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- Second victims
Journal Article > Commentary
Holden J, Card AJ. J Patient Saf Risk Manag. 2019 Jun 11; [Epub ahead of print].
Negative consequences can radiate throughout an organization after a patient harm event. This commentary provides an overview of first victims, second victims, and third victims of medical errors, then elaborates on how patient safety professionals responsible for investigating adverse incidents and designing improvements can experience emotional stress, bullying, and staff turnover. The authors recommend increased support and measurement of the impact of patient safety events on these individuals.
Journal Article > Review
Miller SC, Scott SD, Beck M. J Patient Saf Risk Manag. 2019;24:108-117.
The second victim effect refers to the emotional distress health care providers may experience after an adverse event or error. This systematic review found that mindfulness interventions have the potential to reduce stress and burnout among physicians. The authors suggest that further research regarding the impact of mindfulness on the second victim effect is needed.
Journal Article > Study
Gupta K, Lisker S, Rivadeneira NA, et al. BMJ Qual Saf. 2019;28:564-573.
Physicians who experience emotional consequences after adverse events are referred to as second victims. In this survey study of 5782 physicians who identify as mothers, nearly half reported involvement in an error. Most of those respondents described feeling guilt and were more likely to report burnout. Participants reported a wide variety of errors; treatment errors were the most common but diagnostic errors were associated with more severe harm to patients. The authors conclude that strategies to mitigate burnout among second victims are urgently needed. A previous PSNet interview discussed the second victim phenomenon and interventions to address it.