AUTHOR=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 TITLE=The European Researchers’ Network Working on Second Victim (ERNST) Policy Statement on the Second Victim Phenomenon for Increasing Patient Safety JOURNAL=Public Health Reviews VOLUME=45 YEAR=2024 URL=https://www.ssph-journal.org/journals/public-health-reviews/articles/10.3389/phrs.2024.1607175 DOI=10.3389/phrs.2024.1607175 ISSN=2107-6952 ABSTRACT=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.