Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants – a cohort study

Table 2 Risk of being concerned to have made an important medical error across the full follow up period (summary measure variable*) by exposure to adverse psychosocial working conditions at baseline (Poisson regression)

		Summary measure of concerns to have made an important medical error
Characteristic		Model I^a		Model II^b
Characteristic		RR^c	95% CI^d	RR^c	95% CI^d
ERI model
Effort	z-score^e	0.94	0.74, 1.20	0.98	0.77, 1.25
Reward	z-score	0.80	0.63, 1.03	0.86	0.66, 1.12
ERI ratio	z-score	1.09	0.84, 1.40	1.06	0.82, 1.36
MA-specific instrument
Workload	z-score	1.16	0.91, 1.47	1.18	0.93, 1.51
Job control	z-score	0.94	0.74, 1.18	1.00	0.78, 1.27
Collaboration	z-score	1.31	1.04, 1.64	1.26	1.00**, 1.57
Gratification	z-score	1.11	0.86, 1.43	1.03	0.79, 1.35
Practice organization	z-score	1.21	0.95, 1.55	1.15	0.89, 1.48
Resources	z-score	0.81	0.59, 1.12	0.80	0.58, 1.10
Leadership behavior	z-score	1.14	0.85, 1.53	1.10	0.82, 1.48

* perceived concerns about having made an important medical error reported for the last three months, 12 months and since baseline merged into a single variable (any affirmative response vs none); effort-reward imbalance questionnaire (ERI) or medical assistant (MA)-specific work stress questionnaire
^aunadjusted
^badditionally adjusted for age and leadership position
^crelative risk (RR) and
^d95% confidence intervals (95% CIs)
^e a higher score reflects higher agreement to the stressor
** exact p-value = 0.04953

ISSN: 1472-6963