PMID- 29857159 OWN - NLM STAT- MEDLINE DCOM- 20190729 LR - 20190729 IS - 1553-4669 (Electronic) IS - 1553-4650 (Linking) VI - 25 IP - 7 DP - 2018 Nov-Dec TI - Surgical Catastrophe. Supporting the Gynecologic Surgeon after an Adverse Event. PG - 1117-1121 LID - S1553-4650(18)30266-8 [pii] LID - 10.1016/j.jmig.2018.05.012 [doi] AB - Medical errors and adverse events (AEs) are unavoidable, and the effect of adverse outcomes on providers can be devastating. An intraoperative AE is often directly attributable to surgeon technical error or suboptimal intraoperative judgment. To prevent the potential devastating psychological consequences that cases with adverse outcome pose to surgeons involved, it is essential to provide adequate support to the individuals involved in cases with intraoperative AEs. Common reactions to AEs and individual and organizational strategies to support clinicians through the aftermath are reviewed. The goal of this commentary is to create awareness of the mental health impact and to describe options to help physicians involved in intraoperative AEs to recover from their experience related to bad surgical outcomes. CI - Copyright (c) 2018 AAGL. Published by Elsevier Inc. All rights reserved. FAU - Carugno, Jose AU - Carugno J AD - Department of Obstetrics and Gynecology, Minimally Invasive Gynecology and Robotic Unit, University of Miami, Miller School of Medicine, Miami, FL. Electronic address: jac209@med.miami.edu. FAU - Winkel, Abigail Ford AU - Winkel AF AD - Department of Obstetrics and Gynecology, New York University Langone Health, New York, NY. LA - eng PT - Editorial DEP - 20180529 PL - United States TA - J Minim Invasive Gynecol JT - Journal of minimally invasive gynecology JID - 101235322 MH - Adaptation, Psychological/physiology MH - Burnout, Professional/psychology MH - Emotions MH - Female MH - Gynecologic Surgical Procedures/psychology MH - Humans MH - Interprofessional Relations MH - Medical Errors/*psychology MH - Resilience, Psychological MH - Self Concept MH - *Social Support MH - Surgeons/*psychology OTO - NOTNLM OT - Adverse outcome OT - Physician burnout OT - Second victim EDAT- 2018/06/02 06:00 MHDA- 2019/07/30 06:00 CRDT- 2018/06/02 06:00 PHST- 2018/03/13 00:00 [received] PHST- 2018/05/12 00:00 [revised] PHST- 2018/05/16 00:00 [accepted] PHST- 2018/06/02 06:00 [pubmed] PHST- 2019/07/30 06:00 [medline] PHST- 2018/06/02 06:00 [entrez] AID - S1553-4650(18)30266-8 [pii] AID - 10.1016/j.jmig.2018.05.012 [doi] PST - ppublish SO - J Minim Invasive Gynecol. 2018 Nov-Dec;25(7):1117-1121. doi: 10.1016/j.jmig.2018.05.012. Epub 2018 May 29.