Rates of medication errors among depressed and burnt out residents: prospective cohort study
Rates of medication errors among depressed and burnt out residents: prospective cohort study
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DOI：
10.1136/bmj.39469.763218.be
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发表时间：
2008-03-01
影响因子：
--
通讯作者：
Landrigan, Christopher P.
中科院分区：
文献类型：
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作者：
Fahrenkopf, Amy M.;Sectish, Theodore C.;Landrigan, Christopher P.
目的确定儿科住院医师中抑郁和倦怠的患病率，并确定这些疾病与用药错误之间是否存在关系。设计前瞻性队列研究。设置美国三家城市独立儿童医院。参与者123名住院医师参加三个儿科住院医师项目。主要结果测量抑郁患病率，使用哈佛全国抑郁筛查日量表，结果24名住院医师（20%）符合抑郁标准，92名住院医师（74%）符合职业倦怠标准。主动监测发现参与者犯了45个错误。抑郁的住院医生每个住院月的用药错误是非抑郁的住院医生的6.2倍：1.55（95%置信区间0.57至4.22）与0.25（0.14至0.46，P
Objective To determine the prevalence of depression and burnout among residents in paediatrics and to establish if a relation exists between these disorders and medication errors.Design Prospective cohort study.Setting Three urban freestanding children's hospitals in the United States.Participants 123 residents in three paediatric residency programmes.Main outcome measures Prevalence of depression using the Harvard national depression screening day scale, burnout using the Maslach burnout inventory, and rate of medication errors per resident month.Results 24 (20%) of the participating residents met the criteria for depression and 92 (74%) met the criteria for burnout. Active surveillance yielded 45 errors made by participants. Depressed residents made 6.2 times as many medication errors per resident month as residents who were not depressed: 1.55 (95% confidence interval 0.57 to 4.22) compared with 0.25 (0.14 to 0.46, P