Advertisement

Work-related stressors and occurrence of adverse events in an ED

Published:January 23, 2013DOI:https://doi.org/10.1016/j.ajem.2012.10.002

      Abstract

      Objective

      The purpose of this study was to investigate the relationship between 12 work-related stressors and the occurrence of adverse events in an emergency department (ED).

      Methods

      Nurses and physicians, working in an ED at a Danish regional hospital, filled out a questionnaire on occurrence and emotional impact of 12 work-related stressors after each shift during a 4-week period. The questionnaire also instructed the participants to describe any adverse events that they were involved in during the shift.

      Results

      Two hundred fourteen adverse events were reported during the 979 studied shifts. During the same period, only 27 adverse events were reported to the mandatory national reporting system, and only 10 of these were duplicates. A high variability of stressors and emotional impact among the different groups of participants was found. Linear regression analysis showed an association between involvement in adverse events and the occurrence and emotional impact of stressors across groups, whereas no significant association was found for age, seniority, shift type, or length.

      Conclusion

      The study showed an association between the occurrence and impact of 12 work-related stressors and involvement in adverse events across the groups of participants. Furthermore, the study showed that most adverse events were not reported to the mandatory national reporting system.
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. National Board of Health. Work Environment and Adverse Events in the Hospital Services [Danish]. 2009. Copenhagen.

      2. Agency for healthcare research and Quality. The effect of health care working conditions on patient safety. Evidence report no 74. 2003. U.S. Department of Health and Human Services.

        • Jennings B.M.
        Work stress and burnout among nurses: role of the work environment and working conditions.
        in: Hughes R.G. Patient safety and quality: an evidence-based handbook for nurses. Agency for Healthcare Research and Quality (US), Rockville (Md)2008 (Chapter 26. Available from: http://www.ncbi.nlm.nih.gov/books/NBK2668/)
        • McVicar A.
        Workplace stress in nursing: a literature review.
        J Adv Nurs. 2003; 44: 633-642
        • Wu T.Y.
        • Fox D.P.
        • Stokes C.
        • Adam C.
        Work-related stress and intention to quit in newly graduated nurses.
        Nurse Education Today. 2012; 32: 669-674
        • Berland A.
        • Natvig G.K.
        • Gundersen D.
        Patient safety and job-related stress: a focus group study.
        Intensive Crit Care Nurs. 2008; 24: 90-97
        • Firth-Cozens J.
        • Greenhalgh J.
        Doctors' perceptions of the links between stress and lowered clinical care.
        Soc Sci Med. 1997; 44: 1017-1022
        • Arora S.
        • Sevdalis N.
        • Nestel D.
        • Woloshynowych M.
        • Darzi A.
        • Kneebone R.
        The impact of stress on surgical performance: a systematic review of the literature.
        Surgery. 2010; 147: 318-330
      3. Harvey A, Bandiera G, Nathens AB, LeBlanc VR. Impact of stress on resident performance in simulated trauma scenarios. J Trauma Acute Care Surg 2012; Publish Ahead of Print.

      4. Flowerdew L, Brown R, Russ S, Vincent C, Woloshynowych M. Teams under pressure in the emergency department: an interview study. Emergency Medicine Journal 2011.

        • Wrenn K.
        • Lorenzen B.
        • Jones I.
        • Zhou C.
        • Aronsky D.
        Factors affecting stress in emergency medicine residents while working in the ED.
        Am J Emerg Med. 2010; 28: 897-902
      5. National Center for Patient Safety. Glossary of Patient Safety Terms. Safety Assessment Code(SAC). 2012. http://www.patientsafety.gov/glossary.html#sac. 7-9-2012.

        • Chisholm C.D.
        • Collison E.K.
        • Nelson D.R.
        • Cordell W.H.
        Emergency department workplace interruptions are emergency physicians “interrupt-driven” and “multitasking”?.
        Acad Emerg Med. 2000; 7: 1239-1243
        • Woloshynowych M.
        • Davis R.
        • Brown R.
        • Vincent C.
        Communication patterns in a UK emergency department.
        Ann Emerg Med. 2007; 50: 407-413
        • Podsakoff P.M.
        • MacKenzie S.B.
        • Lee J.-Y.
        • Podsakoff N.P.
        Common method biases in behavioral research: a critical review of the literature and recommended remedies.
        J Appl Psychol. 2003; 88: 879-903