Evidence map›Paper›PMID 36901278›Full record

ArticleInternational journal of environmental research and public health2023

Second Victims among German Emergency Medical Services Physicians (SeViD-III-Study).

Hartwig Marung, Reinhard Strametz, Hannah Roesner, Florian Reifferscheid, Rainer Petzina, Victoria Klemm, Milena Trifunovic-Koenig, Stefan Bushuven

Open access · goldFull text read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
16.9field-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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  12. The second victim phenomenon´s impact in male and female healthcare workers: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
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  20. Second Victims Among Austrian Nurses (SeViD-A2 Study).Healthcare (Basel, Switzerland) · 2024
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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

8 authors at 4 institutions in 1 country.

Hartwig MarungDepartment Health Sciences, MSH Medical School Hamburg, 20457 Hamburg, Germany.
Reinhard StrametzWiesbaden Business School, RheinMain University of Applied Sciences, 65183 Wiesbaden, Germany.ORCID 0000-0002-9920-8674
Hannah RoesnerWiesbaden Business School, RheinMain University of Applied Sciences, 65183 Wiesbaden, Germany.
Florian ReifferscheidDepartment of Anaesthesiology and Intensive Care, Universitätsklinikum Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.
Rainer PetzinaDepartment Health Sciences, MSH Medical School Hamburg, 20457 Hamburg, Germany.ORCID 0000-0002-0688-5482
Victoria KlemmWiesbaden Business School, RheinMain University of Applied Sciences, 65183 Wiesbaden, Germany.ORCID 0000-0001-6197-9847
Milena Trifunovic-KoenigTraining Center for Emergency Medicine (NOTIS e.V), 78234 Engen, Germany.ORCID 0000-0001-7545-2640
Stefan BushuvenInstitute for Infection Control and Infection Prevention, Hegau-Jugendwerk Gailingen, Health Care Association District of Constance, 78315 Radolfzell, Germany.
RheinMain University of Applied Sciences · DEMSH Medical School Hamburg – University of Applied Sciences and Medical University · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient care in the prehospital emergency setting is error-prone. Wu's publications on the second victim syndrome made very clear that medical errors may lead to severe emotional injury on the caregiver's part. So far, little is known about the extent of the problem within the field of prehospital emergency care. Our study aimed at identifying the prevalence of the Second Victim Phenomenon among Emergency Medical Services (EMS) physicians in Germany.

methodsWeb-based distribution of the SeViD questionnaire among n = 12.000 members of the German Prehospital Emergency Physician Association (BAND) to assess general experience, symptoms and support strategies associated with the Second Victim Phenomenon.

resultsIn total, 401 participants fully completed the survey, 69.1% were male and the majority (91.2%) were board-certified in prehospital emergency medicine. The median length of experience in this field of medicine was 11 years. Out of 401 participants, 213 (53.1%) had experienced at least one second victim incident. Self-perceived time to full recovery was up to one month according to 57.7% (123) and more than one month to 31.0% (66) of the participants. A total of 11.3% (24) had not fully recovered by the time of the survey. Overall, 12-month prevalence was 13.7% (55/401). The COVID-19 pandemic had little effect on SVP prevalence within this specific sample.

conclusionsOur data indicate that the Second Victim Phenomenon is very frequent among prehospital emergency physicians in Germany. However, four out of ten caregivers affected did not seek or receive any assistance in coping with this stressful situation. One out of nine respondents had not yet fully recovered by the time of the survey. Effective support networks, e.g., easy access to psychological and legal counseling as well as the opportunity to discuss ethical issues, are urgently required in order to prevent employees from further harm, to keep healthcare professionals from leaving this field of medical care and to maintain a high level of system safety and well-being of subsequent patients.

Indexed as

COVID-19Emergency Medical ServicesEmergency MedicinePhysiciansFemaleHumansMalePandemicscopingemergency medical servicesmedical errorpatient safetysecond victimsupport strategies

Identifiers

PMID36901278
PMCPMC10001835
OpenAlexW4322620001

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read40
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.