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Vanhaecht K, Seys D, Russotto S, Strametz R, Mira J, Sigurgeirsdóttir S, Wu AW, Põlluste K, Popovici DG, Sfetcu R, Kurt S, Panella M. An Evidence and Consensus-Based Definition of Second Victim: A Strategic Topic in Healthcare Quality, Patient Safety, Person-Centeredness and Human Resource Management. Int J Environ Res Public Health 2022; 19:ijerph192416869. [PMID: 36554750 PMCID: PMC9779047 DOI: 10.3390/ijerph192416869] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/07/2022] [Accepted: 12/12/2022] [Indexed: 06/01/2023]
Abstract
The concept of second victims (SV) was introduced 20 years ago to draw attention to healthcare professionals involved in patient safety incidents. The objective of this paper is to advance the theoretical conceptualization and to develop a common definition. A literature search was performed in Medline, EMBASE and CINAHL (October 2010 to November 2020). The description of SV was extracted regarding three concepts: (1) involved persons, (2) content of action and (3) impact. Based on these concepts, a definition was proposed and discussed within the ERNST-COST consortium in 2021 and 2022. An international group of experts finalized the definition. In total, 83 publications were reviewed. Based on expert consensus, a second victim was defined as: "Any health care worker, directly or indirectly involved in an unanticipated adverse patient event, unintentional healthcare error, or patient injury and who becomes victimized in the sense that they are also negatively impacted". The proposed definition can be used to help to reduce the impact of incidents on both healthcare professionals and organizations, thereby indirectly improve healthcare quality, patient safety, person-centeredness and human resource management.
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Affiliation(s)
- Kris Vanhaecht
- Leuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
- Department of Quality, University Hospitals Leuven, 3000 Leuven, Belgium
| | - Deborah Seys
- Leuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
| | - Sophia Russotto
- Department of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy
| | - Reinhard Strametz
- Wiesbaden Business School, RheinMain University of Applied Science, 65183 Wiesbaden, Germany
| | - José Mira
- The Foundation for the Promotion of Health and Biomedical Research of Valencia Region, 03550 Alicante, Spain
- Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain
| | | | - Albert W. Wu
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, ML 21205, USA
| | - Kaja Põlluste
- Department of Internal Medicine, Institute of Clinical Medicine, University of Tartu, L. Puusepa 8, 50406 Tartu, Estonia
| | | | - Raluca Sfetcu
- National Institute of Health Services Management, 021253 Bucharest, Romania
| | - Sule Kurt
- Leuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
- Nursing Department, Health Sciences Faculty, Karadeniz Technical University, 61080 Trabzon, Turkey
| | - Massimiliano Panella
- Department of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy
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Florescu S, Mihaescu Pintia C, Sasu CC, Ciutan M, Scîntee SG, Popovici DG, Vladescu C. Refusals of vaccination – a mixed methods review. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Florescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - C Mihaescu Pintia
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - CC Sasu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - M Ciutan
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - SG Scîntee
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - DG Popovici
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - C Vladescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
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Firuleasa IL, Popovici DG, Moldovan VM, Mihaescu Pintia C, Teodorescu M, Galaon M, Scintee SG, Vladescu C, Florescu S. Community care in mental health patients - a systematic review. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- IL Firuleasa
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - DG Popovici
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - VM Moldovan
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - C Mihaescu Pintia
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - M Teodorescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - M Galaon
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - SG Scintee
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - C Vladescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - S Florescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
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Teodorescu M, Firuleasa IL, Popovici DG, Galaon M, Mihaescu-Pintia C, Moldovan MV, Florescu S. Predictors of return to work in spinal cord injury - a systematic review. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M Teodorescu
- Elias University Emergency Hospital, Bucharest, Romania
| | - IL Firuleasa
- Elias University Emergency Hospital, Bucharest, Romania
| | - DG Popovici
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - M Galaon
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - C Mihaescu-Pintia
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - MV Moldovan
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - S Florescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
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Florescu S, Galaon M, Popovici DG, Pintia CM, Teodorescu M, Firuleasa IL, Moldovan VM, Scintee SG, Vladescu C. PTSD in adolescents – factors explaining resilience and risk - a systematic review. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx189.102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Florescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - M Galaon
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - DG Popovici
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - C Mihaescu Pintia
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - M Teodorescu
- Elias Emergency University hospital, Bucharest, Romania
| | - IL Firuleasa
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - VM Moldovan
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - SG Scintee
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - C Vladescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
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Lee S, Tsang A, Kessler RC, Jin R, Sampson N, Andrade L, Karam EG, Mora MEM, Merikangas K, Nakane Y, Popovici DG, Posada-Villa J, Sagar R, Wells JE, Zarkov Z, Petukhova M. Rapid-cycling bipolar disorder: cross-national community study. Br J Psychiatry 2010; 196:217-25. [PMID: 20194545 PMCID: PMC2830056 DOI: 10.1192/bjp.bp.109.067843] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND The epidemiology of rapid-cycling bipolar disorder in the community is largely unknown. AIMS To investigate the epidemiological characteristics of rapid-cycling and non-rapid-cycling bipolar disorder in a large cross-national community sample. METHOD The Composite International Diagnostic Interview (CIDI version 3.0) was used to examine the prevalence, severity, comorbidity, impairment, suicidality, sociodemographics, childhood adversity and treatment of rapid-cycling and non-rapid-cycling bipolar disorder in ten countries (n = 54 257). RESULTS The 12-month prevalence of rapid-cycling bipolar disorder was 0.3%. Roughly a third and two-fifths of participants with lifetime and 12-month bipolar disorder respectively met criteria for rapid cycling. Compared with the non-rapid-cycling, rapid-cycling bipolar disorder was associated with younger age at onset, higher persistence, more severe depressive symptoms, greater impairment from depressive symptoms, more out-of-role days from mania/hypomania, more anxiety disorders and an increased likelihood of using health services. Associations regarding childhood, family and other sociodemographic correlates were less clear cut. CONCLUSIONS The community epidemiological profile of rapid-cycling bipolar disorder confirms most but not all current clinically based knowledge about the illness.
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Affiliation(s)
- Sing Lee
- Hong Kong Mood Disorders Center, Prince of Wales Hospital, Shatin, NT, Hong Kong.
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