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https://www.readbyqxmd.com/read/29112025/the-impact-of-adverse-events-on-clinicians-what-s-in-a-name
#1
Albert W Wu, Jo Shapiro, Reema Harrison, Susan D Scott, Cheryl Connors, Linda Kenney, Kris Vanhaecht
Unanticipated patient adverse events can also have a serious negative impact on clinicians. The term second victim was coined to highlight the experience of health professionals with these events and the need to effectively support them. However, there is some controversy over use of the term second victim. This article explores terminology used to describe the professionals involved in adverse events and services to support them. There is a concern that use of the term victim may connote passivity or stigmatize involved clinicians...
November 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28934401/lessons-learned-for-reducing-the-negative-impact-of-adverse-events-on-patients-health-professionals-and-healthcare-organizations
#2
Jose Joaquin Mira, Susana Lorenzo, Irene Carrillo, Lena Ferrús, Carmen Silvestre, Pilar Astier, Fuencisla Iglesias-Alonso, Jose Angel Maderuelo, Pastora Pérez-Pérez, Maria Luisa Torijano, Elena Zavala, Susan D Scott
Purpose: To summarize the knowledge about the aftermath of adverse events (AEs) and develop a recommendation set to reduce their negative impact in patients, health professionals and organizations in contexts where there is no previous experiences and apology laws are not present. Data sources: Review studies published between 2000 and 2015, institutional websites and experts' opinions on patient safety. Study selection: Studies published and websites on open disclosure, and the second and third victims' phenomenon...
August 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28902699/experiences-of-and-support-for-nurses-as-second-victims-of-adverse-nursing-errors-a-qualitative-systematic-review
#3
C J Cabilan, Kathryn Kynoch
BACKGROUND: Second victims are clinicians who have made adverse errors and feel traumatized by the experience. The current published literature on second victims is mainly representative of doctors, hence nurses' experiences are not fully depicted. This systematic review was necessary to understand the second victim experience for nurses, explore the support provided, and recommend appropriate support systems for nurses. OBJECTIVES: To synthesize the best available evidence on nurses' experiences as second victims, and explore their experiences of the support they receive and the support they need...
September 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28844233/do-hospitals-support-second-victims-collective-insights-from-patient-safety-leaders-in-maryland
#4
Hanan H Edrees, Laura Morlock, Albert W Wu
BACKGROUND: Second victims-defined as health care providers who are emotionally traumatized after a patient adverse event-may not receive needed emotional support. Although most health care organizations have an employee assistance program (EAP), second victims may be reluctant to access this service because of worries about confidentiality. A study was conducted to describe the extent to which organizational support for second victims is perceived as desirable by patient safety officers in acute care hospitals in Maryland and to identify existing support programs...
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28817478/more-than-1-million-potential-second-victims-how-many-could-nursing-education-prevent
#5
Jackie H Jones, Linda A Treiber
Any error made in health care can cause the health care provider to become a second victim. There are many initiatives, tools, and instruments designed to support second victims after an error has been made. The role that nursing education can play in preventing nurses from becoming second victims has not been well explored. This article presents a study designed to investigate perceptions of recent BSN graduates about preparation for medication administration, medication error, and their personal experience with error making and second victimhood...
August 16, 2017: Nurse Educator
https://www.readbyqxmd.com/read/28738687/critical-incident-stress-debriefing-after-adverse-patient-safety-events
#6
Reema Harrison, Albert Wu
Adverse events (AEs) are common, estimated to occur in around 10% internationally. Although preventable harm can be minimized, when AEs occur it is important that they be managed appropriately. AEs can be traumatic not only for patients, their friends, and relatives, but also for the involved clinicians, who have been referred to as "second victims" in a growing body of international research. Despite the frequency with which AEs occur, organizational mechanisms for supporting staff in these circumstances are not routinely embedded in healthcare settings...
May 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28671906/does-one-size-fit-all-assessing-the-need-for-organizational-second-victim-support-programs
#7
Hanan H Edrees, Albert W Wu
OBJECTIVE: Second victims are health care providers who are emotionally traumatized after experiencing an unanticipated patient's adverse event. To support second victims, organizations can provide a dedicated support program for their workers. The aim of this study was to assess the extent of the second victim problem in acute care hospitals in the state of Maryland, the availability of emotional support services, and the need for organizational support programs. METHODS: In-depth, semistructured interviews were conducted with 43 patient safety representatives from 38 acute hospitals in Maryland...
