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"Second victim"

Hanan Edrees, Cheryl Connors, Lori Paine, Matt Norvell, Henry Taylor, Albert W Wu
BACKGROUND: Second victims are healthcare workers who experience emotional distress following patient adverse events. Studies indicate the need to develop organisational support programmes for these workers. The RISE (Resilience In Stressful Events) programme was developed at the Johns Hopkins Hospital to provide this support. OBJECTIVE: To describe the development of RISE and evaluate its initial feasibility and subsequent implementation. Programme phases included (1) developing the RISE programme, (2) recruiting and training peer responders, (3) pilot launch in the Department of Paediatrics and (4) hospital-wide implementation...
September 30, 2016: BMJ Open
S T Chan, P C B Khong, W Wang
AIM: To provide an overview of healthcare professionals' psychological responses, coping strategies and supporting needs in the aftermath of an adverse event, thus informing health policy implications and future research in this aspect. BACKGROUND: Trauma experienced by healthcare professionals as second victims potentially provokes intense emotional distress, detrimental professional outcomes and imposes harsh long-term effects. METHODS: A systematic literature review was performed to synthesize the experiences and needs of second victims who are healthcare professionals being traumatized by an unanticipated adverse event, medical error or patient-related injury...
September 28, 2016: International Nursing Review
Eva Van Gerven, Luk Bruyneel, Massimiliano Panella, Martin Euwema, Walter Sermeus, Kris Vanhaecht
OBJECTIVE: To examine individual, situational and organisational aspects that influence psychological impact and recovery of a patient safety incident on physicians, nurses and midwives. DESIGN: Cross-sectional, retrospective surveys of physicians, midwives and nurses. SETTING: 33 Belgian hospitals. PARTICIPANTS: 913 clinicians (186 physicians, 682 nurses, 45 midwives) involved in a patient safety incident. MAIN OUTCOME MEASURES: The Impact of Event Scale was used to retrospectively measure psychological impact of the safety incident at the time of the event and compare it with psychological impact at the time of the survey...
2016: BMJ Open
Maxine Trent, Kimberly Waldo, Hania Wehbe-Janek, Daniel Williams, Wendy Hegefeld, Lisa Havens
BACKGROUND: Health care providers often experience traumatic events and adversity that can have negative emotional impacts on the profession and on patients. These impacts are typically multifaceted and can result from many different events, such as unanticipated outcomes, licensing board complaints, claims, and litigation. Because health care providers are exposed to diverse situations, they require adequate and timely support, imperative for provider resilience and patient safety. This study evaluated the success of an institution's second victim health care support program and best practices in responding to these traumatic experiences effectively...
August 2016: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Mohaddeseh Mohsenpour, MohammadAli Hosseini, Abbas Abbaszadeh, Farahnaz Mohammadi Shahboulaghi, HamidReza Khankeh
BACKGROUND: Patient safety, which is a patient's right, can be threatened by nursing errors. Furthermore, nurses' feeling of "being a wrongdoer" in response to nursing errors can influence the quality of care they deliver. RESEARCH OBJECTIVES: To explore the meaning of Iranian nurses' experience of "being a wrongdoer." RESEARCH DESIGN: A phenomenological approach was used to explore nurses' lived experiences. Nurses were recruited purposively to take part in semistructured interviews, and the data collected from these interviews were analyzed using Van Manen's thematic analysis...
August 12, 2016: Nursing Ethics
Rebecca R Quillivan, Jonathan D Burlison, Emily K Browne, Susan D Scott, James M Hoffman
BACKGROUND: Second victim experiences can affect the wellbeing of health care providers and compromise patient safety. Many factors associated with improved coping after patient safety event involvement are also components of a strong patient safety culture, so that supportive patient safety cultures may reduce second victim-related trauma. A cross-sectional survey study was conducted to assess the influence of patient safety culture on second victim-related distress. METHODS: The Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPSC) and the Second Victim Experience and Support Tool (SVEST), which was developed to assess organizational support and personal and professional distress after involvement in a patient safety event, were administered to nurses involved in direct patient care...
August 2016: Joint Commission Journal on Quality and Patient Safety
I Carrillo, L Ferrús, C Silvestre, P Pérez-Pérez, M L Torijano, F Iglesias-Alonso, P Astier, G Olivera, J A Maderuelo-Fernández
OBJECTIVE: To identify the Spanish studies conducted since 2014 on second victims. Its main objective was to identify a global response to the second victim problem, assessing the impact of adverse events (AE) on caregivers and developing of a set of tools to reduce their impact. METHOD: Descriptive studies in which a sample of managers and safety coordinators from Hospitals and Primary Care were surveyed to determine the activities being carried out as regards second victims, as well as a sample of health professionals to describe their experience as a second victims...
July 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
C Rinaldi, F Leigheb, K Vanhaecht, C Donnarumma, M Panella
INTRODUCTION: The healthcare worker involved in an unanticipated adverse patient event can become second victim. These workers suffer physically and psycho-socially and try to overcome the post-event emotional stress by obtaining emotional support in a variety of ways. The goal of this research was to study second victims among health care providers in Italy. METHODS: This contribution contains the results of 33 interviews of nurses, physicians and other healthcare workers...
