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...

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Autores: 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
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p14462
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/14462
Access Level:acceso abierto
Palabra clave:Patient safety
Adverse events
Medical errors
Catastrophic loss
Healthcare providers
Primary care
Hospital
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oai_identifier_str oai:fisabio.fundanetsuite.com:p14462
network_acronym_str ES
network_name_str España
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
title The aftermath of adverse events in Spanish primary care and hospital health professionals
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
title_short 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_sort The aftermath of adverse events in Spanish primary care and hospital health professionals
author Mira, JJ
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
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
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
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.
publishDate 2015
format article
status_str publishedVersion
url https://fisabio.portalinvestigacion.com/publicaciones/14462
eu_rights_str_mv openAccess
publisher BMC
institution Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
collection r-FISABIO. Repositorio Institucional de Producción Científica
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
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publishDateSort 2015
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
publisherStr BMC
score 6,924472

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