{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T04:04:13Z","timestamp":1794110653875,"version":"4.8.0"},"reference-count":48,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T00:00:00Z","timestamp":1567123200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Several factors can compromise patient safety, such as ineffective teamwork, failed organizational processes, and the physical and psychological overload of health professionals. Studies about associations between burn out and patient safety have shown different outcomes. Objective: To analyze the relationship between burnout and patient safety. Materials and Methods: A systematic review with a meta-analysis performed using PubMed and Web of Science databases during January 2018. Two searches were conducted with the following descriptors: (i) patient safety AND burnout professional safety AND organizational culture, and (ii) patient safety AND burnout professional safety AND safety management. Results: Twenty-one studies were analyzed, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses, and it is associated with external factors such as: high workload, long journeys, and ineffective interpersonal relationships. Good patient safety practices are influenced by organized workflows that generate autonomy for health professionals. Through meta-analysis, we found a relationship between the development of burnout and patient safety actions with a probability of superiority of 66.4%. Conclusion: There is a relationship between high levels of burnout and worsening patient safety.<\/jats:p>","DOI":"10.3390\/medicina55090553","type":"journal-article","created":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T10:31:17Z","timestamp":1567161077000},"page":"553","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":444,"title":["Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis"],"prefix":"10.3390","volume":"55","author":[{"given":"C\u00edntia","family":"Garcia","sequence":"first","affiliation":[{"name":"Laborat\u00f3rio de Delineamento de Estudos e Escrita Cient\u00edfica, Centro Universit\u00e1rio Sa\u00fade ABC (CUSABC) Conv\u00eanio Acre\/FMABC-007\/2015, Santo Andr\u00e9, S\u00e3o Paulo 09060-870, Brazil"},{"name":"Departamento de Enfermagem, Faculdade de Juazeiro do Norte (FJN), Juazeiro do Norte, Cear\u00e1 63010-475, Brazil"},{"name":"Departamento de Enfermagem. Faculdade de Medicina ESTACIO de Juazeiro do Norte (ESTACIO FMJ), Juazeiro do Norte, Cear\u00e1 63.048-080, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz","family":"Abreu","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Delineamento de Estudos e Escrita Cient\u00edfica, Centro Universit\u00e1rio Sa\u00fade ABC (CUSABC) Conv\u00eanio Acre\/FMABC-007\/2015, Santo Andr\u00e9, S\u00e3o Paulo 09060-870, Brazil"},{"name":"Programa de Mestrado em Pol\u00edticas P\u00fablicas e Desenvolvimento Local, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"},{"name":"Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"},{"name":"Graduate Entry Medical School, University of Limerick, V94 T9PX Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Ramos","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Castro","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiana","family":"Smiderle","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ja\u00e7amar","family":"Santos","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Delineamento de Estudos e Escrita Cient\u00edfica, Centro Universit\u00e1rio Sa\u00fade ABC (CUSABC) Conv\u00eanio Acre\/FMABC-007\/2015, Santo Andr\u00e9, S\u00e3o Paulo 09060-870, Brazil"},{"name":"Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"},{"name":"Departamento de Enfermagem. Universidade Federal do Acre (UFAC), Rio Branco, Acre 69.915-900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Italla","family":"Bezerra","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Delineamento de Estudos e Escrita Cient\u00edfica, Centro Universit\u00e1rio Sa\u00fade ABC (CUSABC) Conv\u00eanio Acre\/FMABC-007\/2015, Santo Andr\u00e9, S\u00e3o Paulo 09060-870, Brazil"},{"name":"Programa de Mestrado em Pol\u00edticas P\u00fablicas e Desenvolvimento Local, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"},{"name":"Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia (EMESCAM), Vit\u00f3ria, Esp\u00edrito Santo 29045-402, Brazil"},{"name":"Programa de Mestrado em Ci\u00eancias da Sa\u00fade da Amaz\u00f4nia, Bolsista CAPES Brasil, Universidade Federal do Acre (UFAC), Rio Branco, Acre 69.915-900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,8,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"i2139","DOI":"10.1136\/bmj.i2139","article-title":"Medical error-the third leading cause of death in the US","volume":"353","author":"Makary","year":"2016","journal-title":"BMJ"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e000377","DOI":"10.1136\/bmjoq-2018-000377","article-title":"Contribution of adverse events to death of hospitalised patients","volume":"8","author":"Haukland","year":"2019","journal-title":"BMJ Open Qual."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.ienj.2012.07.005","article-title":"Identifying and correcting communication failures among health professionals working in the Emergency Department","volume":"21","author":"Bagnasco","year":"2013","journal-title":"Int. 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