RT Journal Article
T1 Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
A1 Mira, Jose Joaquin
A1 Lorenzo, Susana
A1 Carrillo, Irene
A1 Ferrús, Lena
A1 Silvestre, Carmen
A1 Astier, Pilar
A1 Iglesias-Alonso, Fuencisla
A1 Maderuelo, Jose Angel
A1 Pérez-Pérez, Pastora
A1 Torijano, Maria Luisa
A1 Zavala, Elena
A1 Scott, Susan D
A1 RESEARCH GROUP ON SECOND AND THIRD
                    VICTIMS, 
K1 medical errors
K1 nurses
K1 organizational policy
K1 patient safety
K1 physicians
K1 professional–patient relations
K1 safety management
K1 second victim
K1 third victim
AB 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. Review studies published between 2000 and 2015, institutional websites and experts' opinions on patient safety. Studies published and websites on open disclosure, and the second and third victims' phenomenon. Four Focus Groups participating 27 healthcare professionals. Study characteristic and outcome data were abstracted by two authors and reviewed by the research team. 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. 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.
YR 2017
FD 2017
LK http://hdl.handle.net/10668/11600
UL http://hdl.handle.net/10668/11600
LA en
DS RISalud
RD Apr 15, 2025