PMID- 28934401
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20220317
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Linking)
VI  - 29
IP  - 4
DP  - 2017 Aug 1
TI  - Lessons learned for reducing the negative impact of adverse events on patients, 
      health professionals and healthcare organizations.
PG  - 450-460
LID - 10.1093/intqhc/mzx056 [doi]
AB  - PURPOSE: 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. DATA SOURCES: Review studies 
      published between 2000 and 2015, institutional websites and experts' opinions on 
      patient safety. STUDY SELECTION: Studies published and websites on open 
      disclosure, and the second and third victims' phenomenon. Four Focus Groups 
      participating 27 healthcare professionals. DATA EXTRACTION: Study characteristic 
      and outcome data were abstracted by two authors and reviewed by the research 
      team. RESULTS OF DATA SYNTHESIS: 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. CONCLUSION: 
      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.
CI  - (c) The Author 2017. Published by Oxford University Press in association with the 
      International Society for Quality in Health Care. All rights reserved. For 
      permissions, please e-mail: journals.permissions@oup.com
FAU - Mira, Jose Joaquin
AU  - Mira JJ
AD  - Alicante-Sant Joan Health Department, Alicante, Spain.
AD  - Miguel Hernandez University, Elche, Spain.
FAU - Lorenzo, Susana
AU  - Lorenzo S
AD  - Fundacion Alcorcon University Hospital, Madrid, Spain.
FAU - Carrillo, Irene
AU  - Carrillo I
AD  - Miguel Hernandez University, Elche, Spain.
FAU - Ferrus, Lena
AU  - Ferrus L
AD  - Integrated Health Organisation, L'Hospitalet de Llobregat, Spain.
FAU - Silvestre, Carmen
AU  - Silvestre C
AD  - Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain.
FAU - Astier, Pilar
AU  - Astier P
AD  - Family and Community Medicine, Tauste Health District, Aragon Health Service 
      (SALUD), Zaragoza, Spain.
FAU - Iglesias-Alonso, Fuencisla
AU  - Iglesias-Alonso F
AD  - Castilla La Mancha Health Service (SESCAM), Toledo, Spain.
FAU - Maderuelo, Jose Angel
AU  - Maderuelo JA
AD  - Salamanca Primary Care Management, Castilla y Leon Health Service (SACYL), 
      Salamanca, Spain.
FAU - Perez-Perez, Pastora
AU  - Perez-Perez P
AD  - Patient Safety Observatory, Andalusian Agency for Healthcare Quality, Seville, 
      Spain.
FAU - Torijano, Maria Luisa
AU  - Torijano ML
AD  - Castilla La Mancha Health Service (SESCAM), Talavera de la Reina, Spain.
FAU - Zavala, Elena
AU  - Zavala E
AD  - Donostia University Hospital, Donostia, Spain.
FAU - Scott, Susan D
AU  - Scott SD
AD  - University of Missouri Health System, Columbia, MO, USA.
CN  - RESEARCH GROUP ON SECOND AND THIRD VICTIMS
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
MH  - Family/psychology
MH  - Health Personnel/psychology
MH  - Hospitals
MH  - Humans
MH  - Medical Errors/*adverse effects/prevention & control/psychology
MH  - Organizational Policy
MH  - *Patient Safety
MH  - Primary Health Care/organization & administration
MH  - Truth Disclosure
OTO - NOTNLM
OT  - medical errors
OT  - nurses
OT  - organizational policy
OT  - patient safety
OT  - physicians
OT  - professional-patient relations
OT  - safety management
OT  - second victim
OT  - third victim
EDAT- 2017/09/22 06:00
MHDA- 2018/06/13 06:00
CRDT- 2017/09/22 06:00
PHST- 2016/08/12 00:00 [received]
PHST- 2017/05/05 00:00 [accepted]
PHST- 2017/09/22 06:00 [entrez]
PHST- 2017/09/22 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 3868436 [pii]
AID - 10.1093/intqhc/mzx056 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2017 Aug 1;29(4):450-460. doi: 10.1093/intqhc/mzx056.