[en] Background and objectives: an increasing number of studies have illustrated the potential impact of medical errors and patient injuries on healthcare providers. This has led clinicians to be considered as the “second victims” of patient harm. In this study, we explore the impact of adverse events on anesthetists’ physical and mental health using a reporting database from the University Hospital of Liège in Belgium.
Methods: we collected information on the impact of adverse events on anesthetists’ health using data from an incident/accident reporting system and from accident analysis meetings.
Results: feelings of anger, questioning, intrusive thoughts and feelings of guilt were the most frequently cited impacts on anesthetists’ health.
Conclusions: Patient injuries can profoundly affect anesthetists’ health. Debriefing in a climate of trust and empathy seems to be primordial.
Disciplines :
Social, industrial & organizational psychology
Author, co-author :
Nyssen, Anne-Sophie ; Université de Liège - ULiège > Département de Psychologie > Ergonomie et intervention au travail
Lamy, Maurice ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Blavier, Adelaïde ; Université de Liège - ULiège > Département de Psychologie > Psycho-traumatisme
Language :
English
Title :
Impact of adverse events on anesthetists' health: A Belgian case study
Wears R. L. and Wu A. W. 2000. Dealing with failure: the aftermath of errors and adverse events. Ann. Emerg. Med. 39:344-346.
Wu A. W. 2000. Medical error: the second victim. The doctor who makes the mistake needs help too. B. M J. 320:726-727.
Gazoni F. M., Amato P. E., Malik Z. M. and Durieux M. E. 2012. The Impact of Perioperative Catastrophes on Anesthesiologists: Results of a National Survey 2012. Anesth. Analg. 114(3):596-602.
Fisseni G., Pentzek M. and Abholz H. 2007. Responding to serious medical error in general practice consequences for the GPs involved: analysis of 75 cases from Germany. Fam. Pract. 71:9-13.
West C. P., Huschka M. M., Novotny P. J., Sloan J. A., Kolars J. C. and Habermann T. M. et al. 2006. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 296:1071-1078.
Engel K. G., Rosenthal M. and Sutcliffe K. M. 2006. Residents' responses to medical error: coping, learning, and change. Acad. Med. 81:86-93.
Sirriyeh R., Lawton R., Gardner P. and Armitage G. 2010. Coping with medical error: A systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. Qual. Sal. Health Care. 19(6):1-8.
White S. M. and Akerele O. 2005. Anesthetists' attitudes to intraoperative death. Eur. J. Anesthesiol. 22:938-41.
Nyssen A. S., Aunac S., Faymonville M. L. and Lutte I. 2004. Reporting Systems in Health Care from a Case-by-Case Experience to a General Framework: an Example in Anesthesia. Eur. J. Anesth. 21:757-765.
Ross L. and Anderson CA. 1982. Shortcomings in the attribution process: On the origins and maintenance of erroneous social assessments. In: Judgment under uncertainty heuristics and Biases, p. 129-152. Cambridge: University Press.
Ullstrom S., Andreen Sachs M., Hansson J., Ovretveit J. and Brommels M. 2014. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual. Saf. 23:325-331.
Scott S. D., Hirschinger L. E., Cox K. R., McCoig M., Brandt J. and Hall L. W. 2009. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual. Saf. Health Care. 18:325-330.
Waterman A. D., Garbutt J., Hazel E., Dunagan W. C., Levinson W., Frasier VJ. and Gallagher T. H. 2007. The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt. Comm. J. Qual. Patient Saf. 33:467-476.
Karasek R. A. 1979. Job demands, job decision latitude and mental strain: Implication for job redesign. Adm. Sci. Q. 24:285-308
Nyssen A. S., Hansez I., Baele P., De Keyser V. and Lamy M. 2003. Occupational stress and burnout in anesthesia. Brit. J. Anaesth. 90(3):333-337.
Hu Y. Y., Fix M. L., Hevelone N. D., Lipsitz S. R., Greenberg C. C., Weismann J. S. and Shapiro J. 2012. Physicians' needs in coping with emotional stressors: the case for peer support. Arch. Surg. 147(3):212-217.
Pratt S. D. and Jachna B. R. 2015. Care of the clinician after an adverse event. Int. J. Obstet. Anesth. 24:54-63.
Souter KJ. and Gallagher T. H. 2012. The disclosure of Unanticipated Outcomes of Care and Medical Errors: What Does This Mean for Anesthesiologists? Anesth. Analg. 114(3):615-621.
Nyssen A. S., Gillet A., Cayet A.-M., Van Erck J., Gillet P. and Christiaens G. 2012. Systemes de retour d'experience: "Faut-il vraiment copier l'industrie?". Risques & Qualite IX (2): 85-91.
Denham C. R. 2007. TRUST: the 5 rights of the second victim. J Patient Saf. 3:107-18.
Scott S. D., Hirschinger L. E., Cox K. R., McCoig M., Hahn-Cover K., Hepperly K. M. and Philips E. C. et al. 2010. Caring for our own: deploying a systemwide second victim rapid response team. Jt. Comm. J. Qual. Patient Saf. 36:233-40.
Larsson J. and Sanner M. 2010. Doing a good job and getting something good out of it: on stress and well-being in anesthesia. Br. J. Anesth. 105(1):34-7.
