Care of the clinician after an adverse event

Pratt, Stephen D.; Jachna, B.R.

doi:10.1016/j.ijoa.2014.10.001

Cited by 67 publications

(70 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…‘Second victim’ was first used in 2000 to call attention to trauma resulting when the physician who made medical errors (Wu, ). The prevalent rate of adverse events in patient care is about 10.4% to 46.8%, and almost all of the health care providers experienced second victim‐related distress, which may further compromise patient safety (Pratt & Jachna, ; Quillivan, Burlison, Browne, Scott, & Hoffman, ; Scott et al, ). The symptoms of second victim‐related distress include sleep disturbances (Chan, Khong, & Wang, ; Scott et al, ), guilty feelings and depressive symptoms (Chard, ; Ullstrom, Andreen Sachs, Hansson, Ovretveit, & Brommels, ), and burnout (Mira et al, ; Shanafelt et al, ); furthermore, these symptoms may lead to absenteeism and turnover intention (Burlison, Scott, Browne, Thompson, & Hoffman, ; Kable, Kelly, & Adams, ; Pak, ; Wu & Steckelberg, ).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, more and more hospitals recognize it is necessary to have an institutional support system to meet second victims’ needs (Chan et al, ), though such a support system is rare in China. Low institutional support after adverse events is very common (Pratt & Jachna, ); for example, a Belgian nationwide survey revealed that the majority of organisations punished the clinicians if they made any medical errors and would not provide supports for them (Vlayen, Hellings, Claes, Peleman, & Schrooten, ). Despite the literature, nonpunitive responses to errors have been found to be a significant predictor for less second victim‐related distress (Quillivan et al, ); to date, empirical evidence of the associations between second victim‐related distress, organisational support and patient safety culture is rare (Quillivan et al, ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

From organisational support to second victim‐related distress: Role of patient safety culture

Zhang

Guo

et al. 2019

J Nurs Manag

View full text Add to dashboard Cite

Aim This cross‐sectional correlation study aimed to explore the associations among patient safety culture, organisational support, second victim‐related distress, absenteeism and turnover intentions in the registered nurses (RNs) by using structural equation modelling. Background Medical errors could cause RNs’ second victim‐related distress, which may either positively or negatively impact patient safety culture. Method The Hospital Survey on Patient Safety Culture (HSOPSC) and Second Victim Experience and Support Tool (SVEST) were used to investigate 267 RNs who were involved in direct patient care and medical errors within the previous year in China. Results About half (45.3%) of nurses experienced psychological distress, and 26.6% of the nurses intended to leave. The model showed that 6 dimensions of patient safety culture have contributed to decreasing absenteeism and turnover intention via increased organisational supports and decreased second victim‐related distress. Conclusion The second victim‐related distress may be relieved, and organisational support may be enhanced through improvements in patient safety culture. Implications for nursing management Strategies are needed to establish an environment where cooperation/cooperative relationships between the supervisor and the staff nurse can be ensured.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

From organisational support to second victim‐related distress: Role of patient safety culture

Zhang

Guo

et al. 2019

J Nurs Manag

View full text Add to dashboard Cite

show abstract

“…The literature provides ample descriptions of the detrimental effects of harmful errors to providers as they suffer from the guilt of impacting a patient's morbidity, mortality and quality of life. In addition to guilt, providers also experience cognitive dissonance of the error or poor clinical outcome with self‐perceived infallibility, coupled with a life‐long commitment to do no harm . The second victim phenomenon has been studied extensively in the health system as a whole and is a recognized issue by the Agency for Healthcare Research (AHRQ) as well as the subject of an Institute for Healthcare Improvement (IHI) white paper .…”

Section: Introductionmentioning

confidence: 99%

Peer support: A needs assessment for social support from trained peers in response to stress among medical physicists

