings (N=1054). Surveys included self-assessment of medical errors and validated Burnout Scale (depersonalization [DP], and emotional exhaustion [EE]), and Herth Hope Index. Outcome measure was frequency of self-perceived medical errors was recorded.
Results : A total of 716 errors were reported in 1054 physician-years. We observed a significant association between the burnout EE, DP domain score, and reporting an error ; compared with the lowest tertile category, IRRs of self-perceived medical errors of physicians in the highest category were 1.40 (95%CI, 1.16-1.68) and 1.37 (95%CI, 1.15-1.63) respectively, for EE and DP. We did not find a significant association between the hope score, and self-perceived medical errors. In stratified analysis by hope score, among physicians with a low hope score, those who experienced higher burnout reported higher incidence of errors ; physicians with high hope scores did not report high incidences of errors, even if they experienced high burnout.
Conclusions : Self-perceived medical errors exhibited a strong association with physicians' personal well-being : burnout was strongly associated with self-perceived errors. However, this association was modified when physicians' felt hope.

Report

(3 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • Research Products

    (8 results)

All 2011 2010 2009 Other

All Journal Article (6 results) (of which Peer Reviewed: 6 results) Presentation (2 results)

  • [Journal Article] Hope modifies the association between burnout and self-perceived medical errors among practicing physicians : implications for person-centered medicine.2011

    • Author(s)
      Hayashino Y, Ozaki M, Fukuhara S.
    • Journal Title

      International Journal of Person-Centered Medicine

      Volume: (in press)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index : results from a population-based survey.2010

    • Author(s)
      Hayashino Y, Yamazaki S, Takegami M, Nakayama T, Sokejima S, Fukuhara S.
    • Journal Title

      Sleep Med. 11

      Pages: 366-371

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index : results from a population-based survey2010

    • Author(s)
      Hayashino Y, Yamazaki S, Takegami M, Nakayama T, Sokejima S, Fukuhara S
    • Journal Title

      Sleep Med 11

      Pages: 366-371

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Kurokawa K Low health-related quality of life is associated with all-cause mortality in patients with diabetes on haemodialysis : the Japan Dialysis Outcomes and Practice Pattern Study.2009

    • Author(s)
      Hayashino Y, Fukuhara S, Akiba T,Akizawa T, Asano Y, Saito S
    • Journal Title

      Diabet Med. 26

      Pages: 921-927

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Low health-related quality of life is associated with all-cause mortality in patients with diabetes on haemodialysis : the Japan Dialysis Outcomes and Practice Pattern Study.2009

    • Author(s)
      Hayashino Y, Fukuhara S, Akiba T, Akizawa T, Asano Y, Saito S, Kurokawa K
    • Journal Title

      Diabet Med

      Pages: 921-927

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Hope modifies the association between burnout and self-perceived medical errors among practicing physicians : implications for person-centered medicine.

    • Author(s)
      Hayashino Y, Ozaki M, Fukuhara S.
    • Journal Title

      International Journal of Person-Centered Medicine (in press)

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Presentation] 医師の心理的な負担感と重大な医療ミスとの関連について2010

    • Author(s)
      林野泰明
    • Organizer
      医療の質・安全学会
    • Place of Presentation
      幕張メッセ
    • Related Report
      2010 Final Research Report
  • [Presentation] 医師の心理的な負担感と重大な医療ミスとの関連について2010

    • Author(s)
      林野泰明
    • Organizer
      医療の質・安全学会誌
    • Place of Presentation
      幕張メッセ
    • Related Report
      2010 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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