- The risk for perceived medical errors was significantly more likely in physicians with a positive depression screening across all career stages.
Why this matters
- Studies suggest that up to 251,000 hospitalized patients in the United States die each year from a preventable adverse event.
- Systematic review and meta-analysis of 11 studies including 21,517 physicians.
- Among the included studies, 7 studies were longitudinal (n=5595) and 4 were cross-sectional (n=15,922).
- Funding: partly by the Arnold P. Gold Foundation Research Institute.
- Physician depressive symptoms were associated with an increased risk for perceived medical errors:
- Relative risk (RR), 1.95 (95% CI, 1.63-2.33; high heterogeneity [I2], 82%; P<.001>
- Pooled RR estimates:
- Longitudinal studies: RR, 1.62 (95% CI, 1.43-1.84; I2, 13%; P=.33).
- Cross-sectional studies: RR, 2.51 (95% CI, 2.20-2.83; I2, 45%; P=.14).
- The association between physician depressive symptoms and medical errors is bidirectional:
- Pooled results of 4 longitudinal studies (n=4462): RR, 1.67 (95% CI, 1.48-1.87; I2, 0%; P=.60).
- Self-reported measures were used.
Coauthored with Chitra Ravi, MPharm