000048416 001__ 48416
000048416 005__ 20210121114518.0
000048416 0247_ $$2doi$$a10.1186/s12913-015-0994-x
000048416 0248_ $$2sideral$$a94245
000048416 037__ $$aART-2015-94245
000048416 041__ $$aeng
000048416 100__ $$aMira, JJ
000048416 245__ $$aInterventions in health organisations to reduce the impact of adverse events in second and third victims
000048416 260__ $$c2015
000048416 5060_ $$aAccess copy available to the general public$$fUnrestricted
000048416 5203_ $$aBackground
Adverse events (AE) are also the cause of suffering in health professionals involved. This study was designed to identify and analyse organization-level strategies adopted in both primary care and hospitals in Spain to address the impact of serious AE on second and third victims.
Methods
A cross-sectional study was conducted in healthcare organizations assessing: safety culture; health organization crisis management plans for serious AE; actions planned to ensure transparency in communication with patients (and relatives) who experience an AE; support for second victims; and protective measures to safeguard the institution’s reputation (the third victim).
Results
A total of 406 managers and patient safety coordinators replied to the survey. Deficient provision of support for second victims was acknowledged by 71 and 61 % of the participants from hospitals and primary care respectively; these respondents reported there was no support protocol for second victims in place in their organizations. Regarding third victim initiatives, 35 % of hospital and 43 % of primary care professionals indicated no crisis management plan for serious AE existed in their organization, and in the case of primary care, there was no crisis committee in 34 % of cases. The degree of implementation of second and third victim support interventions was perceived to be greater in hospitals (mean 14.1, SD 3.5) than in primary care (mean 11.8, SD 3.1) (p?<?0.001).
Conclusions
Many Spanish health organizations do not have a second and third victim support or a crisis management plan in place to respond to serious AEs.
000048416 536__ $$9info:eu-repo/grantAgreement/ES/FIS/PI13-0473$$9info:eu-repo/grantAgreement/EUR/ERDF/PI13/01220
000048416 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000048416 590__ $$a1.606$$b2015
000048416 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b53 / 87 = 0.609$$c2015$$dQ3$$eT2
000048416 592__ $$a1.163$$b2015
000048416 593__ $$aHealth Policy$$c2015$$dQ1
000048416 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000048416 700__ $$aLorenzo, S
000048416 700__ $$aCarrillo, I
000048416 700__ $$aFerrús, L
000048416 700__ $$aPérez-Pérez, P
000048416 700__ $$aIglesias, F
000048416 700__ $$aSilvestre, C
000048416 700__ $$aOlivera, G
000048416 700__ $$aZavala, E
000048416 700__ $$aNuño-Solinís, R
000048416 700__ $$aMaderuelo-Fernández, JA
000048416 700__ $$aVitaller, J
000048416 700__ $$0(orcid)0000-0002-3192-7672$$aAstier, P$$uUniversidad de Zaragoza
000048416 700__ $$aAnglès, Roser
000048416 700__ $$aBonilla, Angélica
000048416 700__ $$aBustinduy, Ana Jesús
000048416 700__ $$aCrespillo, Clara
000048416 700__ $$aGuila Fidel, Sara
000048416 700__ $$aGarcía, Álvaro
000048416 700__ $$aGonzález, Ana Jesús
000048416 700__ $$aGuilabert, Mercedes
000048416 700__ $$aGutiérrez , María Jesús
000048416 700__ $$aJurado, Juan José
000048416 700__ $$aLópez, Araceli
000048416 700__ $$aMartínez, Mª Magdalena
000048416 700__ $$aNavarro, Isabel María
000048416 700__ $$aNebot, María Cristina
000048416 700__ $$aOchando, Antonio
000048416 700__ $$aOrbegozo, Pedro
000048416 700__ $$aOyarzabal, Elene
000048416 700__ $$aPalacio, Jesús María
000048416 700__ $$aRenilla, María Esther
000048416 700__ $$aRodríguez-Pereira, Carolina
000048416 700__ $$aSanz, Sira
000048416 700__ $$aTorijano, María Luisa
000048416 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000048416 773__ $$g15, 341 (2015), [9 pp]$$pBMC HEALTH SERV RES$$tBMC Health Services Research$$x1472-6963
000048416 8564_ $$s427183$$uhttps://zaguan.unizar.es/record/48416/files/texto_completo.pdf$$yVersión publicada
000048416 8564_ $$s100034$$uhttps://zaguan.unizar.es/record/48416/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000048416 909CO $$ooai:zaguan.unizar.es:48416$$particulos$$pdriver
000048416 951__ $$a2021-01-21-11:01:02
000048416 980__ $$aARTICLE