Things to Consider
This is a comprehensive literature review of articles and studies on emotional impact to clinicians following adverse events and medical errors. Download the bibliography
For those who need the data, this is the list you want.
Clinician support: Five years lessons learned RESEARCH STORY
The forYOU Team from the University of Missouri shares successes and challenges from their five-year journey creating a support program for second victims. Read the article
Improving patient safety: The intersection of safety culture, clinician and staff support, and patient safety organizations RESEARCH TOOL
This white paper released in September 2015 from the Center for Patient Safety discusses opportunities to implement and integrate Clinician Support Intervention Programs through PSO participation. Read the white paper
Sue Scott, Ph.D., R.N., C.P.P.S., studies the link between second victim support and its influence on the overall culture of patient safety at the University of Missouri Health Care. Learn more
This word cloud, developed from Dr. Scott's research, is a powerful visual of what second victims say they feel and need.
The emotional impact of medical error involvement on physicians: A call for leadership and organisational accountability RESEARCH
This report from the Swiss Patient Safety Foundation concludes that, given the significant effect of medical errors on physicians’ well-being and performance, health care institutions must provide staff with systems of support. Read the report
When things go wrong RESEARCH
This consensus paper of the Harvard-affiliated hospitals proposes full disclosure to patients when adverse events occur, and recognizes the need to provide support to clinicians when these events happen. Read the paper
This how-to guide recommends that boards of trustees in all hospitals undertake six key activities to improve quality and reduce harm. Read the guide
Use this and the tools below to influence leadership and others within the institution.
An integrated model for handling incidents and adverse events from Albert Wu, M.D., co-founder of RISE Peer Responder Training at John Hopkins Medicine. Use the tool
Making the case to leadership TOOL STORY
James Conway was a healthcare governance and leadership expert. Read his editorial and download his presentation to leadership about supporting clinicians and staff.
These highlight the cost of not providing support.
These safe practices can be universally applied in all clinical care settings in order to reduce the risk of error and harm for patients. Safe practice #8 focuses on caring for caregivers. Read the report
The Joint Commission's leadership chapter includes the importance of making support systems available for staff who have been involved in an adverse event. Read the chapter
Key talking points for leadership about the purpose of peer support and process for implementing a program in an ambulatory setting. Read the talking points
Anthony Whittemore talks about clinician support STORY
Anthony Whittemore, M.D., is the former CMO of the Brigham and Women's Hospital in Boston. His talk highlights the journey at his hospital for supporting clinicians and their pilot peer support program. Watch the videos:
This dramatic film from CRICO exposes the painful impact on clinicians when patient care goes awry, along with support programs being implemented to help them cope.
Play the 20-minute film at a grandrounds to get the conversation started. It is heavily physician-focused. The two-minute clip on YouTube is free and useful for shorter presentations.