Since the publication of the Institute of Medicine's landmark report on medical errors in 2000, a large number of safety programs have been implemented in American hospitals. Concurrently, there has been a dramatic increase in the rate of burnout among physicians. Although there are many unrelated causes of burnout (eg, loss of autonomy), and multiple safety programs that are applauded by physicians (eg, The Safe Motherhood Initiative), other programs created in the name of safety improvements may be contributing to physician distress. In this piece, we review several of those programs, describe their limitations and costs to physician well-being, and discuss the manner in which they might be modified to retain their benefits while mitigating the burdens they place on physicians.

中文翻译：

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护理质量和生活质量：平衡患者安全和医生倦怠。


自2000年医学研究所发表具有里程碑意义的医疗差错报告以来，美国医院实施了大量的安全计划。与此同时，医生的职业倦怠率急剧上升。尽管有许多不相关的原因导致倦怠（例如，丧失自主权），并且有多个受到医生称赞的安全计划（例如，安全孕产倡议），但以安全改进名义创建的其他计划可能会加剧医生的痛苦。在这篇文章中，我们回顾了其中的几个计划，描述了它们的局限性和对医生健康的成本，并讨论了如何修改它们以保留其益处，同时减轻它们给医生带来的负担。