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Quick Safety. January 22, 2018;(39):1-3.
Involvement in patient harm can result in serious psychological consequences for health care workers. This newsletter article describes problems second victims may experience and outlines how organizations can support providers after an error.
Diffusion of Responsibility Leads to Danger
Thomas J. Balcezak, MD, MPH, and Ohm Deshpande, MD
Second Victims: Support for Clinicians Involved in Errors and Adverse Events
Supporting clinicians after adverse events: development of a clinician peer support program.
Lane MA, Newman BM, Taylor MZ, et al. J Patient Saf. 2018;14:e56-e60.
Support strategies for health care professionals who are second victims.
Hauk L. AORN J. 2018;107:P7-P9.
Are second victims getting the help they need?
Headley M. Patient Saf Qual Healthc. May/June 2018.
Making an infusion error: the second victims of infusion therapy-related medication errors.
Treiber LA, Jones JH. J Infus Nurs. 2018;41:156-163.
More than 1 million potential second victims: how many could nursing education prevent?
Jones JH, Treiber LA. Nurse Educ. 2018;43:154-157.
Matt's story: learning from heartbreak.
Miller K, Dastoli A. Int J Qual Health Care. 2018;30:654-657.
Peer support in anesthesia: turning war stories into wellness.
Vinson AE, Randel G. Curr Opin Anaesthesiol. 2018;31:382-387.
Medication errors: the school nurse as second victim.
Stillwater AR. NASN Sch Nurse. 2018;33:163-166.
When clinicians drop out and start over after adverse events.
Rodriquez J, Scott SD. Jt Comm J Qual Patient Saf. 2018;44:137-145.
Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit.
Chung AS, Smart J, Zdradzinski M, et al. West J Emerg Med. 2018;19:327-331.
A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis.
Schiess C, Schwappach D, Schwendimann R, Vanhaecht K, Burgstaller M, Senn B. J Patient Saf. 2018 Jan 30; [Epub ahead of print].
Suffering in silence: medical error and its impact on health care providers.
Robertson JJ, Long B. J Emerg Med. 2018;54:402-409.
Case: a second victim support program in pediatrics: successes and challenges to implementation.
Dukhanin V, Edrees HH, Connors CA, Kang E, Norvell M, Wu AW. J Pediatr Nurs. 2018 Jan 30; [Epub ahead of print].
The impact of adverse events on clinicians: what's in a name?
Wu AW, Shapiro J, Harrison R, et al. J Patient Saf. 2017 Nov 4; [Epub ahead of print].
The emotional fallout from the culture of blame and shame.
Ferguson CC. JAMA Peds. 2017;171:1141.
Kind World #42: The Patient.
Lantz F. WBUR. August 15, 2017.
The emotional impact of errors or adverse events on healthcare providers in the NICU: the protective role of coworker support.
Winning AM, Merandi JM, Lewe D, et al. J Adv Nurs. 2018;74:172-180.
Do hospitals support second victims? Collective insights from patient safety leaders in Maryland.
Edrees HH, Morlock L, Wu AW. Jt Comm J Qual Patient Saf. 2017;43:471–483.
Deployment of a second victim peer support program: a replication study.
Merandi J, Liao N, Lewe D, et al. Pediatr Qual Saf. 2017;2:e031.
The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error.
Mira JJ, Carrillo I, Guilabert M, et al; Spanish Second Victim Research Team. J Med Internet Res. 2017;19:e203.
Critical incident stress debriefing after adverse patient safety events.
Harrison R, Wu A. Am J Manag Care. 2017;23:310-312.
Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach.
Delacroix R. J Am Assoc Nurse Pract. 2017;29:403-409.
The second victim: a review.
Coughlan B, Powell D, Higgins MF. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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