June 30, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28596148/the-second-victim-phenomenon-after-a-clinical-error-the-design-and-evaluation-of-a-website-to-reduce-caregivers-emotional-responses-after-a-clinical-error
#8
José Joaquín Mira, Irene Carrillo, Mercedes Guilabert, Susana Lorenzo, Pastora Pérez-Pérez, Carmen Silvestre, Lena Ferrús
BACKGROUND: Adverse events (incidents that harm a patient) can also produce emotional hardship for the professionals involved (second victims). Although a few international pioneering programs exist that aim to facilitate the recovery of the second victim, there are no known initiatives that aim to raise awareness in the professional community about this issue and prevent the situation from worsening. OBJECTIVE: The aim of this study was to design and evaluate an online program directed at frontline hospital and primary care health professionals that raises awareness and provides information about the second victim phenomenon...
June 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28545653/systematic-approaches-to-adverse-events-in-obstetrics-part-ii-event-analysis-and-response
#9
Christian M Pettker
The critical arm of improvement and change comes after events are identified and classified. Getting and making things right when things go wrong defines a successful safety program. This article reviews the important tasks that should be familiar to any team approaching a serious event on an obstetrics unit. Root cause analysis is a critical, but often misunderstood, tool for dissecting the contributing factors leading to an adverse event. Successful root cause analyses have a standardized approach that result in meaningful action plans...
April 2017: Seminars in Perinatology
https://www.readbyqxmd.com/read/28530312/-the-second-victim-treating-the-health-care-providers
#10
REVIEW
Shimrit Shor, Orna Tal, Ron Maymon
During their professional careers, physicians and other health care providers are repeatedly exposed to emotional stress. This is usually secondary to coping with the results of a medical error or complicated medical event. Generally, in the above cases, the patient and his/her family are in the center of the medical system, being "the first victim" of such an event, while the involved caregiver, who provided the medical service, is categorized as the "second victim". "Second victims" may feel anxiety, fear, guilt or anger and experience social withdrawal, which may lead to troubling memories, depression and insomnia...
January 2017: Harefuah
https://www.readbyqxmd.com/read/28526169/the-second-victim-a-review
#11
REVIEW
B Coughlan, D Powell, M F Higgins
Amongst the lay and media population there is a perception that pregnancy, labour and delivery is always physiological, morbidity and mortality should be "never events" and that error is the only cause of adverse events. Those working in maternity care know that it is an imperfect art, where adverse outcomes and errors will occur. When errors do occur, there is a domino effect with three groups being involved - the patient (first victim), the staff (second victims) and the organization (third victims). If the perceived expectation of patients on all clinicians is that of perfection, then clinicians may suffer the consequences of adverse outcomes in isolation and silence...
June 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28449330/exploring-the-experience-of-nurse-practitioners-who-have-committed-medical-errors-a-phenomenological-approach
#12
Romuald Delacroix
BACKGROUND AND PURPOSE: To explore the experience of committing medical error from the perspective of nurse practitioners (NPs). Overall, the purpose of the study is to discern NPs' behaviors, perceptions, and coping mechanisms in response to having made a medical error. METHODS: Qualitative research based on two face-to-face audio-recorded semistructured interviews with 10 NPs who had made medical errors in practice. The analysis was guided by concepts in phenomenology...
July 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28279107/why-second-victims-need-our-support
#13
Linsey Sheerin
Second victims are healthcare providers who are involved in unanticipated adverse patient events, such as clinical errors, or who have been traumatised by things that have happened at work.
March 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28141612/emergency-nurses-as-second-victims-of-error-a-qualitative-study
#14
Mehdi Ajri-Khameslou, Abbas Abbaszadeh, Fariba Borhani
There are many nurses who are victims of errors in the hospital environment. It is quite essential to perceive the outcome of mistakes in nurses' profession. The aim of this scientific study was to interpret the causes that place nurses in danger of errors in emergency departments and also the consequences resulting from confronting the errors in the job environment. This research was designed to pursue a qualitative approach following content analysis. Through the purposeful sampling, 18 emergency nurses were selected to participate in this study...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28131120/huddles-and-debriefings-improving-communication-on-labor-and-delivery
#15
REVIEW
Emily McQuaid-Hanson, May C M Pian-Smith
Interprofessional teams work together on the labor and delivery unit, where clinical care is often unscheduled, rapidly evolving, and fast paced. Effective communication is key for coordinated delivery of optimal care and for fostering a culture of community and safety in the workplace. The preoperative huddle allows for information sharing, cross-checking, and preparation before the start of surgery. Postoperative debriefings allow the operative team to engage in ongoing process improvement. Debriefings after adverse events allow for shared understanding, mutual healing, and help mitigating the harm to potential "second victims...