July 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
M Panella, C Rinaldi, F Leigheb, C Donnarumma, S Kul, K Vanhaecht, F Di Stanislao
BACKGROUND: Defensive medicine affects healthcare systems worldwide. The concerns and perception about medical liability could lead practitioners to practise defensive medicine. Second victim is a healthcare worker involved in an unanticipated adverse patient event. The role of being second victim and the other possible determinants for defensive medicine is mostly unclear. OBJECTIVE: To study the condition of being second victim as a possible determinants of defensive medicine among Italian hospital physicians...
July 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
Regina G Daniels, Ruth McCorkle
The "second victim" phenomenon--when a healthcare provider experiences adverse events because of the adverse events of a patient--is not well known or understood among healthcare professionals, including Certified Registered Nurse Anesthetists (CRNAs). No published research is currently available on the impact of second victim specifically in CRNAs, but it is known that second victim poses major challenges for healthcare professionals. Therefore, it is important to acknowledge its occurrence and to develop an educational curriculum based on the available evidence in order to promote peer and organizational support infrastructures...
April 2016: AANA Journal
Eva Van Gerven, Tinne Vander Elst, Sofie Vandenbroeck, Sigrid Dierickx, Martin Euwema, Walter Sermeus, Hans De Witte, Lode Godderis, Kris Vanhaecht
BACKGROUND: Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the "second victim"). OBJECTIVES: To investigate the prevalence of health care professionals being personally involved in a patient safety incident (PSI), as well as the relationship of involvement and degree of harm with problematic medication use, excessive alcohol consumption, risk of burnout, work-home interference (WHI), and turnover intentions...
October 2016: Medical Care
J J Mira, S Lorenzo
No abstract text is available yet for this article.
July 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
E Van Gerven, D Deweer, S D Scott, M Panella, M Euwema, W Sermeus, K Vanhaecht
OBJECTIVES: When a patient safety incident (PSI) occurs, not only the patient, but also the involved health professional can suffer. This study focused on this so-called "second victim" of a patient safety incident and aimed to examine: (1) experienced symptoms in the aftermath of a patient safety incident; (2) applied coping strategies; (3) the received versus needed support and (4) the aspects that influenced whether one becomes a second victim. MATERIALS AND METHODS: Thirty-one in-depth interviews were performed with physicians, nurses and midwives who have been involved in a patient safety incident...
July 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
Hanan Edrees, Douglas M Brock, Albert W Wu, Patricia I McCotter, Ron Hofeldt, Sarah E Shannon, Thomas H Gallagher, Andrew A White
Risk managers often meet with health care workers who are emotionally traumatized following adverse events. We surveyed members of the American Society for Health care Risk Management (ASHRM) about their training, experience, competence, and comfort with providing emotional support to health care workers. Although risk managers reported feeling comfortable and competent in providing support, nearly all respondents prefer to receive additional training. Risk managers who were comfortable listening to and supporting health care workers were more likely to report prior training...
April 2016: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Susan D Scott, Myra M McCoig
As risk managers, there is an understanding of the tremendous pressures of working in today's health care setting. When medical errors or unanticipated complications occur, these stressors skyrocket. The purpose of this article is to provide insights from the collective 9 years of MUHC research exploring the second-victim phenomenon and insights into the healing process for second victims of unanticipated health care events-our health care providers.
April 2016: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Ozcan Ozeke, Sevgi Aras, Kazim Baser, Fatih Sen, Ozgur Kirbas, Serkan Cay, Firat Ozcan, Serkan Topaloglu, Dursun Aras, Sinan Aydogdu
No abstract text is available yet for this article.
June 1, 2016: International Journal of Cardiology
Susan Trossman
No abstract text is available yet for this article.
January 2016: American Nurse
Louis M Marmon, Kurt Heiss
Improving quality of care logically involves optimizing the duty-readiness and well-being of the healthcare provider. Medical errors and poor outcomes adversely impact the involved providers, especially surgeons, as well as the patients and their families. Unfortunately our current system does little to support these "second victims" who experience various degrees of emotional and psychological stresses including confusion, loss of confidence, and debilitating anxiety. These factors contribute to the alarmingly high rates of professional "burnout," substance abuse, and suicide of healthcare providers as well as increase the likelihood of subsequent medical errors...
December 2015: Seminars in Pediatric Surgery
Italia Maria Pellino, Gianluca Pellino
Increased knowledge in disease causes and progression, along with technological and technical advancements in their diagnosis and treatment, have led to increased expectations from physicians by patients and their relatives. The condition of "second victim" is known to affect caregivers that commit an error, and seriously impairs private life and subsequent practice. Besides, a condition has been described, the clinical-judicial syndrome, affecting caregivers at any moment during a medical litigation. In this scenario, physicians have started to practice "defensive medicine", aimed at protect themselves from liability rather than actually advancing care of patients...
December 2015: Updates in Surgery
C J Cabilan, Kathryn Kynoch
No abstract text is available yet for this article.
September 2015: JBI Database of Systematic Reviews and Implementation Reports
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