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Stovall MC, Firkins J, Hansen L, et al. J Patient Saf. 2020;17:e1652-e1659.
This study explored the relationship between personality traits and traumatic outcome symptoms in nurses who were involved in a patient safety incident. Results indicate a strong relationship between perfectionism and neuroticism and reexperiencing the incident, as well as neuroticism and avoidance. There was an inverse relationship between perfectionism and alcohol abuse.
Dzau VJ, Kirch D, Nasca TJ. N Engl J Med. 2020;383:513-515.
This commentary discusses the ongoing impact of COVID-19 on the physical, emotional, and mental health on the healthcare workforce and outlines five high-priority actions at the organizational- and national level to protect the health and wellbeing of the healthcare workforce during and after the pandemic.  
Stovall M, Hansen L, van Ryn M. J Nurs Scholarsh. 2020;52:320-328.
This article provides a critical review of the literature about moral injury observed in nurses after a patient safety incident. The authors describe ‘moral injury’ as an experience violating deeply held moral values and beliefs, which can place and individual at risk for burnout and post-traumatic stress disorder. Moral injury symptoms identified in this review included guilt, shame, spiritual-existential crisis, and loss of trust. The authors posit that moral injury may be a more appropriate term for what has been historically referred to as the ‘second victim’ phenomenon.
Müller BS, Donner-Banzhoff N, Beyer M, et al. BMC Fam Pract. 2020;21.
Healthcare providers may feel regret when the care they provide falls short of expectations. This qualitative study solicited experiences from 29 German primary care providers about diagnostic errors resulting in delayed care or harm. In nearly all cases (26/29) the final diagnosis was more serious than the original diagnosis and one-third resulted in preventable harm to patients (e.g., regular blood glucose tests may have prevented a stroke that likely occurred due to decompensated diabetes under steroids).  Regardless whether the diagnostic error resulted in patient harm, the vast majority (27/29) of providers expressed feelings of regret, highlighting the need for peer-support to deal with the emotional impact of incorrect diagnostic decisions.