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Physician Burnout:                                                          Cleveland Clinic Martin

                What Will Happen If This Trend Doesn’t Change?                                                           North Hospital Now

                                                                                                                             Seeing Patients
          Physicians are 15 times more likely to experi-                   This isn’t only affecting patients, though.
        ence symptoms of burnout than professionals in                   According to the same NCBI study mentioned         in New ER Space
        any other field.                                                 above, suicide rates among doctors have now
          This comes directly from a report by                           risen. The rates among male doctors is 1.41 times   As part of its commitment to continue
        Allscripts, one of the leading electronic health                 higher than males in the general population. For   providing high-quality care to Treasure
        record (EHR) developers in the industry. The                     females, that number is 2.27 times higher.    Coast residents, Cleveland Clinic Martin
        study was conducted to see how their products                                                                 North Hospital has opened the first
        were affecting the healthcare professionals using                Providing relief is vital                    phase of its renovated emergency depart-
        them on a daily basis and the numbers were                         Many clinicians who feel the effects of burnout   ment.
        staggering.                                                      - stress, lack of energy, irritability - are too busy   Patients will now be seen in the newly
          Doctors - or all healthcare professionals for                  to act to cure themselves. Ironically enough, the   renovated space, which will accommo-
        that matter - have taken on a heavy caseload                     life of a doctor is often too busy to leave availabil-  date our growing community and pro-
        since President Bush started a transformation                    ity for self-examination. Unfor tunately, if this   vide an enhanced patient experience.
        with his Healthcare Information Technology   BY DR. FERNANDO     trend continues, clinicians themselves will be the   Phase I of the ED renovation offers a
        Plan. Good intent was certainly there - reduced   MENDOZA        ones feeling the medical effects of their work-  bright new space featuring larger, all-pri-
        charting errors, increased patient safety - but at               load.                                        vate exam rooms developed with patient
        what expense?                                           Those who enter the field of medicine typically do so   comfort and safety in mind. It also was
                                                              because they want to care for patients. In order to restore the   designed to create an efficient working
        Feeling the effects of an increased workload          joy that was once shared, processes will need to change and   area for caregivers.
          According to the National Center for Biotechnology   relief will need to be provided.                         The emergency department was relo-
        Information, or NCBI, there is a strong correlation between   To hinder the growth of this epidemic, several actions can   cated on Jan. 5 from its former location
        physician burnout and medical error. Through their research,   be taken:                                      to the newly constructed area next door.
        they have found that about 9% of physicians who have expe-  • Help the mindfulness of the clinician, possibly with   The former emergency department loca-
        rienced burnout have made at least one major medical error.    monthly focus meetings                         tion will be renovated over the next 10
          Cases of burnout have increased significantly since the rise   • Provide scribes to decrease workload       months, with the second phase of the
        of EMR. Prior to electronic medical records (EMR), a    • Get them emotional support and treatment for burnout   expansion expected to be complete by
        provider’s day revolved around patient care. When the EMR   • Offload non-essential tasks to other staff members     Fall 2020. When the expansion is fin-
        was adopted in 2004, it brought on additional tasks to a clin-  Decrease burnout and increase patient care    ished, the transformed ED will be dou-
        ician’s already heavy workload. Patient care was affected and   If clinicians continue at their current pace, the effects of   bled in size.
        this trickled down to nursing and ancillary staff using the sys-  burnout will only get worse. It is important that all of us in the   The $20 million project was funded
        tem as well.                                          field of medicine act quickly to help preserve our clinicians   entirely by donations through the
          Clinicians throughout the country have felt the effects of   and to bring them the documentation and emotional support   Cleveland  Clinic  Martin  Health
        their additional charting tasks and the learning curve associ-  they need to get back to what it is they do best: caring for   Foundation. The facility will be named
        ated. Some have - and continue to - struggle through their   patients.                                        the Gwen and Jules Knapp Emergency
        processes. Patient care is falling at the wayside and physicians                                              Center to honor the Knapps for their $3
        and their staff are feeling even more pressure as their patient                 Dr. Fernando Mendoza is Baptist    million contribution toward the new
        satisfaction drops.                                                   Pediatric Medical Director and CEO of Scrivas.  emergency department.






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        South Florida Hospital News                                                              southfloridahospitalnews.com                                                        February 2020                          27
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