The aftermath of adverse events in Spanish primary care and hospital health professionals
Background: Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in theevent (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims. Methods: A cross-sectional study was conducted. We carried out a s...
| Authors: | ; ; ; ; ; ; ; ; ; ; ; ; |
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2015 |
| Country: | España |
| Institution: | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| Repository: | r-FISABIO. Repositorio Institucional de Producción Científica |
| OAI Identifier: | oai:fisabio.fundanetsuite.com:p14462 |
| Online Access: | https://fisabio.portalinvestigacion.com/publicaciones/14462 |
| Access Level: | Open access |
| Keyword: | Patient safety Adverse events Medical errors Catastrophic loss Healthcare providers Primary care Hospital |
| _version_ | 1878742010773372928 |
|---|---|
| author | Mira, JJ |
| author2 | Carrillo, I Lorenzo, S Ferrus, L Silvestre, C Perez-Perez, P Olivera, G Iglesias, F Zavala, E Maderuelo-Fernandez, JA Vitaller, J Nuno-Solinis, R Astier, P |
| author2_role | author author author author author author author author author author author author |
| author_browse | Astier, P Carrillo, I Ferrus, L Iglesias, F Lorenzo, S Maderuelo-Fernandez, JA Mira, JJ Nuno-Solinis, R Olivera, G Perez-Perez, P Silvestre, C Vitaller, J Zavala, E |
| author_facet | Mira, JJ Carrillo, I Lorenzo, S Ferrus, L Silvestre, C Perez-Perez, P Olivera, G Iglesias, F Zavala, E Maderuelo-Fernandez, JA Vitaller, J Nuno-Solinis, R Astier, P |
| author_role | author |
| collection | r-FISABIO. Repositorio Institucional de Producción Científica |
| description | Background: Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in theevent (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims. Methods: A cross-sectional study was conducted. We carried out a survey based on a random sample of doctors and nurses from PC and hospital settings in Spain. A total of 1087 health professionals responded, 610 from PC and 477 from hospitals. Results: A total of 430 health professionals (39.6%) had informed a patient of an error. Reporting to patients was carried out by those with the strongest safety culture (Odds Ratio -OR-1.1, 95% Confidence Interval -CI- 1.0-1.2), nurses (OR 1.9, 95% CI 1.5-2.3), those under 50 years of age (OR 0.7, 95% CI 0.6-0.9) and primary care staff (OR 0.6, 95% CI 0.5-0.9). A total of 381 (62.5%, 95% CI 59-66%) and 346 (72.5%, IC95% 69-77%) primary care and hospital health professionals, respectively, reported having gone through the second-victim experience, either directly or through a colleague, in the previous 5 years. The emotional responses were: feelings of guilt (521, 58.8%), anxiety (426, 49.6%), re-living the event (360, 42.2%), tiredness (341, 39.4%), insomnia (317, 38.0%) and persistent feelings of insecurity (284, 32.8%). In doctors, the most common responses were: feelings of guilt (OR 0.7 IC95% 0.6-0.8), re-living the event (OR 0.7, IC95% o. 6-0.8), and anxiety (OR 0.8, IC95% 0.6-0.9), while nurses showed greater solidarity in terms of supporting the second victim, in both PC (p = 0.019) and hospital (p = 0.019) settings. Conclusions: Adverse events cause guilt, anxiety, and loss of confidence in health professionals. Most are involved in such events as second victims at least once in their careers. They rarely receive any training or education on coping strategies for this phenomenon. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_eebd8f73636ccedca4f1ec64972054f2 |
| institution | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| instname_str | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:fisabio.fundanetsuite.com:p14462 |
| publishDate | 2015 |
| publishDateSort | 2015 |
| publisher | BMC |
| publisherStr | BMC |
| reponame_str | r-FISABIO. Repositorio Institucional de Producción Científica |
| spelling | The aftermath of adverse events in Spanish primary care and hospital health professionals Mira, JJ Carrillo, I Lorenzo, S Ferrus, L Silvestre, C Perez-Perez, P Olivera, G Iglesias, F Zavala, E Maderuelo-Fernandez, JA Vitaller, J Nuno-Solinis, R Astier, P Patient safety Adverse events Medical errors Catastrophic loss Healthcare providers Primary care Hospital Background: Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in theevent (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims. Methods: A cross-sectional study was conducted. We carried out a survey based on a random sample of doctors and nurses from PC and hospital settings in Spain. A total of 1087 health professionals responded, 610 from PC and 477 from hospitals. Results: A total of 430 health professionals (39.6%) had informed a patient of an error. Reporting to patients was carried out by those with the strongest safety culture (Odds Ratio -OR-1.1, 95% Confidence Interval -CI- 1.0-1.2), nurses (OR 1.9, 95% CI 1.5-2.3), those under 50 years of age (OR 0.7, 95% CI 0.6-0.9) and primary care staff (OR 0.6, 95% CI 0.5-0.9). A total of 381 (62.5%, 95% CI 59-66%) and 346 (72.5%, IC95% 69-77%) primary care and hospital health professionals, respectively, reported having gone through the second-victim experience, either directly or through a colleague, in the previous 5 years. The emotional responses were: feelings of guilt (521, 58.8%), anxiety (426, 49.6%), re-living the event (360, 42.2%), tiredness (341, 39.4%), insomnia (317, 38.0%) and persistent feelings of insecurity (284, 32.8%). In doctors, the most common responses were: feelings of guilt (OR 0.7 IC95% 0.6-0.8), re-living the event (OR 0.7, IC95% o. 6-0.8), and anxiety (OR 0.8, IC95% 0.6-0.9), while nurses showed greater solidarity in terms of supporting the second victim, in both PC (p = 0.019) and hospital (p = 0.019) settings. Conclusions: Adverse events cause guilt, anxiety, and loss of confidence in health professionals. Most are involved in such events as second victims at least once in their careers. They rarely receive any training or education on coping strategies for this phenomenon. BMC https://fisabio.portalinvestigacion.com/publicaciones/14462 |
| spellingShingle | The aftermath of adverse events in Spanish primary care and hospital health professionals Mira, JJ Patient safety Adverse events Medical errors Catastrophic loss Healthcare providers Primary care Hospital |
| status_str | publishedVersion |
| title | The aftermath of adverse events in Spanish primary care and hospital health professionals |
| title_full | The aftermath of adverse events in Spanish primary care and hospital health professionals |
| title_fullStr | The aftermath of adverse events in Spanish primary care and hospital health professionals |
| title_full_unstemmed | The aftermath of adverse events in Spanish primary care and hospital health professionals |
| title_short | The aftermath of adverse events in Spanish primary care and hospital health professionals |
| title_sort | The aftermath of adverse events in Spanish primary care and hospital health professionals |
| topic | Patient safety Adverse events Medical errors Catastrophic loss Healthcare providers Primary care Hospital |
| topic_facet | Patient safety Adverse events Medical errors Catastrophic loss Healthcare providers Primary care Hospital |
| url | https://fisabio.portalinvestigacion.com/publicaciones/14462 |