Jose Joaquin Mira1,2, Susana Lorenzo3, Irene Carrillo2, Lena Ferrús4, Carmen Silvestre5, Pilar Astier6, Fuencisla Iglesias-Alonso7, Jose Angel Maderuelo8, Pastora Pérez-Pérez9, Maria Luisa Torijano10, Elena Zavala11, Susan D Scott12. 1. Alicante-Sant Joan Health Department, Alicante, Spain. 2. Miguel Hernández University, Elche, Spain. 3. Fundación Alcorcón University Hospital, Madrid, Spain. 4. Integrated Health Organisation, L'Hospitalet de Llobregat, Spain. 5. Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain. 6. Family and Community Medicine, Tauste Health District, Aragon Health Service (SALUD), Zaragoza, Spain. 7. Castilla La Mancha Health Service (SESCAM), Toledo, Spain. 8. Salamanca Primary Care Management, Castilla y León Health Service (SACYL), Salamanca, Spain. 9. Patient Safety Observatory, Andalusian Agency for Healthcare Quality, Seville, Spain. 10. Castilla La Mancha Health Service (SESCAM), Talavera de la Reina, Spain. 11. Donostia University Hospital, Donostia, Spain. 12. University of Missouri Health System, Columbia, MO, USA.
Abstract
PURPOSE: To summarize the knowledge about the aftermath of adverse events (AEs) and develop a recommendation set to reduce their negative impact in patients, health professionals and organizations in contexts where there is no previous experiences and apology laws are not present. DATA SOURCES: Review studies published between 2000 and 2015, institutional websites and experts' opinions on patient safety. STUDY SELECTION: Studies published and websites on open disclosure, and the second and third victims' phenomenon. Four Focus Groups participating 27 healthcare professionals. DATA EXTRACTION: Study characteristic and outcome data were abstracted by two authors and reviewed by the research team. RESULTS OF DATA SYNTHESIS: Fourteen publications and 16 websites were reviewed. The recommendations were structured around eight areas: (i) safety and organizational policies, (ii) patient care, (iii) proactive approach to preventing reoccurrence, (iv) supporting the clinician and healthcare team, (v) activation of resources to provide an appropriate response, (vi) informing patients and/or family members, (vii) incidents' analysis and (viii) protecting the reputation of health professionals and the organization. CONCLUSION: Recommendations preventing aftermath of AEs have been identified. These have been designed for the hospital and the primary care settings; to cope with patient's emotions and for tacking the impact of AE in the second victim's colleagues. Its systematic use should help for the establishment of organizational action plans after an AE.
PURPOSE: To summarize the knowledge about the aftermath of adverse events (AEs) and develop a recommendation set to reduce their negative impact in patients, health professionals and organizations in contexts where there is no previous experiences and apology laws are not present. DATA SOURCES: Review studies published between 2000 and 2015, institutional websites and experts' opinions on patient safety. STUDY SELECTION: Studies published and websites on open disclosure, and the second and third victims' phenomenon. Four Focus Groups participating 27 healthcare professionals. DATA EXTRACTION: Study characteristic and outcome data were abstracted by two authors and reviewed by the research team. RESULTS OF DATA SYNTHESIS: Fourteen publications and 16 websites were reviewed. The recommendations were structured around eight areas: (i) safety and organizational policies, (ii) patient care, (iii) proactive approach to preventing reoccurrence, (iv) supporting the clinician and healthcare team, (v) activation of resources to provide an appropriate response, (vi) informing patients and/or family members, (vii) incidents' analysis and (viii) protecting the reputation of health professionals and the organization. CONCLUSION: Recommendations preventing aftermath of AEs have been identified. These have been designed for the hospital and the primary care settings; to cope with patient's emotions and for tacking the impact of AE in the second victim's colleagues. Its systematic use should help for the establishment of organizational action plans after an AE.
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Authors: José Joaquín Mira; Ángel Cobos-Vargas; Maria Pilar Astier-Peña; Pastora Pérez-Pérez; Irene Carrillo; Mercedes Guilabert; Virtudes Pérez-Jover; Cesar Fernández-Peris; María Asunción Vicente-Ripoll; Carmen Silvestre-Busto; Susana Lorenzo-Martínez; Jimmy Martin-Delgado; Carlos Aibar; Jesús Aranaz Journal: Int J Environ Res Public Health Date: 2021-11-16 Impact factor: 3.390
Authors: Ahmad Zulfahmi Mohd Kamaruzaman; Mohd Ismail Ibrahim; Ariffin Marzuki Mokhtar; Maizun Mohd Zain; Saiful Nazri Satiman; Najib Majdi Yaacob Journal: Int J Environ Res Public Health Date: 2022-02-11 Impact factor: 3.390