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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Med+Internet+Res
2017 ; 19
(6
): e203
Nephropedia Template TP
gab.com Text
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English Wikipedia
The Second Victim Phenomenon After a Clinical Error: The Design and Evaluation of
a Website to Reduce Caregivers Emotional Responses After a Clinical Error
#MMPMID28596148
Mira JJ
; Carrillo I
; Guilabert M
; Lorenzo S
; Pérez-Pérez P
; Silvestre C
; Ferrús L
J Med Internet Res
2017[Jun]; 19
(6
): e203
PMID28596148
show ga
BACKGROUND: Adverse events (incidents that harm a patient) can also produce
emotional hardship for the professionals involved (second victims). Although a
few international pioneering programs exist that aim to facilitate the recovery
of the second victim, there are no known initiatives that aim to raise awareness
in the professional community about this issue and prevent the situation from
worsening. OBJECTIVE: The aim of this study was to design and evaluate an online
program directed at frontline hospital and primary care health professionals that
raises awareness and provides information about the second victim phenomenon.
METHODS: The design of the Mitigating Impact in Second Victims (MISE) online
program was based on a literature review, and its contents were selected by a
group of 15 experts on patient safety with experience in both clinical and
academic settings. The website hosting MISE was subjected to an accreditation
process by an external quality agency that specializes in evaluating health
websites. The MISE structure and content were evaluated by 26 patient safety
managers at hospitals and within primary care in addition to 266 frontline health
care professionals who followed the program, taking into account its
comprehension, usefulness of the information, and general adequacy. Finally, the
amount of knowledge gained from the program was assessed with three objective
measures (pre- and posttest design). RESULTS: The website earned Advanced
Accreditation for health websites after fulfilling required standards. The
comprehension and practical value of the MISE content were positively assessed by
88% (23/26) and 92% (24/26) of patient safety managers, respectively. MISE was
positively evaluated by health care professionals, who awarded it 8.8 points out
of a maximum 10. Users who finished MISE improved their knowledge on patient
safety terminology, prevalence and impact of adverse events and clinical errors,
second victim support models, and recommended actions following a severe adverse
event (P<.001). CONCLUSIONS: The MISE program differs from existing intervention
initiatives by its preventive nature in relation to the second victim phenomenon.
Its online nature makes it an easily accessible tool for the professional
community. This program has shown to increase user's knowledge on this issue and
it helps them correct their approach. Furthermore, it is one of the first
initiatives to attempt to bring the second victim phenomenon closer to primary
care.