Hubungan Burnout Dokter terhadap Patient Safety di Rumah Sakit: Literature Review

Dhea Risma Pramestasari; Nurnaningsih Herya Ulfah; Hartati Eko Wardani; Lucky Radita Alma

doi:10.17977/um062v7i12025p15-27

Authors

Dhea Risma Pramestasari Universitas Negeri Malang
Nurnaningsih Herya Ulfah Universitas Negeri Malang
Hartati Eko Wardani Universitas Negeri Malang
Lucky Radita Alma Universitas Negeri Malang

DOI:

https://doi.org/10.17977/um062v7i12025p15-27

Keywords:

burnout, doctor, patient safety, dokter

Abstract

Abstract: Patient safety is the main indicator in the health service system in hospitals. Patient safety is influenced by the burnout condition of doctors. The prevalence of burnout reaches 14.4 percent (high), 65.8 percent (moderate), and 19.8 percent (low). As a result, burnout experienced by doctors can have an impact on patient safety. This study aims to determine the relationship between doctor burnout and patient safety in hospitals based on the results of previous studies between 2019-2023. The research method used is a literature review with a PRISMA (Preferred Reporting for Systematic Review and Meta-analysis) flow diagram. The article search database uses Google Scholar (2520) and Pubmed (95) in the last five years that match the specified topics and inclusion criteria. The articles found will be screened in the form of duplicate articles, full paper access, topic suitability, and abstracts. Furthermore, the article will be tested for feasibility and 6 articles will be produced. Based on the results of the literature review, it shows that the majority of articles have a significant relationship between doctor burnout and patient safety in hospitals. Patient safety or medical errors are caused by other factors such as age, depression, and doctor welfare. Doctors' internal conditions, depression or stress, workload and other external factors can predict burnout. Burnout in doctors can have serious implications for patient safety, thus providing low health services to patients.

Abstrak: Patient safety merupakan indikator utama dalam sistem pelayanan kesehatan di rumah sakit. Patient safety dipengaruhi oleh kondisi burnout dari dokter. Prevalensi burnout mencapai 14,4 persen (tinggi), 65,8 persen (sedang), dan 19,8 persen (rendah). Akibatnya burnout yang dialami oleh dokter dapat berdampak pada patient safety. Penelitian ini bertujuan untuk mengetahui hubungan burnout dokter terhadap patient safety di rumah sakit berdasarkan pada hasil penelitian sebelumnya antara tahun 2019-2023. Metode penelitian yang digunakan adalah literature review dengan diagram alir PRISMA (Preferred Reporting for Systematic Review and Meta-analysis). Database pencarian artikel menggunakan Google Scholar (2520) dan Pubmed (95) dalam lima tahun terakhir yang sesuai dengan topik dan kriteria inklusi yang ditentukan. Artikel temuan akan diskrining berupa duplikat artikel, access full paper, kesesuaian topik, hingga abstrak. Selanjutnya artikel akan dilakukan uji kelayakan dan dihasilkan 6 artikel. Berdasarkan hasil literature review menunjukkan bahwa mayoritas artikel memiliki hubungan signifikan antara burnout dokter dengan patient safety di rumah sakit. Patient safety atau kesalahan medis disebabkan oleh faktor lain seperti usia, depresi, dan kesejahteraan dokter. Kondisi internal dokter, depresi atau stres, beban kerja dan faktor eksternal lain dapat memprediksi terjadinya burnout. Burnout pada dokter dapat memberikan implikasi serius pada patient safety sehingga memberikan pelayanan kesehatan yang rendah kepada pasien.

