The European Researchers' Network Working on Second Victim (ERNST) Policy Statement on the Second Victim Phenomenon for Increasing Patient Safety

Public Health Rev. 2024 Sep 18:45:1607175. doi: 10.3389/phrs.2024.1607175. eCollection 2024.

Abstract

Background: The second victim phenomenon refers to the emotional trauma healthcare professionals experience following adverse events (AEs) in patient care, which can compromise their ability to provide safe care. This issue has significant implications for patient safety, with AEs leading to substantial human and economic costs.

Analysis: Current evidence indicates that AEs often result from systemic failures, profoundly affecting healthcare workers. While patient safety initiatives are in place, the psychological impact on healthcare professionals remains inadequately addressed. The European Researchers' Network Working on Second Victims (ERNST) emphasizes the need to support these professionals through peer support programs, systemic changes, and a shift toward a just culture in healthcare settings.

Policy options: Key options include implementing peer support programs, revising the legal framework to decriminalize honest errors, and promoting just culture principles. These initiatives aim to mitigate the second victim phenomenon, enhance patient safety, and reduce healthcare costs.

Conclusion: Addressing the second victim phenomenon is essential for ensuring patient safety. By implementing supportive policies and fostering a just culture, healthcare systems can better manage the repercussions of AEs and support the wellbeing of healthcare professionals.

Keywords: adverse events; health worker safety; healthcare workforce; patient safety; second victim phenomenon.

Grants and funding

The authors declare that financial support was received for the research, authorship, and/or publication of this article. This article is based upon work from COST Action CA19113 - The European Researchers’ Network working on Second Victims- supported by COST (European Cooperation in Science and Technology). Throughout the composition of this manuscript, JM benefited from an augmented research activity contract granted by the Carlos III Health Institute (reference INT22/00012).