Second-Victim-Traumatisierungen – Auswirkungen auf Behandelnde und Patienten

Das Personal einer Gesundheitseinrichtung muss zur Behandlung von Patienten unweigerlich Risiken eingehen. Eine fachlich hochwertige Patientenversorgung mit gleichzeitiger Vermeidung bzw. Minimierung von Fehlern setzt hohen Anspruch an das Handeln der Verantwortlichen. Kommt es dennoch zu einem unvorhergesehenen Zwischenfall mit zum Beispiel Schädigung eines Patienten, sind oft auch die Behandelnden traumatisiert und werden somit selbst zu Opfern – den sogenannten „Second Victims“.

Publication History

Article published online:
13 September 2021

• Literatur

• 1 Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ 2000; 320: 726-727 DOI: 10.1136/bmj.320.7237.726. (PMID: 10720336)
• 2 Tam CWC, Pang EPF, Lam LCW. et al. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med 2004; 34: 1197-1204 DOI: 10.1017/s0033291704002247.
• 3 Scott SD, Hirschinger LE, Cox KR. et al. The natural history of recovery for the healthcare provider “second victim” after adverse patient events. Qual Saf Health Care 2009; 18: 325-330 DOI: 10.1136/qshc.2009.032870. (PMID: 19812092)
• 4 Seys D, Wu AW, van Gerven E. et al. Health care professionals as second victims after adverse events: a systematic review. Eval Health Prof 2013; 36: 135-162 DOI: 10.1177/0163278712458918.. (PMID: 22976126)
• 5 von Laue N, Schwappach D, Hochreutener M. „Second victim“ – Umgang mit der Krise nach dem Fehler. Ther Umsch 2012; 69: 367-370 DOI: 10.1024/0040-5930/a000300.
• 6 Strametz R, Rösner H, Ablöscher M. et al. Entwicklung und Validation eines Fragebogens zur Beurteilung der Inzidenz und Reaktionen von Second Victims im Deutschsprachigen Raum (SeViD). Zbl Arbeitsmed 2021; 71: 19-23 DOI: 10.1007/s40664-020-00400-y.
• 7 Strametz R, Koch P, Vogelgesang A. et al. Prevalence of second victims, risk factors and support strategies among young German physicians in internal medicine (SeViD-I survey). J Occup Med Toxicol 2021; DOI: 10.1186/s12995-021-00300-8.
• 8 Waterman AD, Garbutt J, Hazel E. et al. The Emotional Impact of Medical Errors on Practicing Physicians in the United States and Canada. Jt Comm J Qual Patient Saf 2007; 33: 467-476 DOI: 10.1016/s1553-7250(07)33050-x. (PMID: 17724943)
• 9 Scott SD, Hirschinger LE, Cox KR. et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Patient Saf 2010; 36: 233-240 DOI: 10.1016/s1553-7250(10)36038-7. (PMID: 20480757)
• 10 West CP, Huschka MM, Novotny PJ. et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA 2006; 296: 1071-1078 DOI: 10.1001/jama.296.9.1071.. (PMID: 16954486)
• 11 Schwappach DLB, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Swiss Med Wkly 2008; 138: 9-15 DOI: 10.5167/UZH-9997. (PMID: 18951201)
• 12 Burlison JD, Quillivan RR, Scott SD. et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes: Connecting Self-Reported Caregiver Distress to Turnover Intentions and Absenteeism. J Patient Saf 2016; DOI: 10.1097/PTS.0000000000000301. (PMID: 27811593)
• 13 Grissinger M. Too Many Abandon the “Second Victims” Of Medical Errors. P T 2014; 39: 591-592 (PMID: 25210409)
• 14 Busch IM, Moretti F, Purgato M. et al. Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis. J Patient Saf 2020; 16: e61-e74 DOI: 10.1097/PTS.0000000000000589. (PMID: 30921046)
• 15 Gazoni FM, Amato PE, Malik ZM. et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg 2012; 114: 596-603 DOI: 10.1213/ANE.0b013e318227524e. (PMID: 21737706)
• 16 Vincent C, Amalberti R. Safety Strategies in Hospitals. In: Vincent C, Amalberti R. Safer Healthcare. Cham: Springer International Publishing; 2016: 73-91 DOI: 10.1007/978-3-319-25559-0_7
• 17 Strametz R, Bayeff-Filloff M. Risikomanagement in der Notaufnahme. Stuttgart: Kohlhammer; 2019
• 18 Pratt S, Kenney L, Scott SD. et al. How to Develop a Second Victim Support Program: A Toolkit for Health Care Organizations. Jt Comm J Qual Patient Saf 2012; 38: 235-240 DOI: 10.1016/S1553-7250(12)38030-6. (PMID: 22649864)
• 19 Edrees H, Connors C, Paine L. et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open 2016; 6: e011708 DOI: 10.1136/bmjopen-2016-011708. (PMID: 27694486)
• 20 Moran D, Wu AW, Connors C. et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf 2017; DOI: 10.1097/PTS.0000000000000376. (PMID: 28452914)
• 21 Ullström S, Andreen Sachs M, Hansson J. et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf 2014; 23: 325-331 DOI: 10.1136/bmjqs-2013-002035. (PMID: 24239992)
• 22 PSU Akut e.V.. PSU – Ziele und Aufgaben. Im Internet (Stand: 07.03.2021): http://psu-akut.de/
• 23 Young DGINA. Emergency Medicine Problem Talk der Young DGINA. Im Internet (Stand: 07.03.2021): https://youngdgina.com/empty/
• 24 DGUV. DGUV Informationen 206–023. Standards in der betrieblichen psychologischen Erstbetreuung (bpE) bei traumatischen Ereignissen. 2017 Im Internet (Stand: 28.07.2021): https://publikationen.dguv.de/widgets/pdf/download/article/3227
• 25 Mc Sherry WC, Holm JE. Sense of coherence: Its effects on psychological and physiological processes prior to, during, and after a stressful situation. J Clin Psychol 1994; 50: 476-487
• 26 Lundberg O. Childhood conditions, sense of coherence, social class and adult ill health: Exploring their theoretical and empirical relations. Soc Sci Med 1997; 44: 821-831 DOI: 10.1016/S0277-9536(96)00184-0. (PMID: 9080565)
• 27 Frommberger U, Stieglitz RD, Nyberg E, Straub S, Berger M. Der Einfluss des Kohärenzgefühls auf die Entwicklung posttraumatischer Belastungsstörungen nach Verkehrsunfällen. In: Schüffel W, Brucks U, Johnen R. Handbuch der Salutogenese. Wiesbaden: Ullstein Medical; 1998: 337-340
• 28 Dewey C, Hingle S, Goelz E. et al. Supporting Clinicians During the COVID-19 Pandemic. Ann Intern Med 2020; 172: 752-753 DOI: 10.7326/M20-1033. (PMID: 32196544)
• 29 Adams JG, Walls RM. Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA 2020; 323: 1439-1440 DOI: 10.1001/jama.2020.3972. (PMID: 32163102)
• 30 Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Intern Med 2020; 172: 822-823 DOI: 10.7326/M20-1236. (PMID: 32251512)