Caring for Our Own: Deploying a Systemwide Second Victim Rapid Response Team

Scott, Susan D.; Hirschinger, Laura E.; Cox, Karen; McCoig, Myra; Hahn-Cover, Kristin; Epperly, Kerri M.; Phillips, Eileen; Hall, L.W.

doi:10.1016/s1553-7250(10)36038-7

Cited by 263 publications

(478 citation statements)

References 18 publications

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“…This should be organized at the local or departmental level. Sixty per cent of the participants in the study by Scott et al (2010) found this support sufficient when this tier was organized by individual unit leaders and colleagues/peers.…”

Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 94%

“…An organizing principle for institutions is to configure support to maximize timeliness and availability. But also guarantee the confidentiality of discussions and facilitated access to a higher level of professional support (Scott et al, 2010;van Pelt, 2008. So support should be provided 24 hours a day and 7 days a week (Conway et al, 2010;Scott et al, 2010;van Pelt, 2008) i.e., credible peer support and interactions should be available immediately after an incident as a form of emotional first aid, ideally before the clinician leaves the clinical environment.…”

Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 99%

“…A comprehensive organizational support infrastructure is reflected in the "Scott three -tiered emotional support system" (Scott et al, 2010). The first tier is immediate "emotional first aid" and can be seen as basic care to make sure that the second victim is okay.…”

Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 99%

“…The third tier comprises expedited referral to professional counselling services following the unanticipated clinical event. This type of support was needed by 10% of the participants in the study by Scott et al (2010). To complement the three tiered interventional strategy, the University of Missouri Health Care program includes 24/7 availability for second victim support and encourages immediate clinician support, education about the second victim phenomenon and monthly team meetings to share best practices for addressing the unique needs of second victims.…”

Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 99%

“…Frequently, second victims feel personally responsible for the unexpected patient outcomes and feel as though they have failed their patient, and feel doubts about their clinical skills and knowledge base" (Scott et al, 2009;Scott et al, 2010). As many as half of all health care providers have experienced the second victim phenomenon during their professional careers (Edrees et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Supporting involved health care professionals (second victims) following an adverse health event: A literature review

Seys

Scott

et al. 2013

International Journal of Nursing Studies

187

192

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Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 94%

Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 99%

Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 99%

Section: Research Question 2: Which Support Can Be Rendered At the Ormentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Supporting involved health care professionals (second victims) following an adverse health event: A literature review

Seys

Scott

et al. 2013

International Journal of Nursing Studies

187

192

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show abstract

Physicians' Needs in Coping With Emotional Stressors

Hu¹

2012

Arch Surg

213

170

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Surgeon and Surgical Trainee Experiences After Adverse Patient Events

Ginzberg,

Gasior,

Passman

et al. 2024

JAMA Netw Open

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ImportanceAdverse patient events are inevitable in surgical practice.ObjectivesTo characterize the impact of adverse patient events on surgeons and trainees, identify coping mechanisms, and assess whether current forms of support are sufficient.Design, Setting, and ParticipantsIn this mixed-methods study, a validated survey instrument was adapted and distributed to surgical trainees from 7 programs, and qualitative interviews were conducted with faculty from 4 surgical departments in an urban academic health system.Main Outcomes and MeasuresThe personal impact of adverse patient events, current coping mechanisms, and desired forms of support.ResultsOf 216 invited trainees, 93 (43.1%) completed the survey (49 [52.7%] male; 60 [64.5%] in third postgraduate year or higher; 23 [24.7%] Asian or Pacific Islander, 6 [6.5%] Black, 51 [54.8%] White, and 8 [8.6%] other race; 13 [14.0%] Hispanic or Latinx ethnicity). Twenty-three of 29 (79.3%) invited faculty completed interviews (13 [56.5%] male; median [IQR] years in practice, 11.0 [7.5-20.0]). Of the trainees, 77 (82.8%) endorsed involvement in at least 1 recent adverse event. Most reported embarrassment (67 of 79 trainees [84.8%]), rumination (64 of 78 trainees [82.1%]), and fear of attempting future procedures (51 of 78 trainees [65.4%]); 28 of 78 trainees (35.9%) had considered quitting. Female trainees and trainees who identified as having a race and/or ethnicity other than non-Hispanic White consistently reported more negative consequences compared with male and White trainees. The most desired form of support was the opportunity to discuss the incident with an attending physician (76 of 78 respondents [97.4%]). Similarly, faculty described feelings of guilt and shame, loss of confidence, and distraction after adverse events. Most described the utility of confiding in peers and senior colleagues, although some expressed unwillingness to reach out. Several suggested designating a departmental point person for event debriefing.Conclusions and RelevanceIn this mixed-methods study of the personal impact of adverse events on surgeons and trainees, these events were nearly universally experienced and caused significant distress. Providing formal support mechanisms for both surgical trainees and faculty may decrease stigma and restore confidence, particularly for underrepresented groups.

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Caring for Our Own: Deploying a Systemwide Second Victim Rapid Response Team

Cited by 263 publications

References 18 publications

Supporting involved health care professionals (second victims) following an adverse health event: A literature review

Supporting involved health care professionals (second victims) following an adverse health event: A literature review

Physicians' Needs in Coping With Emotional Stressors

Surgeon and Surgical Trainee Experiences After Adverse Patient Events

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