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Meeting/Conference > Kansas Meeting/Conference
Second Victim Train-the-Trainer Workshop.
Center for Patient Safety and University of Missouri. November 10, 2017; Saint Luke's North Hospital, Barry Road, Kansas City, MO.
Second victims are clinicians who experience considerable emotional distress, shame, and self-doubt after being involved in a medical error. This workshop will explore strategies to build an organizational program that addresses individual stages of recovery and trains peers to participate in that process. Sue Scott will lead the session.
Journal Article > Commentary
Care at the point of impact: insights into the second-victim experience.
Scott SD, McCoig MM. J Healthc Risk Manag. 2016;35:6-13.
Health care workers who experience emotional consequences after being involved in a medical error are known as second victims. This commentary reviews the stages of recovery that such health care workers experience, determined by a hospital-based program to provide immediate support for second victims. A PSNet perspective offers insights from one of the authors about this program.
Journal Article > Study
The second victim experience and support tool: validation of an organizational resource for assessing second victim effects and the quality of support resources.
Burlison JD, Scott SD, Browne EK, Thompson SG, Hoffman JM. J Patient Saf. 2017;13:93-102.
The second victim phenomenon—the damaging psychological impacts of errors on the clinicians who are involved—has been well documented in the literature. This study presents the development and validation of a survey tool to examine clinicians' experiences with errors and evaluate the effectiveness of approaches to aid second victims.
Journal Article > Study
Suffering in silence: a qualitative study of second victims of adverse events.
Ullström S, Sachs MA, Hansson J, Øvretveit J, Brommels M. BMJ Qual Saf. 2014;23:325-331.
Clinicians who are involved in a medical error experience considerable emotional distress, shame, and self-doubt, and the term "second victim" reflects these effects. This qualitative study provides vivid examples of the second victim phenomenon in 21 health care professionals (primarily doctors and nurses) who were involved in errors at a Swedish hospital. Interviews with the affected clinicians revealed that the immediate emotional effects were compounded by a lack of institutional support in the weeks to months after the incident. In response to these issues, some hospitals have instituted structured approaches, such as a second victim rapid response team, to provide a non-judgmental sounding board and debriefing opportunity for affected providers after serious medical errors. Dr. Albert Wu, who coined the term second victim and has extensively researched this phenomenon, was interviewed by AHRQ WebM&M in 2011.
Book/Report
Second Victim: Error, Guilt, Trauma, and Resilience.
Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412.
This book covers how to investigate patient safety incidents while simultaneously providing support for second victims.
Cases & Commentaries
The Unfamiliar Catheter
- Web M&M
Sonia C. Swayze, RN, MA, and Angela James, RN, BSN; March 2013
While drawing labs on a woman admitted after a lung transplant, a nurse failed to clamp the patient's large-bore central line, allowing air to enter the catheter. The patient suffered a cerebral air embolism and was transferred to the ICU for several days.
Newspaper/Magazine Article
The 'second victims' of medication errors begin to gain support.
Blum K. Pharm Pract News. November 2011.
Exploring the impact of medication errors on clinicians, this article discusses efforts to support second victims affected by medical error.
Journal Article > Commentary
Medical error: the second victim.
McCay L, Wu AW. Br J Hosp Med. 2012;73:C146-C148.
Exploring how medical errors affect second victims, this commentary recommends strategies to help them cope with such experiences.
Newspaper/Magazine Article
Too many abandon the "second victims" of medical errors.
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.
This piece discusses second victims and describes how five factors can help clinicians involved in adverse events.