RT journal article
T1 Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations
A1 Mira, José Joaquín
A1 Lorenzo, Susana
A1 Carrillo, Irene
A1 Ferrús, Lena
A1 Silvestre, Carmen
A1 Astier, Pilar
A1 Iglesias Alonso, Fuencisla
A1 Maderuelo, José Angel
A1 Pérez Pérez, Pastora
A1 Torijano, María Luisa
A1 Zavala, Elena
A1 Scott, Susan D.
A1 Aibar, C.
A1 Anglès, R.
A1 Aranaz, J.
A1 Bonilla, A.
A1 Bustinduy, A.J.
A1 Crespillo, C.
A1 Fidel, S.G.
A1 García, Á.
A1 González, A.J.
A1 Guilabert, Mercedes
A1 Gutiérrez, M.J.
A1 Ignacio García, Emilio Francisco
A1 Jurado, J.J.
A2 Enfermería y Fisioterapia
K1 patient safety
K1 second victim
K1 third victim
K1 safety management
K1 medical errors
K1 professional–patient relations
K1 physicians
K1 nurses
K1 organizational policy
AB Purpose: To summarize the knowledge about the aftermath of adverse events (AEs) and develop a recommendation set to reduce their negative impact in patients, health professionals and organizations in contexts where there is no previous experiences and apology laws are not present. Data sources: Review studies published between 2000 and 2015, institutional websites and experts' opinions on patient safety. Study selection: Studies published and websites on open disclosure, and the second and third victims' phenomenon. Four Focus Groups participating 27 healthcare professionals. Data extraction: Study characteristic and outcome data were abstracted by two authors and reviewed by the research team. Results of data synthesis: Fourteen publications and 16 websites were reviewed. The recommendations were structured around eight areas: (i) safety and organizational policies, (ii) patient care, (iii) proactive approach to preventing reoccurrence, (iv) supporting the clinician and healthcare team, (v) activation of resources to provide an appropriate response, (vi) informing patients and/or family members, (vii) incidents' analysis and (viii) protecting the reputation of health professionals and the organization. Conclusion: Recommendations preventing aftermath of AEs have been identified. These have been designed for the hospital and the primary care settings; to cope with patient's emotions and for tacking the impact of AE in the second victim's colleagues. Its systematic use should help for the establishment of organizational action plans after an AE.
PB Oxford University Press
SN 1464-3677
YR 2017
FD 2017
LK http://hdl.handle.net/10498/33923
UL http://hdl.handle.net/10498/33923
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 07-nov-2026