About Careers Internship MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Who Is Really The “ Second Victim” In Medical Error Cases?

by Rishika Gupta on March 28, 2019 at 10:31 PM
 Who Is Really The “ Second Victim” In Medical Error Cases?

Families of the patients who have died at the hands of medical errors want to remove the term 'second victim,' which subtly promotes the belief that patient harm is random, caused by bad luck, and simply not preventable. This term is used to describe doctors who are involved in a medical error.

Families of patients who died after medical errors argue that it's time to abandon the term "second victim" to describe doctors who are involved in a medical error.

Advertisement


In an editorial published by The BMJ today, Melissa Clarkson at the University of Kentucky and colleagues say that by referring to themselves as victims, "healthcare providers subtly promote the belief that patient harm is random, caused by bad luck, and simply not preventable."

This mindset "is incompatible with the safety of patients and the accountability that patients and families expect from healthcare providers," they argue.
Advertisement

The term was introduced by Dr. Albert Wu in 2000, to bring attention to the need to provide emotional support for doctors who are involved in a medical error. It has since been adopted, adapted, and extended by authors and educators - and healthcare organizations have now even been termed the "third victim."

But Clarkson and colleagues say the true pervasiveness of the term only becomes apparent only when the phrase "victim of medical error" is typed into a search engine. The overwhelming majority of results are information about the second victim alongside images of distraught-looking individuals wearing scrubs or white coats.

They stress that patient communities and their advocates do not question the need to support providers who have been involved in an incident of patient harm. But they do question why the term victim "has become so embedded in the vernacular of patient safety."

For there to be a victim, there must be an offender or perpetrator (or at the very least an uncontrollable force of nature), they write. But for the second or third victims of medical harm, who is this offender, perpetrator, or force of nature?

And while the second victim label may help providers and institutions to cope with an incident of medical harm, "it is a threat to enacting the deep cultural changes needed to achieve a patient-centered environment focused on patient safety," they add.

When Dr. Wu introduced the term, it could have cultivated empathy with harmed patients, they say. Instead, "it appears to have reinforced the inward-gazing, provider-centered nature of healthcare systems, insulated from the realities faced by harmed patients and their families."

Providers and institutions "must break down this barrier, engaging with patients, families, and advocacy organizations to understand more broadly how everyone - patients, families, and providers - is affected by medical harm," they argue.

"It's time to abandon the term second victim. We know who the actual victims of medical errors are because we arranged their funerals and buried them," they conclude.

Source: Eurekalert
Font : A-A+

Advertisement

Advertisement
Advertisement

Recommended Readings

Latest Hospital News

25 Minutes of Walking is Better Than Bedrest for Older Patients
Researchers analyzed the optimal dose and type of physical activity to improve recovery and minimize adverse events in hospitalized older adults.
Power of Shared Medical Appointments: Research Insight
Understanding the impact of shared medical appointments on patients' well-being and actions has been explored by researchers.
Antibiotic-Resistant Bacteria on the Rise: Implications of Kenyan Hospital Visits
Among individuals admitted to hospitals, 66% were found to be colonized with bacteria that displayed resistance to third-generation cephalosporins.
 Prehabilitation: Preparing Patients for Surgery Boosts Outcomes
Is prehabilitation associated with improved outcomes in patients undergoing orthopedic surgery? Yes, it improved overall function in comparison with usual care.
 Surgical Road Map for Healthcare Welfare in Low- And Middle-Income Countries
An exploratory investigation in Ghana revealed that surgical site infection was a statistically significant variable in determining postoperative healthcare costs.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
MediBotMediBot
Greetings! How can I assist you?MediBot
×

Who Is Really The “ Second Victim” In Medical Error Cases? Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests