Second Victim Support at the Core of Severe Adverse Event Investigation
Metadatos
Mostrar el registro completo del ítemEditorial
MDPI
Materia
Second victim Adverse events Patient safety
Fecha
2022-12-15Referencia bibliográfica
Cobos-Vargas, A... [et al.]. Second Victim Support at the Core of Severe Adverse Event Investigation. Int. J. Environ. Res. Public Health 2022, 19, 16850. [https://doi.org/10.3390/ijerph192416850]
Patrocinador
Carlos III Research institute; Rio Hortega program-CM20/00074Resumen
There is limited evidence and a lack of standard operating procedures to address the impact
of serious adverse events (SAE) on healthcare workers. We aimed to share two years’ experience of a
second victim support intervention integrated into the SAE management program conducted in a
500-bed University Hospital in Granada, Spain. The intervention strategy, based on the “forYOU”
model, was structured into three levels of support according to the degree of affliction and the
emotional needs of the professionals. A semi-structured survey of all workers involved in an SAE
was used to identify potential second victims. Between 2020 and 2021, the SAE operating procedure
was activated 23 times. All healthcare workers involved in an SAE (n = 135) received secondlevel
support. The majority were physicians (51.2%), followed by nurses (26.7%). Only 58 (43.0%)
received first-level emotional support and 47 (34.8%) met “second victim” criteria. Seven workers
(14.9%) required third-level support. A progressive increase in the notification rates was observed.
Acceptance of the procedure by professionals and managers was high. This novel approach improved
the number of workers reached by the trained staff; promoted the visibility of actions taken during
SAE management and helped foster patient safety culture in our setting.