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An Evidence and Consensus-Based Definition of Second Victim: A Strategic Topic in Healthcare Quality, Patient Safety, Person-Centeredness and Human Resource Management

Author

Listed:
  • Kris Vanhaecht

    (Leuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
    Department of Quality, University Hospitals Leuven, 3000 Leuven, Belgium
    These authors contributed equally to this work.)

  • Deborah Seys

    (Leuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
    These authors contributed equally to this work.)

  • Sophia Russotto

    (Department of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy)

  • Reinhard Strametz

    (Wiesbaden Business School, RheinMain University of Applied Science, 65183 Wiesbaden, Germany)

  • José Mira

    (The Foundation for the Promotion of Health and Biomedical Research of Valencia Region, 03550 Alicante, Spain
    Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain)

  • Sigurbjörg Sigurgeirsdóttir

    (Department of Political Science, University of Iceland, 102 Reykjavík, Iceland)

  • Albert W. Wu

    (Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, ML 21205, USA)

  • Kaja Põlluste

    (Department of Internal Medicine, Institute of Clinical Medicine, University of Tartu, L. Puusepa 8, 50406 Tartu, Estonia)

  • Daniela Georgeta Popovici

    (National Institute of Health Services Management, 021253 Bucharest, Romania)

  • Raluca Sfetcu

    (National Institute of Health Services Management, 021253 Bucharest, Romania)

  • Sule Kurt

    (Leuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
    Nursing Department, Health Sciences Faculty, Karadeniz Technical University, 61080 Trabzon, Turkey)

  • Massimiliano Panella

    (Department of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy
    European Researchers’ Network Working on Second Victims (ERNST) is in the Acknowledgement.)

Abstract

The concept of second victims (SV) was introduced 20 years ago to draw attention to healthcare professionals involved in patient safety incidents. The objective of this paper is to advance the theoretical conceptualization and to develop a common definition. A literature search was performed in Medline, EMBASE and CINAHL (October 2010 to November 2020). The description of SV was extracted regarding three concepts: (1) involved persons, (2) content of action and (3) impact. Based on these concepts, a definition was proposed and discussed within the ERNST-COST consortium in 2021 and 2022. An international group of experts finalized the definition. In total, 83 publications were reviewed. Based on expert consensus, a second victim was defined as: “Any health care worker, directly or indirectly involved in an unanticipated adverse patient event, unintentional healthcare error, or patient injury and who becomes victimized in the sense that they are also negatively impacted”. The proposed definition can be used to help to reduce the impact of incidents on both healthcare professionals and organizations, thereby indirectly improve healthcare quality, patient safety, person-centeredness and human resource management.

Suggested Citation

  • Kris Vanhaecht & Deborah Seys & Sophia Russotto & Reinhard Strametz & José Mira & Sigurbjörg Sigurgeirsdóttir & Albert W. Wu & Kaja Põlluste & Daniela Georgeta Popovici & Raluca Sfetcu & Sule Kurt & M, 2022. "An Evidence and Consensus-Based Definition of Second Victim: A Strategic Topic in Healthcare Quality, Patient Safety, Person-Centeredness and Human Resource Management," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16869-:d:1004582
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    References listed on IDEAS

    as
    1. Carmela Rinaldi & Matteo Ratti & Sophia Russotto & Deborah Seys & Kris Vanhaecht & Massimiliano Panella, 2022. "Healthcare Students and Medical Residents as Second Victims: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-11, September.
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    Cited by:

    1. Hartwig Marung & Reinhard Strametz & Hannah Roesner & Florian Reifferscheid & Rainer Petzina & Victoria Klemm & Milena Trifunovic-Koenig & Stefan Bushuven, 2023. "Second Victims among German Emergency Medical Services Physicians (SeViD-III-Study)," IJERPH, MDPI, vol. 20(5), pages 1-11, February.
    2. Elisabeth Krommer & Miriam Ablöscher & Victoria Klemm & Christian Gatterer & Hannah Rösner & Reinhard Strametz & Wolfgang Huf & Brigitte Ettl, 2023. "Second Victim Phenomenon in an Austrian Hospital before the Implementation of the Systematic Collegial Help Program KoHi: A Descriptive Study," IJERPH, MDPI, vol. 20(3), pages 1-9, January.

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    1. Hartwig Marung & Reinhard Strametz & Hannah Roesner & Florian Reifferscheid & Rainer Petzina & Victoria Klemm & Milena Trifunovic-Koenig & Stefan Bushuven, 2023. "Second Victims among German Emergency Medical Services Physicians (SeViD-III-Study)," IJERPH, MDPI, vol. 20(5), pages 1-11, February.

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