Intended for healthcare professionals

Letters Brief history of burnout

Systems thinking deals with complexity and could reduce the risk of burnout

BMJ 2019; 365 doi: https://doi.org/10.1136/bmj.l2103 (Published 23 May 2019) Cite this as: BMJ 2019;365:l2103
  1. Heather Gallie, consultant anaesthetist and human factors instructor
  1. Salford Royal NHS Foundation Trust, Salford M6 8HD, UK
  1. heathergallie{at}doctors.net.uk

Samra’s editorial raised the idea of complexity as a factor in physician burnout.1 In complex systems there are multiple interactions that can subtly influence outcome.

Consider the number of professionals a patient meets on admission to hospital, all of whom interact with each other—the system, service, patient, technology, and machinery form a tangled web. Likewise, an …

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