Implementation of a “second victim” program in a pediatric hospital

Krzan, Kara D.; Merandi, Jenna; Morvay, Shelly; Mirtallo, Jay M.

doi:10.2146/ajhp140650

Cited by 72 publications

(110 citation statements)

References 6 publications

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“…While findings suggest a dose–response effect based on the healthcare provider's level of involvement in an error or adverse event, both observing and being directly involved in an error or adverse event was associated with increased risk for negative outcomes. Additionally, we provide novel insight into the importance of coworker support in the workplace and confirm the need for developing institutional support programmes to assist healthcare providers following an event (Krzan, Merandi, Morvay, & Mirtallo, ; Scott et al., ). Improving support available to healthcare providers may not only reduce their emotional distress and improve their professional quality of life, but in turn, may improve overall patient safety.…”

Section: Resultssupporting

confidence: 62%

The emotional impact of errors or adverse events on healthcare providers in the NICU: The protective role of coworker support

Winning

Merandi

Lewe

et al. 2017

Journal of Advanced Nursing

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Section: Resultssupporting

confidence: 62%

The emotional impact of errors or adverse events on healthcare providers in the NICU: The protective role of coworker support

Winning

Merandi

Lewe

et al. 2017

Journal of Advanced Nursing

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“…Coworkers who have knowledge about the specifics of the job and can provide empathy. These results support literature suggesting the need for discussing clinical incidents with people who understand the job and its pressures [4,7,12 (p87) , 19].…”

supporting

confidence: 86%

The Second Victim Phenomenon: Perspective of Canadian Radiation Therapists

Kobe

Blouin

Moltzan

et al. 2019

Journal of Medical Imaging and Radiation Sciences

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Introduction: Clinical incidents are an unfortunate reality in the health care system. Patients and their families are the first victims of these incidents. The health care providers involved in the error are considered the second victims. This research aimed to evaluate the level of awareness of the second victim phenomenon (SVP) in Canadian radiation therapists, determine the post-incident emotional and physical reactions experienced, and determine the existing and/ or recommended systems for support. Methods: Mixed method design comprised two phases. In phase I, Canadian radiation therapists were invited to view an informational presentation about the SVP and complete an online survey. In phase II, participants partook in an online discussion forum. Results: Survey results indicate that 31% of respondents were previously aware of the SVP and 86% of respondents report having been involved in a clinical incident. In addition, the results confirm that Canadian radiation therapists who have been involved in health care-related incidents do experience emotional and physical reactions. Most respondents indicated they lacked appropriate organizational support to help them recover from the clinical incident. Support from a colleague is the preferred method of support immediately after the incident. Finally, survey respondents indicated a clear desire for implementation of defined processes for postclinical incident supports.

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“…Organizational support, often in the form of peer-to-peer networks, is the central focus of these programs. Research has highlighted the development of such programs, 8,34 and toolkits to guide their successful implementation are publically available. 35 By helping establish a relationship between second victim-related distress and work-related outcomes while demonstrating that these relationships exist through a mechanism of organizational support, our study supports these efforts.…”

Section: Discussionmentioning

confidence: 99%

The Effects of the Second Victim Phenomenon on Work-Related Outcomes: Connecting Self-Reported Caregiver Distress to Turnover Intentions and Absenteeism

et al. 2016

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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. The tool assesses organizational support, distress due to patient safety event involvement, and work-related outcomes. Results Second victim distress was significantly associated with turnover intentions (P < 0.001) and absenteeism (P < 0.001), while controlling for the effects of demographic variables. Organizational support fully mediated the distress–turnover intentions (P < 0.05) and distress-absenteeism (P < 0.05) relationships, which indicates that perceptions of organizational support may explain turnover intentions and absenteeism related to the second victim experience. Conclusions Involvement in patient safety events and the important role of organizational support in limiting caregiver event–related trauma have been acknowledged. This study is one of the first to connect second victim distress to work-related outcomes. This study reinforces the efforts health care organizations are making to develop resources to support their staff after patient safety events occur. This study broadens the understanding of the negative effects of a second victim experience and the need to support caregivers as they recover from adverse event involvement.

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Implementation of a “second victim” program in a pediatric hospital

Cited by 72 publications

References 6 publications

The emotional impact of errors or adverse events on healthcare providers in the NICU: The protective role of coworker support

The emotional impact of errors or adverse events on healthcare providers in the NICU: The protective role of coworker support

The Second Victim Phenomenon: Perspective of Canadian Radiation Therapists

The Effects of the Second Victim Phenomenon on Work-Related Outcomes: Connecting Self-Reported Caregiver Distress to Turnover Intentions and Absenteeism

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