Trial reportJournal of general internal medicine2017
Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place Study.
Trial report in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02542995 (Creating Healthy Workplaces), which is not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Creating Healthy Workplaces: Improving Outcomes for Providers and Patients
Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Effects of participatory organizational interventions on mental health and work performance: a systematic review and meta-analysis.Journal of occupational health · 2026Pooled it
- Effect of interventions for the well-being, satisfaction and flourishing of general practitioners-a systematic review.BMJ open · 2021Pooled it
- The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis.Annals of internal medicine · 2019Pooled it
- Understanding key drivers of job satisfaction in primary health care organizations in Kazakhstan: a Herzberg's two-factor theory-based qualitative study.Frontiers in health services · 2026Article
- Academic Physician and Trainee Occupational Well-Being by Sexual and Gender Minority Status.JAMA network open · 2024Article
- Behavioral Health Provider Burnout and Mental Health Care in the Veterans Health Administration.Journal of general internal medicine · 2023Article
- How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care.BMJ open · 2023Article
- Perspectives on the Intersection of Electronic Health Records and Health Care Team Communication, Function, and Well-being.JAMA network open · 2023Article
- Article
- Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex.Health affairs (Project Hope) · 2022Article
- Burnout Related to Diabetes Mellitus: A Critical Analysis.Clinical practice and epidemiology in mental health : CP & EMH · 2022Review
- The language of healthcare worker emotional exhaustion: A linguistic analysis of longitudinal survey.Frontiers in psychiatry · 2022Article
- Patient, provider, and clinic factors associated with the use of cervical cancer screening.Preventive medicine reports · 2021Article
- The impact of time spent on the electronic health record after work and of clerical work on burnout among clinical faculty.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.PloS one · 2021Article
- Job stress among GPs: associations with practice organisation in 11 high-income countries.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Impacts of Operational Failures on Primary Care Physicians' Work: A Critical Interpretive Synthesis of the Literature.Annals of family medicine · 2020Review
- Effect of Organization-Directed Workplace Interventions on Physician Burnout: A Systematic Review.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019Review
- Association of Electronic Health Record Design and Use Factors With Clinician Stress and Burnout.JAMA network open · 2019Article
Corrections and comments
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Authors and funding
11 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile primary care work conditions are associated with adverse clinician outcomes, little is known about the effect of work condition interventions on quality or safety.
designA cluster randomized controlled trial of 34 clinics in the upper Midwest and New York City.
participantsPrimary care clinicians and their diabetic and hypertensive patients.
interventionsQuality improvement projects to improve communication between providers, workflow design, and chronic disease management. Intervention clinics received brief summaries of their clinician and patient outcome data at baseline. MAIN MEASURES: We measured work conditions and clinician and patient outcomes both at baseline and 6-12 months post-intervention. Multilevel regression analyses assessed the impact of work condition changes on outcomes. Subgroup analyses assessed impact by intervention category. KEY
resultsThere were no significant differences in error reduction (19 % vs. 11 %, OR of improvement 1.84, 95 % CI 0.70, 4.82, p = 0.21) or quality of care improvement (19 % improved vs. 44 %, OR 0.62, 95 % CI 0.58, 1.21, p = 0.42) between intervention and control clinics. The conceptual model linking work conditions, provider outcomes, and error reduction showed significant relationships between work conditions and provider outcomes (p ≤ 0.001) and a trend toward a reduced error rate in providers with lower burnout (OR 1.44, 95 % CI 0.94, 2.23, p = 0.09). LIMITATIONS: Few quality metrics, short time span, fewer clinicians recruited than anticipated.
conclusionsWork-life interventions improving clinician satisfaction and well-being do not necessarily reduce errors or improve quality. Longer, more focused interventions may be needed to produce meaningful improvements in patient care. CLINICAL TRIAL REGISTRATION NUMBER: ClinicalTrials.gov # NCT02542995.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.