July 28, 2015 | By: Calevir
New Patient Safety Primer from AHRQ on Second Victims
A health professional is often required to put emotions aside for the sake of their patients. But despite the emotional resilience that allows healthcare providers to care for their patients under stressful, high-stakes circumstances, an unexpected clinical event or outcome can have a heavy emotional impact. Named Second Victims’ by Albert Wu, these health care professionals often struggle alone.
Second Victims are healthcare team members involved in an unanticipated patient event, a medical error and/or a patient related injury and become victimized in the sense that they are traumatized by the event. Frequently, these individuals feel personally responsible for the patient outcome. Many feel as though they have failed the patient, second guessing their clinical skills and knowledge base.
If a healthcare employer lacks a structured coping method, the second victim response can result in career-altering experiences for even the most engaged professionals. Learn more about the Second Victim Experience.
In collaboration with the University of Missouri Health System Second Victim Program, the Center for Patient Safety is pleased to host the following workshops:
Read the Agency for Healthcare Research & Quality’s Patient Safety Primer: Support for Clinicians Involved in Errors and Adverse Events (Second Victims).
A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour
The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis
Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with
The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.