The European Researchers' Network Working on Second Victim (ERNST) Policy Statement on the Second Victim Phenomenon for Increasing Patient Safety.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH PUBLIC HEALTH REVIEWS Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI:10.3389/phrs.2024.1607175
Jose Mira, Irene Carillo, Susanna Tella, Kris Vanhaecht, Massimiliano Panella, Deborah Seys, Marius-Ionut Ungureanu, Paulo Sousa, Sandra C Buttigieg, Patricia Vella-Bonanno, Georgeta Popovici, Einav Srulovici, Sofia Guerra-Paiva, Bojana Knezevic, Susana Lorenzo, Peter Lachman, Shin Ushiro, Susan D Scott, Albert Wu, Reinhard Strametz
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Abstract

Background: 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.

Analysis: 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.

Policy options: 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.

Conclusion: 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.

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欧洲第二受害者研究人员网络(ERNST)关于第二受害者现象的政策声明,以提高患者安全。
背景:第二受害者现象指的是医护人员在患者护理过程中发生不良事件(AEs)后遭受的精神创伤,这会影响他们提供安全护理的能力。这一问题对患者安全具有重大影响,因为不良事件会导致巨大的人力和经济损失:目前的证据表明,AEs 通常是由系统性失误造成的,对医护人员影响深远。虽然患者安全倡议已经到位,但对医护人员的心理影响仍未得到充分解决。欧洲第二受害者研究网络(ERNST)强调,有必要通过同伴支持计划、系统性变革以及医疗机构向公正文化的转变来支持这些专业人员:政策选择:主要选择包括实施同伴支持计划、修订法律框架使诚实错误非刑罪化,以及推广公正文化原则。这些举措旨在缓解第二受害者现象,加强患者安全,降低医疗成本:解决第二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和培养公正文化,医疗保健系统可以更好地管理 AE 的影响并支持医疗保健专业人员的福祉。
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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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