Personal, situational and organizational aspects that influence the impact of patient safety incidents: A qualitative study

Gerven, Eva Van; Deweer, Dries; Scott, Susan D.; Panella, Massimiliano; Euwema, Martin; Sermeus, Walter; Vanhaecht, Kris

doi:10.1016/j.cali.2016.02.003

Cited by 24 publications

(69 citation statements)

References 24 publications

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“…Although patient safety incidents are common (i.e., between 4% and 17% of hospitals admissions are linked to adverse events), 11 they are still stigmatized, with a strong negative impact for physicians. 12 , 13 Historically, it has been overlooked that adverse events affect not only the patient as first victim but also are also highly stressful for the involved providers, thus commonly considered as second victims. 8 Although there has been recent controversy over use of the term second victim , an alternative, more appropriate term has not been established.…”

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confidence: 99%

Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis

et al. 2019

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confidence: 99%

Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis

et al. 2019

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“…The possible explanation is that the relevant factors have not been included in these models and/or that multiple factors and their complex interactions influence the outcome. Van Gerven et al lists personal, situational and organisational aspects that impact the outcome [37]. Therefore, further research could concentrate on individual factors like personality characteristics, details of the traumatising events, or environmental conditions to explain differences.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of second victims, risk factors and support strategies among young German physicians in internal medicine (SeViD-I survey)

Strametz

Koch

Vogelgesang

et al. 2021

J Occup Med Toxicol

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Background Second victims, defined as healthcare team members being traumatised by an unanticipated clinical event or outcome, are frequent in healthcare. Evidence of this phenomenon in Germany, however, is sparse. Recently, we reported the first construction and validation of a German questionnaire. This study aimed to understand this phenomenon better in a sample of young (<= 35 years) German physicians. Methods The electronic questionnaire (SeViD-I survey) was administered for 6 weeks to a sample of young physicians in training for internal medicine or a subspecialty. All physicians were members of the German Society of Internal Medicine. The questionnaire had three domains - general experience, symptoms, and support strategies - comprising 46 items. Binary logistic regression models were applied to study the influence of various independent factors on the risk of becoming a second victim, the magnitude of symptoms and the time to self-perceived recovery. Results The response rate was 18% (555/3047). 65% of the participants were female, the mean age was 32 years. 59% experienced second victim incidents in their career so far and 35% during the past 12 months. Events with patient harm and unexpected patient deaths or suicides were the most frequent key incidents. 12% of the participants reported that their self-perceived time to full recovery was more than 1 year or have never recovered. Being female was a risk factor for being a second victim (odds ratio (OR) 2.5) and experiencing a high symptom load (OR 2). Working in acute care was promoting a shorter duration to self-perceived recovery (OR 0.5). Support measures with an exceptionally high approval among second victims were the possibility to discuss emotional and ethical issues, prompt debriefing/crisis intervention after the incident and a safe opportunity to contribute insights to prevent similar events in the future. Conclusion The second victim phenomenon is frequent among young German physicians in internal medicine. In general, these traumatic events have a potentially high impact on physician health and the care they deliver. A better understanding of second victim traumatisations in Germany and broad implementation of effective support programs are warranted.

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“…• Support from managers at all levels, counselors or therapist, department/unit or institution and psychological support (6,9,15,29,33,(43)(44)55,59,61,(65)(66)68,70,(75)(76) • Website Mitigating Impact in Second Victims (MISE) (39,(42)(43)(50)(51) • Second Victim Support Unit (USVIC) (62) • Coping strategies (13,16,(23)(24)(25)30,35,44,46,61,(63)(64) • Support from co-workers, spouse, family members, friends and multidisciplinary team ( 6,13,16,30,42,44,58,61,66,77) • Training and learning from error (24,42,(67)(68)71,…”

Section: Resultsmentioning

confidence: 99%

“…Another aspect of this category was the conception that some studies addressed interventions and actions based on strategies with an emphasis on the problem and on emotion/cognition (35,(42)(43)61,63) and coping strategies, among them reflective writing (7,25) , temporary leave from work (33,55) , selfpunishment, self-defense or fact denial (27,35,55,63,66,71) and depersonalization (55) . Learning with error (42,(67)(68)71,(75)(76) , positive feedback (24,42) , proactive education (74) and the participation of the second victim in the AE root cause analysis process, in the construction of action plans and in the validation of the decision-making process to avoid future incidents (71,76) were also mentioned as a source of support for training.…”

Section: Toolsmentioning

confidence: 99%

Strategies to support health professionals in the condition of second victim: scoping review

Quadrado

Tronchin

Maia

2021

Rev. esc. enferm. USP

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Objective: To map and analyze the knowledge produced about strategies aimed at promoting support to health professionals in the condition of second victim. Method: Scoping review, developed in portals, databases and academic websites, whose inclusion criteria were articles and materials indexed in the respective search sites, between January 2000 and December 2019, in Portuguese, English and Spanish. The findings were summarized and analyzed based on descriptive statistics and narrative synthesis. Results: A total of 64 studies were included, 100% international; 92.2% in English and 50% from secondary research. The support strategies were grouped into four categories and most of the studies referred to the use of the forYOU, Medically Induced Trauma Support Services and Resilience in Stressful Events programs and the interventions represented, through dialogue with peers, family, friends and managers. Conclusion: Support strategies for the second victim are pointed out in international studies and mostly developed through programs/services and interventions. It is recommended to develop studies to learn about the phenomenon and to structure feasible support strategies in Brazilian health organizations.

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Personal, situational and organizational aspects that influence the impact of patient safety incidents: A qualitative study

Cited by 24 publications

References 24 publications

Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis

Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis

Prevalence of second victims, risk factors and support strategies among young German physicians in internal medicine (SeViD-I survey)

Strategies to support health professionals in the condition of second victim: scoping review

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