How to Develop a Second Victim Support Program: A Toolkit for Health Care Organizations

Pratt, Stephen D.; Kenney, Linda; Scott, Susan D.; Wu, Albert W.

doi:10.1016/s1553-7250(12)38030-6

Cited by 65 publications

(86 citation statements)

References 15 publications

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“…Psychological interventions : Researchers from North America have developed a toolkit to help healthcare organizations implement support programmes for clinicians suffering from the emotional impact of errors and adverse events. Structures with a psychological focus may also be of value for surgeons who are seriously affected in the aftermath of major complications.…”

Section: Discussionmentioning

confidence: 99%

Surgical complications and their implications for surgeons' well-being

Pinto

Faiz

Bicknell

et al. 2013

British Journal of Surgery

117

172

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Background: Healthcare professionals can be seriously affected when they are involved in major clinical incidents. The impact of such incidents on staff is of particular relevance to surgery, as the operating room is one of the highest-risk areas for serious complications. This qualitative study aimed to assess the personal and professional impact of surgical complications on surgeons.Methods: This single time point study involved semistructured, individual interviews with general and vascular surgeons, consultants and senior registrars from two National Health Service organizations in London, UK.Results: Twenty-seven surgeons participated. Many were seriously affected by major surgical complications. Surgeons' practice was also often affected, not always in the best interest of their patients. The surgeons' reactions depended on the preventability of the complications, their personality and experience, patient outcomes and patients' reactions, as well as colleagues' reactions and the culture of the institution. Discussing complications, deconstructing the incidents and rationalizing were the most commonly quoted coping mechanisms. Institutional support was generally described as inadequate, and the participants often reported the existence of strong institutional blame cultures. Suggestions for supporting surgeons in managing the personal impact of complications included better mentoring, teamwork approaches, blame-free opportunities for the discussion of complications, and structures aimed at the human aspects of complications. Conclusion:Those involved in the management of surgical services need to consider how to improve support for surgeons in the aftermath of major surgical incidents.

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Section: Discussionmentioning

confidence: 99%

Surgical complications and their implications for surgeons' well-being

Pinto

Faiz

Bicknell

et al. 2013

British Journal of Surgery

117

172

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“…It is reassuring that only 19% of programs-in-development plan to rely on an EAP, whereas more than half will use peer support, reflecting an emerging consensus that in-house peer supporters offer a greater ability to identify and respond to staff needs relative to EAP. (15) For those healthcare organizations that currently rely on EAP, leaders should critically assess EAP utilization, capabilities, and integration.…”

Section: Discussionmentioning

confidence: 99%

Risk managers' descriptions of programs to support second victims after adverse events

White

Brock

McCotter³

et al. 2015

J of Healthc Risk Manag

Self Cite

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Guidelines call for healthcare organizations to provide emotional support for clinicians involved in adverse events, but little is known about these organizations seek to meet this need. We surveyed U.S. members of ASHRM about the presence, features, and perceived efficacy of their organization’s provider support program. The majority reported that their organization had a support program, but features varied widely and there are substantial opportunities to improve services. Provider support programs should enhance referral mechanisms and peer support, critically appraise the role of Employee Assistance Programs, and demonstrate their value to institutional leaders.

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“…A growing body of resources provides clinicians and health care institutions with tools to help second victims and to develop formal support programs. 27,[37][38][39] Scott et al described the development and implementation of a three-tiered clinician support program (Fig. 5).…”

Section: Caring For Emotional Needsmentioning

confidence: 99%