Supporting health professionals after an adverse event in Swiss hospitals: a cross-sectional study.

Reiser Crelier, Franziska; Schwappach, David; Schwendimann, René (2020). Supporting health professionals after an adverse event in Swiss hospitals: a cross-sectional study. Swiss medical weekly, 150, w20278. EMH Schweizerischer Ärzteverlag 10.4414/smw.2020.20278

[img]
Preview
Text
Reiser SwissMedWkly 2020.pdf - Published Version
Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND).

Download (636kB) | Preview

STUDY AIM

The aim of this study was to identify the prevalence of organisational structures and processes for the support of second victims in Swiss hospitals.

METHODS

To identify institutional policies and support for health professionals who have been involved in an adverse patient event and become traumatised from the event, also called second victims, we conducted a cross-sectional, multicentre survey study. We targeted Swiss acute care, university and psychiatric hospitals, as well as rehabilitation and speciality clinics. A 13-item questionnaire was used to collect information from hospital quality managers regarding their institutions’ policies and support practices with respect to second victims. Data were analysed using descriptive statistics.

RESULTS

Overall, respondents from 116 hospitals completed the questionnaire (response rate 50.2%). Most institutional respondents reported both that they would like to receive information about adverse events and that their institutions offer related support. Of participating institutions, 60% indicated that they actively inform their personnel about second-victim support possibilities; however, only 31% specifically train supervisory personnel to deliver that support, and only 32% have hospital-specific guidelines in place for second victim support. University, acute care and speciality clinics were more likely to use such guidelines than psychiatric and rehabilitation clinics. Analysis indicated an association between hospital size and the existence of guidelines.

CONCLUSIONS

In Swiss hospitals, second victim support is generally prevalent, but often in an unstructured way. This lack of methodology increases the risk that, following adverse events, both the quantity and quality of support provided to health professionals will be insufficient. A firm commitment on the part of institutional leaders to implement related policies could foster the adoption of high-quality second victim guidelines in Swiss hospitals.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Schwappach, David

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1424-7860

Publisher:

EMH Schweizerischer Ärzteverlag

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

07 Jul 2020 18:09

Last Modified:

24 Jul 2020 17:43

Publisher DOI:

10.4414/smw.2020.20278

PubMed ID:

32580214

BORIS DOI:

10.7892/boris.144894

URI:

https://boris.unibe.ch/id/eprint/144894

Actions (login required)

Edit item Edit item
Provide Feedback