American Medical News
Posted March 25, 2013
For all the focus put on improving physician performance and quality of care, one area of concern often is overlooked — the everyday stress and strain of the health care workday.
American Medical News has reported on how the seemingly ever-growing demands on physicians are affecting them negatively and often are having an impact on the quality of care patients receive. Although studies find that stress-related mistakes aren’t many, they do happen, and they represent what many health care experts believe is a persistent — but they hope fixable — issue in the fight for better care.
A report from the National Patient Safety Foundation’s Lucien Leape Institute finds that many medical environments are growing more taxing for those who work in them, creating a greater risk for those treated in them. The organization said increasing occupational injury rates, more verbal and physical assaults among colleagues, and a drive to deliver more care in less time is setting back the effort to increase quality of care. The institute has some suggestions on how to reverse this trend, including creating an environment that values civility and transparency.
Diagnosis errors that result in patients returning to the doctor or checking into the hospital are relatively few, but when they happen, it’s often related to physicians being caught in a time crunch, according to a study in JAMA Internal Medicine, formerly Archives of Internal Medicine. The study’s lead author said that’s because so many of the mistakes are related to the bread-and-butter of the office visit — how patients and physicians communicate, and how doctors conduct exams and take histories.
With nearly half of doctors reporting symptoms of burnout, a movement known as “mindfulness in medicine” has sprung up to help physicians find productive ways to relieve the pressure. A goal of mindfulness training is to help doctors stay connected with their patients and practice deliberately on a moment-to-moment basis, rather than get caught up in thinking about all the days’ stresses to come. At least a dozen U.S. medical schools offer courses in mindfulness techniques, and courses for practicing physicians are popping up nationwide. At least one study has found mindfulness to be an effective stress-reducing strategy.