Second victim: Difference between revisions
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==Management== | ==Management== | ||
*Five rights of the second victim. | *Five rights of the second victim.<ref> Denham CR.TRUST: the 5 rights of the second victim. J Patient Saf. 2007; 3: 107-119</ref> | ||
**'''T'''reatment that is just. | **'''T'''reatment that is just. | ||
**'''R'''espect. | **'''R'''espect. | ||
Revision as of 13:07, 26 February 2017
Background
- Second victims are healthcare providers in the midst of a medical mistake or error and become victimized because of their role.
- University of Missouri Health canter found almost 1in 7 staff reported experiencing a patient safety event resulting in personal disturbed emotions.[1]
Clinical Features
- Immediate.
- Stress related psychological and physical reactions:
- Sadness, Fear, shame and anger
- Panicking, horrified and apprehensive.
- Sympathomimetic reaction with tachypnea, tachycardia, elevated blood pressure and difficulty concentrating.
- Lonliness and fear of being called names and losing job.
- Stress related psychological and physical reactions:
- Subsequent.
- Fear of returning to work.
- Loss of confidence.
- Self doubt, remorse.
- Hypervigilence, second guessing everything.
- Fear of returning to work.
- Ongoing till resolved.
- Characteristics of PTSD (inability to process the feeling of fear, sadness, guilt and shame).
- Resulting in:
- Insomnia, flashbacks and thoughts of suicide.
- Damaged self perception.
- Loss of self security.
Differential Diagnosis
- Anxiety neurosis.
- Thyrotoxicosis.
- PTSD.
- Depression.
Evaluation
- The second victim should be treated on urgent basis.
- Second victim code should be announced and a separate team should provide help to the person, besides the team evaluating the incidence.
Management
- Five rights of the second victim.[2]
- Treatment that is just.
- Respect.
- Understanding and compassion.
- Suppostive care.
- Transparency and opprtunity to contribute.