Evidence map›Paper›PMID 26297015›Full record

ArticleBMC health services research2015

Interventions in health organisations to reduce the impact of adverse events in second and third victims.

José Joaquín Mira, Susana Lorenzo, Irene Carrillo, Lena Ferrús, Pastora Pérez-Pérez, Fuencisla Iglesias, Carmen Silvestre, Guadalupe Olivera, Elena Zavala, Roberto Nuño-Solinís and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
14.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 110 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. An Exploration of Safety Culture, Second Victim Phenomenon and Negative Work Outcomes in Health Care Settings.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
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  6. Review
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  8. Article
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  10. Review
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  14. Economic Value of Peer Support Program in German Hospitals.International journal of public health · 2024
    Article
  15. Article
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Second Victim Support at the Core of Severe Adverse Event Investigation.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 1 country.

José Joaquín MiraDepartamento de Salud Alicante-Sant Joan, Alicante, Spain. jose.mira@umh.es.
Susana LorenzoHospital Universitario Fundación Alcorcón, Madrid, Spain. slorenzo@fhalcorcon.es.
Irene CarrilloUniversidad Miguel Hernández, Altamira Building, Avd Universidad s/n, 03202, Elche, Spain. icarrillo@umh.es.
Lena FerrúsConsorcio Sanitario Integral, L'Hospitalet de Llobregat, Barcelona, Spain. lena.ferrus@sanitatintegral.org.
Pastora Pérez-PérezObservatorio para la Seguridad del Paciente, Agencia de Calidad Sanitaria de Andalucía, Sevilla, Spain. pastora.perez.perez@juntadeandalucia.es.
Fuencisla IglesiasServicio de Salud de Castilla La Mancha (SESCAM), Toledo, Spain. figlesias@jccm.es.
Carmen SilvestreAtención Primaria Comarca Donostia, Donostia, Spain. mariacarmen.silvestrebusto@osakidetza.net.
Guadalupe OliveraServicio Madrileño de Salud, Madrid, Spain. guadalupe.olivera@salud.madrid.org.
Elena ZavalaHospital Universitario Donostia, Donostia, Spain. elena.zavalaaizpurua@osakidetza.net.
Roberto Nuño-SolinísInstituto Vasco de Innovación Sanitaria (O+berri), Barakaldo, Spain. nuno@bioef.org.
José Ángel Maderuelo-FernándezGerencia de Atención Primaria de Salamanca. Castilla y León Health Service (SACYL), Salamanca, Spain. jmaderuelo@saludcastillayleon.es.
Julián VitallerUniversidad Miguel Hernández, Altamira Building, Avd Universidad s/n, 03202, Elche, Spain. vitaller_jul@gva.es.
Pilar AstierMedicina de Familia y Comunitaria, Centro de Salud Caspe, Sector Alcañiz, Servicio Aragonés de Salud (SALUD), Zaragoza, Spain. mpastier@gmail.com.
Research Group on Second and Third Victims
Universitat de Miguel Hernández d'Elx · ESAjuntament de L’Hospitalet · ESAndalusian Agency for Healthcare Quality · ESBioef - Fundación Vasca de Innovación e Investigación Sanitarias · ESBiogipuzkoa Health Research Institute · ESDonostiako Unibertsitate Ospitalea · ESHospital Universitario Fundación Alcorcón · ESInstituto de Estudios de Ciencias de la Salud de Castilla y León · ESMadrid Health Service · ESServicio Aragonés de Salud · ESServicio de Salud de Castilla La Mancha · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdverse events (AE) are also the cause of suffering in health professionals involved. This study was designed to identify and analyse organization-level strategies adopted in both primary care and hospitals in Spain to address the impact of serious AE on second and third victims.

methodsA cross-sectional study was conducted in healthcare organizations assessing: safety culture; health organization crisis management plans for serious AE; actions planned to ensure transparency in communication with patients (and relatives) who experience an AE; support for second victims; and protective measures to safeguard the institution's reputation (the third victim).

resultsA total of 406 managers and patient safety coordinators replied to the survey. Deficient provision of support for second victims was acknowledged by 71 and 61% of the participants from hospitals and primary care respectively; these respondents reported there was no support protocol for second victims in place in their organizations. Regarding third victim initiatives, 35% of hospital and 43% of primary care professionals indicated no crisis management plan for serious AE existed in their organization, and in the case of primary care, there was no crisis committee in 34% of cases. The degree of implementation of second and third victim support interventions was perceived to be greater in hospitals (mean 14.1, SD 3.5) than in primary care (mean 11.8, SD 3.1) (p < 0.001).

conclusionsMany Spanish health organizations do not have a second and third victim support or a crisis management plan in place to respond to serious AEs.

Indexed as

Adaptation, PsychologicalPatient SafetyAdultCross-Sectional StudiesFamilyHealth PersonnelHospitalsHumansMedical ErrorsMiddle AgedOrganizational CulturePrimary Health CareSpainSurveys and Questionnaires

Identifiers

PMID26297015
PMCPMC4546284
OpenAlexW1959221209

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.