48414 20260227124018.0 doi 10.1186/s12913-015-0790-7 sideral 94244 ART-2015-94244 eng Mira, JJ The aftermath of adverse events in spanish primary care and hospital health professionals 2015 Access copy available to the general public Unrestricted Background 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. info:eu-repo/grantAgreement/EUR/ERDF/PI13/01220 info:eu-repo/grantAgreement/ES/FIS/PI13-0473 info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es 1.606 2015 HEALTH CARE SCIENCES & SERVICES 53 / 87 = 0.609 2015 Q3 T2 1.163 2015 Health Policy 2015 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Carrillo, I Lorenzo, S Ferrús, L Silvestre, C Pérez-Pérez, P Olivera, G Iglesias, F Zavala, E Maderuelo-Fernández, JA Vitaller, J Nuño-Solinís, R Astier, P Universidad de Zaragoza (orcid)0000-0002-3192-7672 Anglès, Roser Bonilla, Angélica Bustinduy, Ana Jesús Crespillo, Clara Guila Fidel, Sara García, Álvaro González, Ana Jesús Guilabert, Mercedes Gutiérrez , María Jesús Jurado, Juan José López, Araceli Martínez, Mª Magdalena Navarro, Isabel María Nebot, María Cristina Ochando, Antonio Orbegozo, Pedro Oyarzabal, Elene Palacio, Jesús María Renilla, María Esther Rodríguez-Pereira, Carolina Sanz, Sira Torijano, María Luisa 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 15, 151 (2015), [9 pp.] BMC HEALTH SERV RES BMC HEALTH SERVICES RESEARCH 1472-6963 407858 http://zaguan.unizar.es/record/48414/files/texto_completo.pdf Versión publicada 103352 http://zaguan.unizar.es/record/48414/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:48414 articulos driver 2026-02-27-12:39:18 ARTICLE