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The European Researchers’ Network Working on Second Victim (ERNST) policy statement on the second victim phenomenon for increasing patient safety

Author(s): Mira, Jose ; Carillo, Irene ; Tella, Susanna ; Vanhaecht, Kris ; Panella, Massimiliano ; Seys, Deborah ; Ungureanu, Marius Ionut ; Sousa, Paulo ; Buttigieg, Sandra C. ; Vella-Bonanno, Patricia ; Popovici, Georgeta ; Srulovici, Einav ; Guerra-Paiva, Sofia ; Knezevic, Bojana ; Lorenzo, Susana ; Lachman, Peter ; Ushiro, Shin ; Scott, Susan D. ; Wu, Albert ; Strametz, Reinhard ; for ERNST Consortium

Date: 2024

Persistent ID: http://hdl.handle.net/10362/173389

Origin: Repositório Institucional da UNL

Subject(s): adverse events; health worker safety; healthcare workforce; patient safety; second victim phenomenon; Community and Home Care; Public Health, Environmental and Occupational Health; SDG 3 - Good Health and Well-being


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Publisher Copyright: Copyright © 2024 Mira, Carillo, Tella, Vanhaecht, Panella, Seys, Ungureanu, Sousa, Buttigieg, Vella-Bonanno, Popovici, Srulovici, Guerra-Paiva, Knezevic, Lorenzo, Lachman, Ushiro, Scott, Wu and Strametz.

Background: The second victim phenomenon refers to the emotional trauma healthcare professionals experience following adverse events (AEs) in patient care, which can compromise their ability to provide safe care. This issue has significant implications for patient safety, with AEs leading to substantial human and economic costs. Analysis: Current evidence indicates that AEs often result from systemic failures, profoundly affecting healthcare workers. While patient safety initiatives are in place, the psychological impact on healthcare professionals remains inadequately addressed. The European Researchers’ Network Working on Second Victims (ERNST) emphasizes the need to support these professionals through peer support programs, systemic changes, and a shift toward a just culture in healthcare settings. Policy Options: Key options include implementing peer support programs, revising the legal framework to decriminalize honest errors, and promoting just culture principles. These initiatives aim to mitigate the second victim phenomenon, enhance patient safety, and reduce healthcare costs. Conclusion: Addressing the second victim phenomenon is essential for ensuring patient safety. By implementing supportive policies and fostering a just culture, healthcare systems can better manage the repercussions of AEs and support the wellbeing of healthcare professionals.

Document Type Journal article
Language English
Contributor(s) Comprehensive Health Research Centre (CHRC) - Pólo ENSP; Centro de Investigação em Saúde Pública (CISP/PHRC); Escola Nacional de Saúde Pública (ENSP); RUN
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