A Review on Working Load and Burnout Toward Patient Safety in Radiology Unit
DOI:
https://doi.org/10.30595/hmj.v9i1.30549Keywords:
Burnout, Maslach Burnout Inventory, Radiology, Diagnostic Errors, Medical Errors, Patient Safety, Cognitive FunctionAbstract
Burnout is prevalent among radiology professionals and has been consistently linked to increased self-reported medical errors in various healthcare settings. However, direct evidence connecting burnout measured by the Maslach Burnout Inventory (MBI) to diagnostic errors in radiology image interpretation is lacking. This systematic review highlights an inferential gap due to the absence of studies simultaneously assessing MBI-measured burnout and objectively measured diagnostic errors in radiology. The strongest available evidence from prospective longitudinal studies in non-radiology populations demonstrates a bidirectional, dose-dependent association between burnout domains and perceived medical errors. Given the cognitive demands of radiological interpretation and the documented impact of burnout on cognitive functions, future research should directly evaluate this relationship within radiology professionals, incorporating relevant contextual moderators to inform targeted interventions aimed at improving patient safety.
References
1. Rainey C. Artificial intelligence and radiographer preliminary image evaluation: What might the future hold for radiographers providing x-ray interpretation in the acute setting? J Med Radiat Sci. 2024;71(4):495-8. https://doi.org/10.1002/jmrs.821
2. Vosshenrich J, Brantner P, Cyriac J, Boll DT, Merkle EM, Heye T. Quantifying Radiology Resident Fatigue: Analysis of Preliminary Reports. Radiology. 2021;298(3):632-9. https://doi.org/10.1148/radiol.2021203486
3. Jalal S, Parker W, Ferguson D, Nicolaou S. Exploring the Role of Artificial Intelligence in an Emergency and Trauma Radiology Department. Can Assoc Radiol J. 2021;72(1):167-74. https://doi.org/10.1177/0846537120918338
4. Wang D, Jin R, Shieh CC, Ng AY, Pham H, Dugal T, et al. Real world validation of an AI-based CT hemorrhage detection tool. Front Neurol. 2023;14:1177723. https://doi.org/10.3389/fneur.2023.1177723
5. Aspiyana T, Vienlentia R, Natalia K, Prianti Y. Tingkat Self-Esteem sebagai Intervening Pengaruh Budaya Organisasi dan Gaya Kepemimpinan terhadap Burnout pada Guru TK. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini. 2024;8(2):423-34. https://doi.org/10.31004/obsesi.v8i2.5605
6. Dwi Septiana Z, Rini S. Pengaruh Budaya Orgasasi dan Burnout Terhadap Kinerja Karyawan dengan Kepuasan Kerja Sebagai Variabel Mediasi Pada Bank Muamalat Malang. Malia (Terakreditasi). 2022;14(1):127-41. https://doi.org/10.35891/ml.v14i1.3793
7. Perry H, Naud S, Fishman MDC, Slanetz PJ. Longitudinal Resilience and Burnout in Radiology Residents. J Am Coll Radiol. 2021;18(5):639-46. https://doi.org/10.1016/j.jacr.2021.01.022
8. Gransjoen AM. Impact of an online training tool on individual and organizational resilience and mindfulness among radiological personnel in Norway. BMC Res Notes. 2023;16(1):373. https://doi.org/10.1186/s13104-023-06659-7
9. Anikina A, Ibragimova D, Mustafaev T, Mello-Thoms C, Ibragimov B. Prediction of radiological decision errors from longitudinal analysis of gaze and image features. Artif Intell Med. 2025;160:103051. https://doi.org/10.1016/j.artmed.2024.103051
10. West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. J Am Med Assoc. 2009;302(12):1294-300. https://doi.org/10.1001/jama.2009.1389
11. West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, Shanafelt TD. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. J Am Med Assoc. 2006;296(9):1071-8. https://doi.org/10.1001/jama.296.9.1071
12. O'Connor P, Lydon S, O'Dea A, Hehir L, Offiah G, Vellinga A, Byrne D. A longitudinal and multicentre study of burnout and error in Irish junior doctors. Postgrad Med J. 2017;93(1105):660-4. https://doi.org/10.1136/postgradmedj-2016-134626
13. Trinh TD, Tran QA, Nguyen TL, Nguyen THH, Watanabe R, Tsuno K. Burnout status of Japanese healthcare workers and the association with medical errors: A 1-year follow-up. Int J Risk Saf Med. 2025;36(1):14-25. https://doi.org/10.1177/09246479241301257
14. Villalon Lopez F, Mundt AP, Hirmas A, Rivera RM, Guiloff R. Impact of burnout on turnover, medical errors, medical leave and a cross-sectional study of contributing factors among Chilean physicians. BMJ Open. 2025;15(5):e099773. https://doi.org/10.1136/bmjopen-2025-099773
15. West CP, Dyrbye LN, Satele DV, Sloan JA, Shanafelt TD. Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment. J Gen Intern Med. 2012;27(11):1445-52. https://doi.org/10.1007/s11606-012-2015-7
16. Parris RS, Dong Z, Clark A, Hayes MM, Sullivan AM, Tibbles C, Palamara K. Effect of Coaching on Trainee Burnout, Professional Fulfillment, and Errors: A Randomized Controlled Trial. Acad Med. 2025;100(8):940-9. https://doi.org/10.1097/ACM.0000000000005999
17. Magnavita N, Fileni A. Work stress and metabolic syndrome in radiologists: first evidence. Radiol med. 2014;119(2):142-8. https://doi.org/10.1007/s11547-013-0329-0
18. Adiatmika IPG, Purnawati S, Susanta IPA. Redesain Pegangan Tabung Sinar-X Yang Ergonomis Di Radiologi Rsup Sanglah Menurunkan Keluhan Muskuloskeletal, Mengurangi Kelelahan Umum Dan Meningkatkan Kecepatan Pemeriksaan. jei. 2017;3(2). https://doi.org/10.24843/JEI.2017.v03.i02.p05
19. Dawes TJ, Vowler SL, Allen CM, Dixon AK. Training improves medical student performance in image interpretation. Br J Radiol. 2004;77(921):775-6. https://doi.org/10.1259/bjr/66388556
20. Olson KD. Physician Burnout-A Leading Indicator of Health System Performance? Mayo Clin Proc. 2017;92(11):1608-11. https://doi.org/10.1016/j.mayocp.2017.09.008
21. Huang CH, Lee YC, Wu HH. Medical staff's emotional exhaustion and its relationship with patient safety dimensions. J Health Organ Manag. 2023;ahead-of-print(ahead-of-print). https://doi.org/10.1108/JHOM-01-2023-0001
22. Tamayo Vasco LM, Grisales Arroyave L, Castaño Ramírez SM, Gallego Uribe MF. Síndrome de burnout y funciones ejecutivas en el personal de salud de la E.S.E Hospital San Rafael de Andes. Psicoespacios. 2025;19(34). https://doi.org/10.25057/21452776.1637
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