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- Second victims
- Specialization of Care
Journal Article > Review
Supporting involved health care professionals (second victims) following an adverse health event: a literature review.
Seys D, Scott S, Wu A, et al. Int J Nurs Stud. 2013;50:678-687.
Clinicians who are involved in a medical error are at increased risk for psychological complications and burnout; this phenomenon has resulted in clinicians who are involved in errors being called second victims. This review identified several strategies that organizations can use to support second victims, both at an individual and organizational level. An important part of supporting second victims appears to be providing immediate access to assistance, as in a second victim rapid response team. The effects of errors on health care providers are discussed in this AHRQ WebM&M perspective.
Journal Article > Study
Scott SD, Hirschinger LE, Cox KR, et al. Jt Comm J Qual Patient Saf. 2010;36:233-240.
Rapid response systems (RRS) continue to penetrate hospitals nationally as a method to rescue patients experiencing imminent clinical deterioration. This study takes the same model and describes the context for and development of an innovative RRS to care for the second victim—a health care provider involved in an unanticipated adverse event, medical error, or patient-related injury. The authors surveyed faculty and staff at their institution and found that 39% were familiar with the term second victim and 30% reported personal problems in the past 12 months resulting from their involvement in a patient safety event. More than 80% of respondents expressed a desire for internal rather than external support when needing assistance. Early learnings from a second victim RRS are described, including training of "clinician lifeguards" and monitoring of the interventions. A past AHRQ WebM&M commentary explored how providers recover from their involvement in medical errors.