• Ther Umsch · Jun 2012

    ["Second victim" - error, crises and how to get out of it].

    • N von Laue, D Schwappach, and M Hochreutener.
    • Stiftung für Patientensicherheit, Zürich. vonlaue@patientensicherheit.ch
    • Ther Umsch. 2012 Jun 1;69(6):367-70.

    AbstractMedical errors do not only harm patients ("first victims"). Almost all health care professionals become a so-called "second victim" once in their career by being involved in a medical error. Studies show that error involvement can have a tremendous impact on health care workers leading to burnout, depression and professional crisis. Moreover persons involved in errors show a decline in job performance and jeopardize therefore patient safety. Blaming the person is one of the typical psychological reactions after an error happened as the attribution theory tells. The self-esteem gets stabilized if we can put blame on someone and pick out a scapegoat. But standing alone makes the emotional situation even worse. A vicious circle can evolve with tragic effect for the individual and negative implications for patient safety and the health care setting.

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