In the confidential study, nearly 9 percent of U.S. surgeons responding said they made a major error in the three months prior to being surveyed. Over 70 percent attributed the error to themselves rather than a systemic or organizational cause. Results showed the components of surgeon burnout - emotional exhaustion, depersonalization and perception personal accomplishments - were related to errors; as was surgeons’ “mental quality of life” including depression.
“These results suggest that a surgeon’s personal mental health including burnout may have an effect on quality of care,” says lead author Tait Shanafelt, M.D. “Our aim is to encourage more research to find ways to reduce distress among surgeons and to provide better support when errors occur.” The authors say medical errors can haunt surgeons for years and contribute to distress.
Of the 7,905 surgeons participating in the survey, 8.9 percent or 700 reported making recent medical errors that they considered major. All participating surgeons also completed standardized survey tools to measure burnout, quality of life, and symptoms of depression. They also provided information on a variety of personal and professional characteristics. Researchers say they found no relation between errors and the work setting, method of compensation, number of nights on call per week, or number of hours worked. According to researchers, that finding suggests that reducing work hours for practicing surgeons may have little impact on limiting errors unless burnout is also addressed. They point out that the study has its limitations, as it relies on self-perception of errors and their severity. The researchers were also unable to determine if the association between distress and errors is causal.
Other authors on the study include Charles Balch, M.D., and Julie Freischlag, M.D., from Johns Hopkins; Gerald Bechamps, M.D., Winchester Surgical Clinic; Tom Russell, M.D., and Paul Collicott, M.D., American College of Surgeons; and Lotte Dyrbye, M.D., Daniel Satele, Paul Novotny, and Jeff Sloan, Ph.D., all from Mayo Clinic. The study was commissioned and supported by the American College of Surgeons. Dr. Bechamps was chairman of the ACS Committee on Physician Competency and Health at the time of the survey. Drs. Frieschlag, Balch, and Collicot are all Fellows of the ACS. Dr. Russell is executive director of the ACS.About Mayo Clinic
To request an appointment at Mayo Clinic, please call 480-422-1490 for the Arizona campus, 904-494-6484 for the Florida campus, or 507-216-4573 for the Minnesota campus.
Robert Nellis | Newswise Science News
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Controlling electronic current is essential to modern electronics, as data and signals are transferred by streams of electrons which are controlled at high speed. Demands on transmission speeds are also increasing as technology develops. Scientists from the Chair of Laser Physics and the Chair of Applied Physics at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have succeeded in switching on a current with a desired direction in graphene using a single laser pulse within a femtosecond ¬¬ – a femtosecond corresponds to the millionth part of a billionth of a second. This is more than a thousand times faster compared to the most efficient transistors today.
Graphene is up to the job
At the productronica trade fair in Munich this November, the Fraunhofer Institute for Laser Technology ILT will be presenting Laser-Based Tape-Automated Bonding, LaserTAB for short. The experts from Aachen will be demonstrating how new battery cells and power electronics can be micro-welded more efficiently and precisely than ever before thanks to new optics and robot support.
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Plants and algae use the enzyme Rubisco to fix carbon dioxide, removing it from the atmosphere and converting it into biomass. Algae have figured out a way to increase the efficiency of carbon fixation. They gather most of their Rubisco into a ball-shaped microcompartment called the pyrenoid, which they flood with a high local concentration of carbon dioxide. A team of scientists at Princeton University, the Carnegie Institution for Science, Stanford University and the Max Plank Institute of Biochemistry have unravelled the mysteries of how the pyrenoid is assembled. These insights can help to engineer crops that remove more carbon dioxide from the atmosphere while producing more food.
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Our brains house extremely complex neuronal circuits, whose detailed structures are still largely unknown. This is especially true for the so-called cerebral cortex of mammals, where among other things vision, thoughts or spatial orientation are being computed. Here the rules by which nerve cells are connected to each other are only partly understood. A team of scientists around Moritz Helmstaedter at the Frankfiurt Max Planck Institute for Brain Research and Helene Schmidt (Humboldt University in Berlin) have now discovered a surprisingly precise nerve cell connectivity pattern in the part of the cerebral cortex that is responsible for orienting the individual animal or human in space.
The researchers report online in Nature (Schmidt et al., 2017. Axonal synapse sorting in medial entorhinal cortex, DOI: 10.1038/nature24005) that synapses in...
Whispering gallery mode (WGM) resonators are used to make tiny micro-lasers, sensors, switches, routers and other devices. These tiny structures rely on a...
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