Observational studyBMC health services research2025
Standardizing second victim support: development of the RESCUE certification framework for health care institutions.
Observational study in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06888297 (European Certification of Interventions in Support of Second Victims), which is not on this map. Cited by 2 papers.
What it found
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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.
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.
European Certification of Interventions in Support of Second Victims (RESCUE)
Who cites it
2 citing papers in PubMed.
- Cognitive Tunneling in Obstetrics and Gynecology: A Critical Review of Implications for Clinical Practice and Mitigation Strategies.Diseases (Basel, Switzerland) · 2026Review
- Building Safety Through Orientation: Current Practices of Client and Patient Safety Onboarding in Finland.Healthcare (Basel, Switzerland) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe implementation of structured support programs for health care workers affected as second victims remains highly variable across health care settings. Although several pioneering initiatives exist, a standardized, evidence-based certification framework to guide institutions in designing, implementing, and sustaining these interventions was lacking in Europe.
objectiveThis study aimed to develop a standardized certification system for second victim support interventions and to pragmatically validate its feasibility, clarity, evidence sufficiency, and audit operability across hospitals, primary care, and long-term care settings.
methodsA qualitative study was conducted. The RESCUE certification framework was developed using a structured, multiphase process informed by Framework Analysis. The process included a literature review, expert consensus, feasibility assessment, pilot testing, and refinement. Experts from 20 countries participated in the development and validation of the standards, ensuring alignment with diverse health care contexts and national regulations. Two certification tracks were defined: support interventions and peer supporter training.
resultsIterative consensus and pilot feedback reduced overlaps, removed items with low feasibility or regulatory conflicts, and specified auditable evidence, resulting in 30 intervention standards and 11 training standards for second victim support interventions, categorized into elementary and advanced levels. Pilot testing in nine institutions across six countries indicated the feasibility, clarity, and applicability of the standards and audit procedures. Stakeholders reported that the certification promotes institutional commitment, enhances program sustainability, and contributes to a safer work environment.
conclusionsRESCUE certification provides a structured, adaptable, and feasible framework for second victim support interventions in Europe. It fosters organizational learning, reinforces a Just Culture, and strengthens the resilience of health care professionals, ultimately contributing to workforce well-being and patient safety. CLINICAL TRIALS: ClinicalTrials.gov NCT06888297.
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Registered trials
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.