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Personal, situational and organizational aspects that influence the impact of patient safety incidents: A qualitative study.
Rev Calid Asist. 2016 Jul; 31 Suppl 2:34-46.RC

Abstract

OBJECTIVES

When a patient safety incident (PSI) occurs, not only the patient, but also the involved health professional can suffer. This study focused on this so-called "second victim" of a patient safety incident and aimed to examine: (1) experienced symptoms in the aftermath of a patient safety incident; (2) applied coping strategies; (3) the received versus needed support and (4) the aspects that influenced whether one becomes a second victim.

MATERIALS AND METHODS

Thirty-one in-depth interviews were performed with physicians, nurses and midwives who have been involved in a patient safety incident.

RESULTS

The symptoms were categorized under personal and professional impact. Both problem focused and emotion focused coping strategies were used in the aftermath of a PSI. Problem focused strategies such as performing a root cause analysis and the opportunity to learn from what happened were the most appreciated, but negative emotional responses such as repression and flight were common. Support from colleagues and supervisors who were involved in the same event, peer supporters or professional experts were the most needed. A few individuals described emotional support from the healthcare institution as unwanted. Rendered support was largely dependent on the organizational culture, a stigma remained among healthcare professionals to openly discuss patient safety incidents. Three aspects influenced the extent to which a healthcare professional became a second victim: personal, situational and organizational aspects.

CONCLUSION

These findings indicated that a multifactorial approach including individual and emotional support to second victims is crucial.

Authors+Show Affiliations

Leuven Institute for Healthcare Policy, KU Leuven, Leuven, Belgium.Leuven Institute for Healthcare Policy, KU Leuven, Leuven, Belgium.Patient Safety and Risk Management, University of Missouri Health Care, Columbia, MO, USA.Amadeo Avogadro University of Eastern Piedmont, Faculty of Medicine, Novara, Italy.Occupational & Organizational Psychology and Professional Learning, KU Leuven, Leuven, Belgium.Leuven Institute for Healthcare Policy, KU Leuven, Leuven, Belgium.Leuven Institute for Healthcare Policy, KU Leuven, Leuven, Belgium; University Hospitals Leuven & Flemish Hospital Network - KU Leuven, Leuven, Belgium. Electronic address: kris.vanhaecht@med.kuleuven.be.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27106771

Citation

Van Gerven, E, et al. "Personal, Situational and Organizational Aspects That Influence the Impact of Patient Safety Incidents: a Qualitative Study." Revista De Calidad Asistencial : Organo De La Sociedad Espanola De Calidad Asistencial, vol. 31 Suppl 2, 2016, pp. 34-46.
Van Gerven E, Deweer D, Scott SD, et al. Personal, situational and organizational aspects that influence the impact of patient safety incidents: A qualitative study. Rev Calid Asist. 2016;31 Suppl 2:34-46.
Van Gerven, E., Deweer, D., Scott, S. D., Panella, M., Euwema, M., Sermeus, W., & Vanhaecht, K. (2016). Personal, situational and organizational aspects that influence the impact of patient safety incidents: A qualitative study. Revista De Calidad Asistencial : Organo De La Sociedad Espanola De Calidad Asistencial, 31 Suppl 2, 34-46. https://doi.org/10.1016/j.cali.2016.02.003
Van Gerven E, et al. Personal, Situational and Organizational Aspects That Influence the Impact of Patient Safety Incidents: a Qualitative Study. Rev Calid Asist. 2016;31 Suppl 2:34-46. PubMed PMID: 27106771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Personal, situational and organizational aspects that influence the impact of patient safety incidents: A qualitative study. AU - Van Gerven,E, AU - Deweer,D, AU - Scott,S D, AU - Panella,M, AU - Euwema,M, AU - Sermeus,W, AU - Vanhaecht,K, Y1 - 2016/04/20/ PY - 2016/01/05/received PY - 2016/02/05/revised PY - 2016/02/10/accepted PY - 2016/4/24/entrez PY - 2016/4/24/pubmed PY - 2017/12/6/medline KW - Comadronas KW - Enfermeras KW - Errores médicos KW - Medical errors KW - Médicos KW - Nurse midwives KW - Nurses KW - Patient safety KW - Physicians KW - Second victim KW - Segunda víctima KW - Seguridad del paciente SP - 34 EP - 46 JF - Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial JO - Rev Calid Asist VL - 31 Suppl 2 N2 - OBJECTIVES: When a patient safety incident (PSI) occurs, not only the patient, but also the involved health professional can suffer. This study focused on this so-called "second victim" of a patient safety incident and aimed to examine: (1) experienced symptoms in the aftermath of a patient safety incident; (2) applied coping strategies; (3) the received versus needed support and (4) the aspects that influenced whether one becomes a second victim. MATERIALS AND METHODS: Thirty-one in-depth interviews were performed with physicians, nurses and midwives who have been involved in a patient safety incident. RESULTS: The symptoms were categorized under personal and professional impact. Both problem focused and emotion focused coping strategies were used in the aftermath of a PSI. Problem focused strategies such as performing a root cause analysis and the opportunity to learn from what happened were the most appreciated, but negative emotional responses such as repression and flight were common. Support from colleagues and supervisors who were involved in the same event, peer supporters or professional experts were the most needed. A few individuals described emotional support from the healthcare institution as unwanted. Rendered support was largely dependent on the organizational culture, a stigma remained among healthcare professionals to openly discuss patient safety incidents. Three aspects influenced the extent to which a healthcare professional became a second victim: personal, situational and organizational aspects. CONCLUSION: These findings indicated that a multifactorial approach including individual and emotional support to second victims is crucial. SN - 1887-1364 UR - https://www.unboundmedicine.com/medline/citation/27106771/Personal_situational_and_organizational_aspects_that_influence_the_impact_of_patient_safety_incidents:_A_qualitative_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1134-282X(16)30030-6 DB - PRIME DP - Unbound Medicine ER -