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

理论基础、目的和目的：希望是影响个人应对压力环境能力的重要资源。本研究的目的是评估医疗差错与职业倦怠的关系，并希望在执业医师中使用效度量表。方法：研究对象为已完成住院医师培训并在医院工作的医师(N=1054)。调查包括医疗差错自我评估和有效的工作倦怠量表(去人格化[DP]和情绪衰竭[EE])和Herth Hope指数。结果：在1054个医生年中共报告了716个医疗差错。我们观察到职业倦怠EE、DP领域得分与报告错误之间存在显著的相关性；与最低三分类别相比，最高类别医生的自我感知医疗差错的IRRS分别为1.40(95%CI，1.16-1.68)和1.37(95%CI，1.15-1.63)。我们没有发现希望得分和自我感知的医疗差错之间的显著关联。HOPE分层次分析显示，在希望分较低的医生中，工作倦怠程度较高的医生报告的差错发生率较高；希望分较高的医生即使经历了较高的工作倦怠，也不会报告较高的差错发生率。结论：自我感知的医疗差错与医生的个人幸福感有很强的相关性：倦怠与自我知觉的差错有很强的相关性。然而，当医生们感到希望时，这种联系被修改了。

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.