ReviewThe Permanente journal2023
Time Out: The Impact of Physician Burnout on Patient Care Quality and Safety in Perioperative Medicine.
Review in The Permanente journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 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
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Clinical Implementation of Artificial Intelligence Scribes in Health Care: A Systematic Review.Applied clinical informatics · 2025Pooled it
- Depression and depressive symptoms in physicians prior to the COVID-19 pandemic: a systematic review and meta-analysis.Frontiers in psychiatry · 2025Pooled it
- Artificial Intelligence Scribes in Orthopaedic Surgery: A Narrative Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Review
- Emotional Impact of Patient Death and Associated Psychological Distress in Cardiac Physicians.JACC. Advances · 2026Article
- Resilience among European geriatricians: a cross-sectional survey combining self-reported and performance-based measures.European geriatric medicine · 2026Article
- Burnout among healthcare providers and its association with patient safety management: when exhaustion breaks safety.BMC psychology · 2026Article
- Feasibility and early outcomes of a multi-site TeleHospitalist admissions programme: staff and patient perspectives from a large health system.BMJ open quality · 2026Article
- Development and validation of a flow state scale for healthcare professionals.Frontiers in psychology · 2026Article
- Burnout Among Pediatric Surgeons of Different Subspecialties Worldwide: A Systematic Review and Meta-Analysis.Health services insights · 2026Review
- Sound relief: Restorative Music as a strategy to improve clinician wellbeing.Frontiers in psychology · 2026Article
- Burnout among healthcare workers in Lebanon: a multicentred cross-sectional study.BMJ public health · 2026Article
- Black Women's Perceptions of the Challenges Surrounding Cervical Cancer Screening in the United States.Journal of racial and ethnic health disparities · 2025Article
- Burnout and resilience among Iranian rheumatologists: a national cross-sectional study.Clinical rheumatology · 2025Article
- Physician burnout in Maryland: young female physicians at highest risk during COVID-19.Annals of medicine · 2025Article
- The burnout: a silent saboteur in in vitro fertilization laboratories.Journal of assisted reproduction and genetics · 2025Review
- Physicians' and Residents' Well-Being in Ecological System: A Scoping Review of Positive Deviance Strategies.Healthcare (Basel, Switzerland) · 2025Review
- Association of well-being-centered leadership with burnout and professional fulfillment among physicians: mediating effects of autonomy support and self-valuation.Leadership in health services (Bradford, England) · 2025Article
- The Magnitude of Anesthesiology Residents Burnout at Shahid Beheshti University of Medical Sciences: A Cross-Sectional Study.Anesthesiology and pain medicine · 2025Article
- An integrated neurophenomenological framework for naturalistic assessment of work-related stressors in healthcare professionals: a pilot study in neuro-surgery.Frontiers in psychology · 2025Article
- Factors that contribute to physician burnout, interventions to prevent and mitigate burnout and knowledge gaps-a Delphi study.Frontiers in public health · 2025Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Perioperative care delivery is a patient-centered, multidisciplinary process. It relies heavily on synchronized teamwork from a well-coordinated team. Perioperative physicians-surgeons and anesthesiologists-face enormous challenges in surgical care delivery due to changing work environments, post-COVID consequences, shift work disorder, value conflict, escalating demands, regulatory complexity, and financial uncertainties. Physician burnout in this working environment has become increasingly prevalent. It is not only harmful to physicians' health and well-being, but it also affects the quality and safety of patient care. Additionally, the economic costs associated with physician burnout are untenable due to the high turnover rate, high recruitment expenses, and potential early permanent exit from medical practice. In this deteriorating environment of unbalanced physician supply/demand, recognizing, managing, and preventing physician burnout may help preserve the system's most valuable asset and contribute to higher quality and safety of patient care. Leaders in government agencies, health care systems, and organizations must work together to re-engineer the health care system for better physicians and 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.