Prospective

Dr. LUK Leung Andrew or Ms. Rachel WONG (Research assistant)

Room 28, 7/F, Block J, Alice Ho Miu Ling Nethersole Hospital, 11 Chuen On Road, Tai Po, N.T.

(852)26893811

rachelwong@nethersole.org.hk

Nethersole Institute of Continuing Holistic Health Education

HONG KONG, CHINA

Dr. LAM CHI SHAN

Department of Anaesthesia and Operating Services, Operating Theatre , 2/F , North District Hospital , 9 Po Kin Road , Sheung Shui , NT

(852)97453211

lcs178@ha.org.hk

Department of Anaesthesiology and Operating Services, AHNH & NDH, Hospital Authority

Hong Kong

N/A

Yes

2016-12-15

Joint CUHK-NTEC Clinical Research Ethics Committee

2016.465

Other

Observational

Adverse events within health care settings can lead to two victims. The first victim is the patient and family and the second victim is the involved health care professional.

The prevalence rates of second victims in the oversea study varied from 10.4% (Lander et al., 2006) up to 43.3% (Wolf et al., 2000).

Clinical incident related to Second Victim, is defined by the research team, includes all errors involving near misses, preventable adverse events and negligent adverse events, and all adverse events including unanticipated non-preventable adverse events but excluding anticipated non-preventable adverse events (i.e. side effect, complication or consequence of nature of disease or treatment), and incidents that involve criminal act, deliberately unsafe act, substance abuse or deliberate patient harm or abuse.

When Second Victim is defined by Scott et al. as below:
‘A health care provider involved in an unanticipated adverse patient event, medical error, and/or a patient related–injury who become victimized in the sense that the provider is traumatized by the event. Frequently second victims feel personally responsible for the unexpected patient outcomes and feel as though they have failed their patient, second guessing their clinical skills and knowledge base’ (Scott et al., 2009)

Reference:
Seys, D., Wu, A.W., Gerven, E.V., et al. (2013) Health Care Professionals as Second Victims After Adverse Events. Evaluation & the Health Professions, 36(2):135-162.
Scott, S.D., Hirschinger, L.E., Cox,K.R., et al. (2009) The natural history of recovery for the healthcare provider-second victim- after adverse patient. Qual Saf Health Care,18:325–330.

NA

NA

NA

NA

NA

NA

NA

NA

NA

Doctors, nurses and allied health staff of NTEC hospitals will be invited to participate in the survey study.

For the interview study, interviewee are NTEC healthcare providers (doctors, nurses and allied health workers) who have experienced clinical incident.

Participation is on voluntary basis.

Clinical staff who are not willing to participate

18

999

Both Male and Female

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Other

A. survey; B. Interview

It is hoped that the study can lead to better understanding of the impact of clinical incident on healthcare providers. Their experience and coping strategies may improve the support and prevention of future second victims.

No