Compassion Changes Everything

Additional References about Compassion, Compassion Fatigue, and Depersonalization on patient safety.

  • West, C. P., Tan, A. D., Habermann, T. M., Sloan, J. A., & Shanafelt, T. D. (2009). Association of resident fatigue and distress with perceived medical errors. Jama302(12), 1294-1300.

Physicians who scored high for depersonalization were significantly more likely to commit a major medical error in the next three months. 

  • West, C. P., Huschka, M. M., Novotny, P. J., Sloan, J. A., Kolars, J. C., Habermann, T. M., & Shanafelt, T. D. (2006). Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. Jama296(9), 1071-1078.

Physician compassion was associated with lower odds of committing a major medical error in the next three months.

  • Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002). Burnout and self-reported patient care in an internal medicine residency program. Annals of internal medicine136(5), 358-367.

Depersonalization among physicians was independently associated with higher incidence of self-reported substandard care at least monthly.

  • Shanafelt, T. D., Balch, C. M., Bechamps, G., Russell, T., Dyrbye, L., Satele, D., ... & Freischlag, J. (2010). Burnout and medical errors among American surgeons. Annals of surgery251(6), 995-1000.

Both depersonalization and emotional exhaustion were significantly associated with higher incidence of major surgical errors.

  • Dasan, S., Gohil, P., Cornelius, V., & Taylor, C. (2015). Prevalence, causes and consequences of compassion satisfaction and compassion fatigue in emergency care: a mixed-methods study of UK NHS Consultants. Emergency Medicine Journal32(8), 588-594.

One-third of Emergency Physicians with compassion fatigue reported a reduction in their quality standards in a way that could harm a patient