Impact of High Workload on the Medicolegal Responsibilities of Emergency Doctors


Etli Y., Demir U., Aşırdizer M.

Eastern Journal of Medicine, cilt.29, sa.1, ss.56-65, 2024 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5505/ejm.2024.09582
  • Dergi Adı: Eastern Journal of Medicine
  • Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.56-65
  • Anahtar Kelimeler: Burnout, Emergency, High workload, Impaired performance, Medico-legal reports
  • Van Yüzüncü Yıl Üniversitesi Adresli: Hayır

Özet

High workload, fatigue, and burnout have been found to be associated with increased medical errors and impaired performance. The aim of this study was to evaluate whether medico-legal reports, which are a legal responsibility for doctors in Turkey, could be neglected on days with excessive high workload. In this retrospective cross-sectional study, the daily total number of patients who presented at the emergency departme nt of a state hospital and the number of medico-legal cases reported in a 1-year before and during the Covid-19 pandemic were analyzed. By using a workload score proposed and calculated for this study, the data of the days with and without excessive workload were compared. As a result, it was determined that the number of medico-legal cases reported by doctors significantly decreased on days when the workload increased excessively. There was a significant correlation between the number of medico-legal cases and the total number of cases on days when the workload score was significantly reduced and it allowed a certain degree of modelling. An excessive workload seems to be caused doctors to neglect their legal medicine responsibilities, which poses a risk to both doctors and patients.