Mira Jose, Carillo Irene, Tella Susanna, Vanhaecht Kris, Panella Massimiliano, Seys Deborah, Ungureanu Marius-Ionut, Sousa Paulo, Buttigieg Sandra C, Vella-Bonanno Patricia, Popovici Georgeta, Srulovici Einav, Guerra-Paiva Sofia, Knezevic Bojana, Lorenzo Susana, Lachman Peter, Ushiro Shin, Scott Susan D, Wu Albert, Strametz Reinhard
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, Spain.
Health Psychology Department, Miguel Hernández University of Elche, Elche, Spain.
Public Health Rev. 2024 Sep 18;45:1607175. doi: 10.3389/phrs.2024.1607175. eCollection 2024.
The second victim phenomenon refers to the emotional trauma healthcare professionals experience following adverse events (AEs) in patient care, which can compromise their ability to provide safe care. This issue has significant implications for patient safety, with AEs leading to substantial human and economic costs.
Current evidence indicates that AEs often result from systemic failures, profoundly affecting healthcare workers. While patient safety initiatives are in place, the psychological impact on healthcare professionals remains inadequately addressed. The European Researchers' Network Working on Second Victims (ERNST) emphasizes the need to support these professionals through peer support programs, systemic changes, and a shift toward a just culture in healthcare settings.
Key options include implementing peer support programs, revising the legal framework to decriminalize honest errors, and promoting just culture principles. These initiatives aim to mitigate the second victim phenomenon, enhance patient safety, and reduce healthcare costs.
Addressing the second victim phenomenon is essential for ensuring patient safety. By implementing supportive policies and fostering a just culture, healthcare systems can better manage the repercussions of AEs and support the wellbeing of healthcare professionals.
“二次受害者现象”指医疗保健专业人员在患者护理过程中经历不良事件(AE)后所遭受的情感创伤,这可能会损害他们提供安全护理的能力。这个问题对患者安全具有重大影响,不良事件会导致巨大的人力和经济成本。
目前的证据表明,不良事件往往源于系统故障,对医护人员产生深远影响。虽然已经有患者安全倡议,但对医疗保健专业人员的心理影响仍未得到充分解决。欧洲“二次受害者”研究人员网络(ERNST)强调需要通过同伴支持计划、系统变革以及在医疗环境中转向公正文化来支持这些专业人员。
关键选择包括实施同伴支持计划、修订法律框架以使诚实错误非罪化以及推广公正文化原则。这些举措旨在减轻二次受害者现象,提高患者安全并降低医疗成本。
解决二次受害者现象对于确保患者安全至关重要。通过实施支持性政策并营造公正文化,医疗系统能够更好地管理不良事件的影响并支持医疗保健专业人员的福祉。