ReviewBMC health services research2021
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Review in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and risk factors for burnout among rheumatologists: a systematic review and meta-analysis.Rheumatology international · 2026Pooled it
- Prevalence of Burnout in Healthcare Specialties: A Systematic Review Using Copenhagen and Maslach Burnout Inventories.Medical science monitor : international medical journal of experimental and clinical research · 2022Pooled it
- Incognito Standardized Patients to Assess Physician Awareness and Capacity to Recognize Primary Syphilis Presentation in Chinese STI Clinics.Sexually transmitted diseases · 2026Article
- Changes in working hours and burnout levels among physicians: a cohort study.Human resources for health · 2026Article
- Adverse childhood experiences and burnout among health care providers in primary care: the moderating role of resilience.Primary health care research & development · 2026Article
- Trends and insights from healthcare utilization in a South Indian teaching institute: A retrospective analysis.Journal of family medicine and primary care · 2026Article
- A Two-Level, Multidimensional Framework for Understanding and Treating Clinician Fatigue.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Assessing factors that influence perceived burnout in postdoctoral fellows and identifying recommendations to support their well-being.PloS one · 2026Article
- Burnout, depression, and medication errors among family physicians.Scientific reports · 2025Article
- A New Approach to Cancer Second Opinions: Overcoming the Challenges of Conventional Oncology Practice by Providing Education to Patients and Physicians.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- The Moderating Effect of Atypical Events on the Relationship Between Heart Rate and Stress in Medical Residents Working in an Intensive Care Unit: Longitudinal, Observational Daily Diary Study.JMIR formative research · 2025Observational
- Putting Patients at Risk: The Effect of Health Care Provider Burnout on Patient Care in the Operating Room-A Narrative Review.Journal of patient safety · 2025Review
- Primary care physicians' job satisfaction in eleven Western countries: a cross-sectional study.BMC primary care · 2025Article
- Job satisfaction in doctors with suicidal ideation: a national longitudinal panel study 2002-2021.BMC psychiatry · 2025Article
- Occupational stress among Norwegian physicians: A literature review of long-term prospective studies 2007-2019.Scandinavian journal of public health · 2025Review
- Addressing Clinician Burnout and Turnover: A Call for Systemic Action.Medical care · 2025Article
- Has cross-level clinical coordination changed in the context of the pandemic? The case of the Catalan health system.BMC health services research · 2024Article
- Cumulated time to chart closure: a novel electronic health record-derived metric associated with clinician burnout.JAMIA open · 2024Article
- Clinician Burnout and Effectiveness of Guideline-Recommended Psychotherapies.JAMA network open · 2024Article
- Tough Clinical Decisions: Experiences of Polish Physicians.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysician burnout has potentially harmful effects for both physicians and their patients. Despite relationships between physician burnout and lowered patient satisfaction and clinician-rated adverse patient outcomes, there is scarce literature regarding effects on objective patient outcomes. This study aimed to examine the relationship between physician burnout and observed adverse patient outcomes via a review of the literature.
methodsA search was performed on the MEDLINE, EMBASE and PsychINFO databases, using keywords and Medical Subject Headings. The identified studies were in English, published from 2007 to 2019, measured burnout among physicians using the Maslach Burnout Inventory (MBI), and included observed adverse patient outcomes. In total, 360 eligible articles were identified, and 11 were included in the final review. All included studies measured patient outcomes by observed clinical measures (e.g. quality of care and medical errors).
resultsFour studies found a clear significant relationship between physician burnout and observed adverse patient outcomes, while 6 did not. One study found a significant relationship with one of the MBI subscales. Burnout was, in contrast to depression, only partly associated with observed patient outcomes.
conclusionsThis review illustrates the need for a validation of physician burnout measured by MBI with respect to observed patient outcomes. Further studies are required to investigate the effects of physician burnout on observed quality of their patient care.
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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.