000048414 001__ 48414
000048414 005__ 20210121114544.0
000048414 0247_ $$2doi$$a10.1186/s12913-015-0790-7
000048414 0248_ $$2sideral$$a94244
000048414 037__ $$aART-2015-94244
000048414 041__ $$aeng
000048414 100__ $$aMira, JJ
000048414 245__ $$aThe aftermath of adverse events in spanish primary care and hospital health professionals
000048414 260__ $$c2015
000048414 5060_ $$aAccess copy available to the general public$$fUnrestricted
000048414 5203_ $$aBackground
Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in the event (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.
000048414 536__ $$9info:eu-repo/grantAgreement/ES/FIS/PI13-0473$$9info:eu-repo/grantAgreement/EUR/ERDF/PI13/01220
000048414 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000048414 590__ $$a1.606$$b2015
000048414 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b53 / 87 = 0.609$$c2015$$dQ3$$eT2
000048414 592__ $$a1.163$$b2015
000048414 593__ $$aHealth Policy$$c2015$$dQ1
000048414 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000048414 700__ $$aCarrillo, I
000048414 700__ $$aLorenzo, S
000048414 700__ $$aFerrús, L
000048414 700__ $$aSilvestre, C
000048414 700__ $$aPérez-Pérez, P
000048414 700__ $$aOlivera, G
000048414 700__ $$aIglesias, F
000048414 700__ $$aZavala, E
000048414 700__ $$aMaderuelo-Fernández, JA
000048414 700__ $$aVitaller, J
000048414 700__ $$aNuño-Solinís, R
000048414 700__ $$aAstier, P
000048414 700__ $$aAnglès, Roser
000048414 700__ $$aBonilla, Angélica
000048414 700__ $$aBustinduy, Ana Jesús
000048414 700__ $$aCrespillo, Clara
000048414 700__ $$aGuila Fidel, Sara
000048414 700__ $$aGarcía, Álvaro
000048414 700__ $$aGonzález, Ana Jesús
000048414 700__ $$aGuilabert, Mercedes
000048414 700__ $$aGutiérrez , María Jesús
000048414 700__ $$aJurado, Juan José
000048414 700__ $$aLópez, Araceli
000048414 700__ $$aMartínez, Mª Magdalena
000048414 700__ $$aNavarro, Isabel María
000048414 700__ $$aNebot, María Cristina
000048414 700__ $$aOchando, Antonio
000048414 700__ $$aOrbegozo, Pedro
000048414 700__ $$aOyarzabal, Elene
000048414 700__ $$aPalacio, Jesús María
000048414 700__ $$aRenilla, María Esther
000048414 700__ $$aRodríguez-Pereira, Carolina
000048414 700__ $$aSanz, Sira
000048414 700__ $$aTorijano, María Luisa
000048414 773__ $$g15, 151 (2015), [9 pp]$$pBMC HEALTH SERV RES$$tBMC Health Services Research$$x1472-6963
000048414 8564_ $$s407858$$uhttps://zaguan.unizar.es/record/48414/files/texto_completo.pdf$$yVersión publicada
000048414 8564_ $$s103352$$uhttps://zaguan.unizar.es/record/48414/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000048414 909CO $$ooai:zaguan.unizar.es:48414$$particulos$$pdriver
000048414 951__ $$a2021-01-21-11:17:51
000048414 980__ $$aARTICLE