The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study

500 physicians and 2,000 of their patients surveyed about culture, job satisfaction, burnout, likelihood of future error, and suboptimal patient care. Found stressed, burned out, and dissatisfied physicians do report a greater likelihood of making errors and more frequent instance of suboptimal patient care. When strong alignment between leadership interest and physician interests, less physician stress is perceived. Marginal role of culture on other factors, but important for quality.