Johnson

Ford

et al. 2019

J Applied Clin Med Phys

View full text Add to dashboard Cite

Purpose Previous studies suggest that within radiation oncology, medical physicists (MP) experience high workloads. Little is known about how MPs use social support (SS) in times of stress. Methods In collaboration with the Workgroup on Prevention of Medical Error, the American Association of Physicists in Medicine administered this Human Investigation Committee (HIC) approved email survey to 8566 members. Respondents were considered likely to seek SS if they answered (probably/definitely would) and unlikely to seek support if they answered (probably/definitely would not). Logistic regression was applied to determine associations between demographic factors and willingness to seek support as well as perception of barriers. Results One thousand two hundred and ninety‐seven members (15.1%) accessed and gave consent for the survey. One thousand and one (11.7%) respondents answered all relevant questions. Respondents were predominantly male (69.1%), MP in radiation oncology (81.8%), private practice (51.6%), with practice duration> 10 yr (60.2%). MPs were likely to seek SS for personal physical illness (78.63%), involvement in a medical error (73.94%) or adverse patient outcome (75.17%). MPs sought SS in the setting of personal fatigue (33.2%) or burnout (44.3%). Barriers to seeking SS were lack of time (80.3%), and uncertainty about whom to access (70.7%). MPs responded that they would be most likely to seek support from an equally experienced medical physicist colleague (81.0%). Most MPs (67.0%) identified as having experienced stressors, with serious family illness (35.2%), or burnout (32.8%) being most common. Factors associated with MPs unwillingness to seek SS for medical error included> 20 yr in practice (vs still in training — OR 0.30, P = 0.015), and male gender (OR 0.60, P = 0.003). Male gender was associated with the lowest willingness to seek support (OR 2.10, P = 0.0001), but also with fewer perceived barriers (OR 1.60, P = 0.0075). Conclusion Willingness to seek SS is demonstrated, and MPs want colleagues to provide support. Given these results, peer support could be considered among MPs.

show abstract

“…Medication errors occur in 19%-25% of all medication administrations. As a result, one of four patients may be involved in a medication error [1][2][3]. Although medication errors may occur at any stage of the medication administration process, most of them occur during the preparation of the medication and its' administration to the patient, due to misidentification of the drug or the patient [4].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

J Nur Healthcare

View full text Add to dashboard Cite

Background: Medication errors may be a critical event for the patients and caregivers involved. The performance of an erring worker, might be detrimental in the private and organizational life. This situation is known as the "secondary victim". Objectives: To examine the affect of medication errors on the mental state and function of the caregiver who erred: a comparison between findings in 2005 versus its findings in 2018. Design: The research was conducted in the qualitative method. A semi-structured interviews were held with the participants. The data were processed by means of content analysis. Participants: 40 nurses from a general hospital in central Israel who had made an error in the administration of medication. Ethical considerations: The research was approved by the institutional Helsinki committee. Findings: severe emotional consequences commenced immediately after the incident and continued for several days. They were expressed by fear, anxiety, self-blame, shame etc. The participants' reactions were grouped as: "Taking responsibility", "Immediate stress response", "Why did this happen to me", "Dilemma-whether to tell the patient and his family", "The staff's response to the mistake", "Fear of punishment" versus "In the past there was fear to tell, today there isn't, anymore", "The culture of learning and not punishing" and "The emotional impact over time". Discussion: The ongoing emotional distress that characterized some of the participants was similar to PTSD. The main differences between the findings after more than a decade were the perception of the organization as investigative rather than blameful, which enabled better functioning. Conclusions: workplaces should plan in advance for such events and offer support mechanisms for the "second victim" regardless of the inquiries and examinations held by the risk management unit.

show abstract

Care of the clinician after an adverse event

Cited by 67 publications

References 36 publications

From organisational support to second victim‐related distress: Role of patient safety culture

From organisational support to second victim‐related distress: Role of patient safety culture

Peer support: A needs assessment for social support from trained peers in response to stress among medical physicists

Untitled

Contact Info

Product

Resources

About