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Title: Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
Authors: Mira, Jose Joaquin
Lorenzo, Susana
Carrillo, Irene
Ferrús, Lena
Silvestre, Carmen
Astier, Pilar
Iglesias-Alonso, Fuencisla
Maderuelo, Jose Angel
Pérez-Pérez, Pastora
Torijano, Maria Luisa
Zavala, Elena
Scott, Susan D
Keywords: medical errors;nurses;organizational policy;patient safety;physicians;professional–patient relations;safety management;second victim;third victim
metadata.dc.subject.mesh: Family
Health Personnel
Medical Errors
Organizational Policy
Patient Safety
Primary Health Care
Truth Disclosure
Issue Date: 2017
Abstract: To summarize the knowledge about the aftermath of adverse events (AEs) and develop a recommendation set to reduce their negative impact in patients, health professionals and organizations in contexts where there is no previous experiences and apology laws are not present. Review studies published between 2000 and 2015, institutional websites and experts' opinions on patient safety. Studies published and websites on open disclosure, and the second and third victims' phenomenon. Four Focus Groups participating 27 healthcare professionals. Study characteristic and outcome data were abstracted by two authors and reviewed by the research team. Fourteen publications and 16 websites were reviewed. The recommendations were structured around eight areas: (i) safety and organizational policies, (ii) patient care, (iii) proactive approach to preventing reoccurrence, (iv) supporting the clinician and healthcare team, (v) activation of resources to provide an appropriate response, (vi) informing patients and/or family members, (vii) incidents' analysis and (viii) protecting the reputation of health professionals and the organization. Recommendations preventing aftermath of AEs have been identified. These have been designed for the hospital and the primary care settings; to cope with patient's emotions and for tacking the impact of AE in the second victim's colleagues. Its systematic use should help for the establishment of organizational action plans after an AE.
metadata.dc.identifier.doi: 10.1093/intqhc/mzx056
Appears in Collections:Producción 2020

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