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Second Victim Support at the Core of Severe Adverse Event Investigation

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 Univers...

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Detalles Bibliográficos
Autores principales: Cobos-Vargas, Angel, Pérez-Pérez, Pastora, Núñez-Núñez, María, Casado-Fernández, Eloísa, Bueno-Cavanillas, Aurora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779208/
https://www.ncbi.nlm.nih.gov/pubmed/36554728
http://dx.doi.org/10.3390/ijerph192416850
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author Cobos-Vargas, Angel
Pérez-Pérez, Pastora
Núñez-Núñez, María
Casado-Fernández, Eloísa
Bueno-Cavanillas, Aurora
author_facet Cobos-Vargas, Angel
Pérez-Pérez, Pastora
Núñez-Núñez, María
Casado-Fernández, Eloísa
Bueno-Cavanillas, Aurora
author_sort Cobos-Vargas, Angel
collection PubMed
description 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 second-level 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.
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spelling pubmed-97792082022-12-23 Second Victim Support at the Core of Severe Adverse Event Investigation Cobos-Vargas, Angel Pérez-Pérez, Pastora Núñez-Núñez, María Casado-Fernández, Eloísa Bueno-Cavanillas, Aurora Int J Environ Res Public Health Article 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 second-level 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. MDPI 2022-12-15 /pmc/articles/PMC9779208/ /pubmed/36554728 http://dx.doi.org/10.3390/ijerph192416850 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cobos-Vargas, Angel
Pérez-Pérez, Pastora
Núñez-Núñez, María
Casado-Fernández, Eloísa
Bueno-Cavanillas, Aurora
Second Victim Support at the Core of Severe Adverse Event Investigation
title Second Victim Support at the Core of Severe Adverse Event Investigation
title_full Second Victim Support at the Core of Severe Adverse Event Investigation
title_fullStr Second Victim Support at the Core of Severe Adverse Event Investigation
title_full_unstemmed Second Victim Support at the Core of Severe Adverse Event Investigation
title_short Second Victim Support at the Core of Severe Adverse Event Investigation
title_sort second victim support at the core of severe adverse event investigation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779208/
https://www.ncbi.nlm.nih.gov/pubmed/36554728
http://dx.doi.org/10.3390/ijerph192416850
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