March 2017: Anesthesiology Clinics
https://www.readbyqxmd.com/read/28093300/the-surgeon-as-the-second-victim-results-of-the-boston-intraoperative-adverse-events-surgeons-attitude-bisa-study
#16
MULTICENTER STUDY
Kelsey Han, Jordan D Bohnen, Thomas Peponis, Myriam Martinez, Anirudh Nandan, Daniel D Yeh, Jarone Lee, Marc Demoya, George Velmahos, Haytham M A Kaafarani
BACKGROUND: An intraoperative adverse event (iAE) is often directly attributable to the surgeon's technical error and/or suboptimal intraoperative judgment. We aimed to examine the psychological impact of iAEs on surgeons as well as the surgeons' attitude about iAE reporting. STUDY DESIGN: We conducted a web-based cross-sectional survey of all surgeons at 3 major teaching hospitals of the same university. The 29-item questionnaire was developed using a systematic closed and open approach focused on assessing the surgeons' personal account of iAE incidence, emotional response to iAEs, available support systems, and perspective about the barriers to iAE reporting...
June 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27903769/education-for-the-next-frontier-in-patient-safety-a-longitudinal-resident-curriculum-on-diagnostic-error
#17
Emily Ruedinger, Maren Olson, Justin Yee, Emily Borman-Shoap, Andrew P J Olson
Diagnostic error is a common, serious problem that has received increased attention recently for its impact on both patients and providers. Presently, most graduate medical education programs do not formally address this topic. The authors developed and evaluated a longitudinal, multimodule resident curriculum about diagnostic error and medical decision making. Key components of the curriculum include demystifying the medical decision-making process, building skills in critical thinking, and providing strategies for diagnostic error mitigation...
November 29, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27811596/qualitative-study-about-the-experiences-of-colleagues-of-health-professionals-involved-in-an-adverse-event
#18
Lena Ferrús, Carmen Silvestre, Guadalupe Olivera, José Joaquín Mira
OBJECTIVES: Identify what occurs among health-care providers (HCPs) after an adverse event (AE) and what colleagues could do to help them. METHOD: A qualitative study with participation by physicians and nurses from hospitals and primary care facilities. RESULTS: Fifteen HCPs and 12 health professionals with quality management responsibilities with between 8 and 30 years of experience participated; 15 (56%) were physicians (9 general practitioners, 3 surgeons, 2 intensivists, and 1 from an emergency unit), and 12 (44%) were nurses (5 worked in primary care and 7 in hospitals)...
November 2, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27811593/the-effects-of-the-second-victim-phenomenon-on-work-related-outcomes-connecting-self-reported-caregiver-distress-to-turnover-intentions-and-absenteeism
#19
Jonathan D Burlison, Rebecca R Quillivan, Susan D Scott, Sherry Johnson, James M Hoffman
OBJECTIVES: Second victim experiences can affect the well-being of healthcare providers and compromise patient safety. The purpose of this study was to assess the relationships between self-reported second victim-related distress to turnover intention and absenteeism. Organizational support was examined concurrently because it was hypothesized to explain the potential relationships between distress and work-related outcomes. METHODS: A cross-sectional, self-report survey (the Second Victim Experience and Support Tool) of nurses directly involved in patient care (N = 155) was analyzed by using hierarchical linear regression...
November 2, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27783608/-second-victims-in-healthcare-the-stages-of-recovery-following-an-adverse-event
#20
Carmela Rinaldi, Fabrizio Leigheb, Angelo Di Dio, Kris Vanhaecht, Chiara Donnarumma, Massimiliano Panella
A second victim has been defined as "a healthcare worker involved in an unanticipated adverse patient event, medical error and/or a patient related-injury who becomes victimized in the sense that the worker is traumatized by the event". The aim of the present research study was to assess the "second victim" phenomenon in Italy. Fifty interviews were conducted with different health care professionals previously involved in medical errors. All study participants clearly remembered the event. Support obtained by second victims was poor and inefficient...
July 2016: Igiene e Sanità Pubblica
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