Emotion and Coping in the Aftermath of Medical Error

Harrison, Reema; Lawton, Rebecca; Perlo, Jessica; Gardner, Peter; Armitage, Gerry; Shapiro, Jo

doi:10.1097/pts.0b013e3182979b6f

Cited by 89 publications

(158 citation statements)

References 39 publications

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“…The opportunity to learn and make changes after an adverse event has been identifi ed as a strategy valued by clinicians for managing the aftermath of events. 31 Over 80% of respondents reported that they were satisfi ed with their disclosure of an adverse event or near miss to patients and/or families; this is similar to fi ndings in North America but contradicts 31 patient reports of dissatisfaction with the disclosure process. 11,[44][45][46] Our fi ndings reinforce the disparity between physicians and patients regarding expectations of incident disclosure, which has been described in US literature as 'the disclosure gap'.…”

Section: Discussionmentioning

confidence: 51%

“…This refl ects similar fi ndings from North America, where 90% of physicians reported a lack of adequate organisational support after an event. 31,32,34,39 Only 5% had a formal mentor, although most would have found this helpful. In the absence of formal structures, most sought support informally from friends, family and colleagues.…”

Section: Discussionmentioning

confidence: 99%

“…[23][24][25][26][27][28][29] The severity of these effects is related to the degree of harm to the patient and the clinician's experience of the investigation process; they are more pronounced with more serious incidents. 30,31 These effects have adverse consequences for patients, for clinicians and for the wider NHS. Patient safety is at risk in the immediate aftermath of an incident, when a clinician's ability to manage other patients may be impaired.…”

Section: Introductionmentioning

confidence: 99%

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Doctors’ experiences of adverse events in secondary care: the professional and personal impact

2014

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Doctors’ experiences of adverse events in secondary care: the professional and personal impact

2014

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“…[33][34][35] Recent studies underline the importance and significance of organizational support for second victims' recovery. [36,37] In line with these findings, an increasing number of hospitals have implemented a second victim support program over the last few years. In the United States, there are three leading hospitals.…”

Section: Introductionmentioning

confidence: 66%

The need and availability of support systems for physicians involved in a serious adverse event

Leferink

Bos²,

Heringa

et al. 2018

JHA

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Objective: Serious adverse events occur in healthcare, and do not solely have consequences for patients (first victims), but also affect physicians involved (second victims). These second victims experience diminished emotional well-being and less professional performance. An increasing number of hospitals organize support for second victims, although scientific evidence on the kind of support that is expected and needed is poor. This study therefore investigates support needs after serious adverse events from both personal (physicians) and organizational (quality and safety staff members) perspectives. Methods: We conducted semi-structured interviews in a Dutch university medical center. Physicians (N = 19) who had been directly involved in a serious adverse event participated. In addition, quality and safety staff members (N = 3) reflected on the support needs as expressed by physicians. Verbatim transcripts were three-fold coded, which led to several themes for our inductive thematic analysis. Results: Contrary to recent developments in healthcare organizations, participants did not plea for a hospital-wide support team. Acceptance of the emotional and professional impact of an adverse event by direct colleagues and supervisors is more important. Where such a cultural context is provided, physicians prefer support of a close and reliable colleague to cope with emotions and doubts, a supervisor who monitors recovery, and a healthcare organization that provides information about required procedures to learn from the events. However, this ideal was seldom found in the competitive working environment. This underlines the need for a shift from a competitive professional culture into a more supportive one. Conclusions: Ideally, direct colleagues support each other after an adverse event. This form of collegial support can only be successful if there is general acceptance of healthcare professionals' vulnerability and their support needs within the direct working environment. To create the right circumstances to meet these support needs, both healthcare professionals and hospital organizations have to recognize and take their responsibilities.

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“…환자에게 직접적 해를 미치지 않은 근접오류를 범한 경우에도 의료진은 이차피해를 경험하며 [5], 수면장애 [5,6,10], 소진 [11], 업무 관련 자신감, 직 무만족도 저하 [5,6], 죄책감, 분노, 수치심 [5,10,12], 해고, 처벌에 대한 두려움 및 법적 소송 [6,10] Ⅲ. 연구결과 Ⅵ.…”

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Effects of Nurse’s Second Victim Experiences on Third Victim Experiences: Multiple Mediation Effects of Second Victim Supports

Kim¹,

Kim²,

Kim³

et al. 2017

Qual Improv Health Care

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Emotion and Coping in the Aftermath of Medical Error

Cited by 89 publications

References 39 publications

Doctors’ experiences of adverse events in secondary care: the professional and personal impact

Doctors’ experiences of adverse events in secondary care: the professional and personal impact

The need and availability of support systems for physicians involved in a serious adverse event

Effects of Nurse’s Second Victim Experiences on Third Victim Experiences: Multiple Mediation Effects of Second Victim Supports

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