Second victim: Difference between revisions

Revision as of 12:33, 26 February 2017

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]

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.
Subsequent.
- Fear of returning to work.
  - Loss of confidence.
  - Self doubt, remorse.
  - Hypervigilence, second guessing everything.
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.

↑ Scott SD. The "second victim" phenomenon: a harsh reality of health care professions. AHRQ; WebM&M Perspectives on Safety; May 2011.

Authors:

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 ==Clinical Features==
 *Immediate.
- *Stress related psychological and physical reactions:
+**Stress related psychological and physical reactions:
-  *Sadness, Fear, shame and anger
+***Sadness, Fear, shame and anger
-  *Panicking, horrified and apprehensive.
+***Panicking, horrified and apprehensive.
-  *Sympathomimetic reaction with tachypnea, tachycardia, elevated blood pressure and difficulty concentrating.
+***Sympathomimetic reaction with tachypnea, tachycardia, elevated blood pressure and difficulty concentrating.
-  *Lonliness and fear of being called names and losing job.
+***Lonliness and fear of being called names and losing job.
 *Subsequent.
- *Fear of returning to work.
+**Fear of returning to work.
-  *Loss of confidence.
+***Loss of confidence.
-  *Self doubt, remorse.
+***Self doubt, remorse.
-  *Hypervigilence, second guessing everything.
+***Hypervigilence, second guessing everything.
 *Ongoing till resolved.
- *Characteristics of PTSD (inability to process the feeling of fear, sadness, guilt and shame).
+**Characteristics of PTSD (inability to process the feeling of fear, sadness, guilt and shame).
- * Resulting in:
+** Resulting in:
-  *Insomnia, flashbacks and thoughts of suicide.
+***Insomnia, flashbacks and thoughts of suicide.
-  *Damaged self perception.
+***Damaged self perception.
-  *Loss of self security.
+***Loss of self security.
 ==Differential Diagnosis==