Personal Psychodynamics of Complications

Abstract

Complications are an uncommon but psychologically difficult aspect to any procedural specialty. Being able to deal with the personal aspect of complications and having the tools to learn from and grow from complications are vital aspects of the practice of radiology. This article discusses the psychodynamics of complications that occur in interventional radiology and proposes some coping mechanisms to deal with these adverse events.

Keywords

complication - interventional radiology - psychology - wellness - burnout

• References

• 1 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 (08) 467-476
• 2 Harrison R, Lawton R, Perlo J, Gardner P, Armitage G, Shapiro J. Emotion and coping in the aftermath of medical error: a cross-country exploration. J Patient Saf 2015; 11 (01) 28-35
• 3 Shanafelt TD, Balch CM, Dyrbye L. , et al. Special report: suicidal ideation among American surgeons. Arch Surg 2011; 146 (01) 54-62
• 4 Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002; 136 (05) 358-367
• 5 Schernhammer E. Taking their own lives -- the high rate of physician suicide. N Engl J Med 2005; 352 (24) 2473-2476
• 6 Edrees H, Federico F. Supporting clinicians after medical error. BMJ 2015; 350: h1982
• 7 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 (05) 233-240
• 8 Pratt S, Kenney L, Scott SD, Wu AW. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf 2012; 38 (05) 235-240 , 193
• 9 Plews-Ogan M, May N, Owens J, Ardelt M, Shapiro J, Bell SK. Wisdom in Medicine: What Helps Physicians After a Medical Error?. Acad Med 2016; 91 (02) 233-241
• 10 Medical Error Disclosure and Peer Support. Available at: https://med.virginia.edu/wisdom/about-our-work/disclosure-peer-support/ . Accessed March 28, 2019
• 11 Wu AW. Medical error: the second victim. BMJ 2000; 320: 726-727

• Further Suggested Reading:

• Margin of Error Susan B. Rubin and Laurie Zoloth (eds) University Publishing Group 2000