References

Afandi, A. T., Pramita, A. D., Nur, K. R. M., & Handoko, Y. T. (2023). Gambaran Budaya Keselamatan Pasien di Rumah Sakit: Studi Kasus pada Area Manajemen Pelayanan. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 2(4), Article 4. https://doi.org/10.55123/sehatmas.v2i4.2358

Aiken, L. H., Lasater, K. B., Sloane, D. M., Pogue, C. A., Fitzpatrick Rosenbaum, K. E., Muir, K. J., McHugh, M. D., & US Clinician Wellbeing Study Consortium. (2023). Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice: Factors Associated With Turnover, Outcomes, and Patient Safety. JAMA Health Forum, 4(7), e231809. https://doi.org/10.1001/jamahealthforum.2023.1809

Al-Ghunaim, T., Johnson, J., Biyani, C. S., Yiasemidou, M., & O’Connor, D. B. (2023). Burnout and patient safety perceptions among surgeons in the United Kingdom during the early phases of the coronavirus disease 2019 pandemic: A two-wave survey. Scottish Medical Journal, 68(2), 41–48. https://doi.org/10.1177/00369330231163378

Andyastanti, T. M., Puspitasari, S. T., Hapsari, A., Salsabila, M. G., & Rachmadana, W. (2023). Perilaku Dokter dan Perawat dalam Pelayanan Kesehatan selama Pandemi Covid-19 di Rumah Sakit PHC Surabaya. Sport Science and Health, 5(10), Article 10.

Brunsberg, K. A., Landrigan, C. P., Garcia, B. M., Petty, C. R., Sectish, T. C., Simpkin, A. L., Spector, N. D., Starmer, A. J., West, D. C., & Calaman, S. (2019). Association of Pediatric Resident Physician Depression and Burnout With Harmful Medical Errors on Inpatient Services. Academic Medicine : Journal of the Association of American Medical Colleges, 94(8), 1150–1156. https://doi.org/10.1097/ACM.0000000000002778

Crijns, T. J., Kortlever, J. T. P., Guitton, T. G., Ring, D., & Barron, G. C. (2021). Symptoms of Burnout among Surgeons are Correlated with a Higher Incidence of Perceived Medical Errors. HSS Journal, 16(2), 305–310. https://doi.org/10.1007/s11420-019-09727-6

Febriani, R. A., & Musharyanti, L. (2023). Correlation between burnout and patient safety culture on nurses at private hospital in Yogyakarta, Indonesia. Bali Medical Journal, 12(2), 2180–2184.

Garrouste-Orgeas, M., Perrin, M., Soufir, L., Vesin, A., Blot, F., Maxime, V., Beuret, P., Troché, G., Klouche, K., Argaud, L., Azoulay, E., & Timsit, J.-F. (2015). The Iatroref study: Medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive Care Medicine, 41(2), 273–284. https://doi.org/10.1007/s00134-014-3601-4

Grow, H. M., McPhillips, H. A., & Batra, M. (2019). Understanding physician burnout. Current Problems in Pediatric and Adolescent Health Care, 49(11), 100656. https://doi.org/10.1016/j.cppeds.2019.100656

Hall, L. H., Johnson, J., Watt, I., & O’Connor, D. B. (2019). Association of GP wellbeing and burnout with patient safety in UK primary care: A cross-sectional survey. British Journal of General …. https://bjgp.org/content/69/684/e507.short

Jarrar, M., Al-Bsheish, M., Albaker, W., Alsaad, I., Alkhalifa, E., Alnufaili, S., Almajed, N., Alhawaj, R., Al-Hariri, M. T., Alsunni, A. A., Aldhmadi, B. K., & Alumran, A. (2023). Hospital Work Conditions and the Mediation Role of Burnout: Residents and Practicing Physicians Reporting Adverse Events. Risk Management and Healthcare Policy, 16, 1–13. https://doi.org/10.2147/RMHP.S392523

Kassam, A.-F., Cortez, A. R., Winer, L. K., Conzen, K. D., El-Hinnawi, A., Jones, C. M., Matsuoka, L., Watkins, A. C., Collins, K. M., Bhati, C., Selzner, M., Sonnenday, C. J., Englesbe, M. J., Diwan, T. S., Dick, A. A. S., & Iii, R. C. Q. (2021). Extinguishing burnout: National analysis of predictors and effects of burnout in abdominal transplant surgery fellows. American Journal of Transplantation, 21(1), 307–313. https://doi.org/10.1111/ajt.16075

Kementerian Kesehatan RI. (2017). Peraturan Menteri Kesehatan Nomor 11 Tahun 2017. https://jdih.baliprov.go.id/produk-hukum/peraturan-perundang-undangan/permenkes/24147

Mu’awanah, R. M., Andari, Y. D., Hariyono, M., Aristaputri, D., & Pradana, H. H. (2023). Hubungan Dukungan Sosial Keluarga terhadap Burnout Mahasiswa dengan Peran Ganda. Psycho Aksara: Jurnal Psikologi, 1(2), 226–233.

Nishimura, Y. (2022). Primary Care, Burnout, and Patient Safety: Way to Eliminate Avoidable Harm. International Journal of Environmental Research and Public Health, 19(16), Article 16. https://doi.org/10.3390/ijerph191610112

Nugroho, R. K., Suyanto, S., & Waluyo, S. J. (2023). Pengaruh Burnout pada Tenaga Kesehatan terhadap Keselamatan Pasien: Meta Analisis. Jurnal Penelitian Perawat Profesional, 5(3), 1077–1086.

Nurislami, S., Pramesona, B. A., Wintoko, R., & Oktarlina, R. Z. (2023). Faktor-faktor yang Memengaruhi Pelaporan Insiden Keselamatan Pasien: Literature Review. Jurnal Penelitian Perawat Profesional, 5(2), Article 2. https://doi.org/10.37287/jppp.v5i2.1436

Nurjannah, W., Muchtar, F., & Prianti, I. A. (2021). Faktor yang Berhubungan dengan Kelelahan Kerja pada Perawat di Ruang IGD dan ICU BLUD RS Benyamin Guluh Kab. Kolaka Tahun 2023. https://www.adihusada.ac.id/jurnal/index.php/JHMR/article/view/441

Owoc, J., Mańczak, M., Tombarkiewicz, M., & Olszewski, R. (2021). Burnout, well being, and self reported medical errors among physicians. Polish Archives of Internal Medicine, 131(7–8), 626–632.

Purwaningsih, D. F., Salamung, N., & Elmiyanti, N. K. (2022). Pengaruh Kelelahan terhadap Keselamatan Pasien: Sistematik Review: Influence of Burnout on Patient Safety: a Systematic Review. Jurnal Kesmas Untika Luwuk: Public Health Journal, 13(2), 138–153.

Rammell, J., & Burdess, A. (2023). Burnout in surgeons: A ticking time bomb? Surgery (Oxford), 41(8), 523–527. https://doi.org/10.1016/j.mpsur.2023.05.010

Roidah, H. D., Yunus, M., Sulistyorini, A., & Marji, M. (2024). Hubungan Karakteristik Individu, Masa Kerja, dan Job Burnout pada Penerapan Patient Safety oleh Perawat IRNA I RSUD Dr. Saiful Anwar. Sport Science and Health, 6(3), Article 3.

Rosyid, A. N., Puspitasari, A. D., Budiarti, T. N., Fitriyah, I., Sensusiati, A. D., & Amin, M. (2021). Pengetahuan, Gangguan Psikologis, dan Burnout Dokter Umum di Era Pandemi Covid-19. Jurnal Pengabdian Pada Masyarakat, 6(3), Article 3. https://doi.org/10.30653/002.202163.838

Siswoyo, S., Kushariyadi, K., & Komaria, A. (2023). Gambaran Pengetahuan tentang Corpus Alienum Mata pada Pekerja Las: Literature Review. Bima Nursing Journal, 4(2), 166–179.

Sriningsih, N. N., & Marlina, E. (2020). Pengetahuan Penerapan Keselamatan Pasien (Patient Safety) Pada Petugas Kesehatan. Jurnal Kesehatan, 9(1), 1–13.

Tawfik, D. S., Sexton, J. B., Kan, P., Sharek, P. J., Nisbet, C. C., Rigdon, J., Lee, H. C., & Profit, J. (2017). Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. Journal of Perinatology, 37(3), 315–320. https://doi.org/10.1038/jp.2016.211

Yates, S. W. (2020). Physician Stress and Burnout. The American Journal of Medicine, 133(2), 160–164. https://doi.org/10.1016/j.amjmed.2019.08.034