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Das Second-Victim-Phänomen – Was anästhesiologisches Fachpersonal darüber wissen sollte

The second victim phenomenon—What personnel in anesthesiology should know about it

  • Qualitätssicherung und Medizinökonomie
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Zusammenfassung

Bei der Behandlung von Patientinnen und Patienten kann es jederzeit zu unerwarteten Zwischenfällen kommen. Diese Zwischenfälle wirken sich nicht nur auf die versorgten Personen aus, sondern auch auf das behandelnde medizinische Personal. Die Beeinträchtigung des medizinischen Personals nach einem solchen Zwischenfall wird als „Second-Victim-Phänomen“ (SVP) bezeichnet. Der Begriff des „Second Victim“ ist noch weitgehend unbekannt, die Wahrscheinlichkeit jedoch sehr hoch, im Laufe der beruflichen Karriere selbst zum Second Victim zu werden. Es bestehen wirksame Möglichkeiten, Second Victims zu unterstützen, z. B. mittels peritraumatischer Peer-Support-Programme, die sowohl positive soziale als auch ökonomische Effekte mit sich bringen. Die Unterstützung von Second Victims kommt nicht nur den Betroffenen selbst, sondern auch zukünftigen Patientinnen und Patienten und letztlich dem gesamten Gesundheitswesen zugute.

Abstract

Adverse events can occur at any time during medical treatment of patients. These adverse events not only negatively impact patients but also the medical personnel involved. The impairment of medical personnel after an adverse event is known as the second victim phenomenon (SVP). Although the concept of second victims is relatively unknown, the chances to become a second victim during the course of one’s professional carrier are high. Effective measures to support second victims are peer support programs within medical institutions, which also benefit economically from the implementation of these programs. Supporting second victims is also beneficial to future patients and finally healthcare systems as a whole.

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Authors and Affiliations

  1. Wiesbaden Institute for Healthcare Economics and Patient Safety (WiHelP), Wiesbaden Business School, Hochschule RheinMain, Bleichstr. 3, 65183, Wiesbaden, Deutschland

    V. Klemm, H. Rösner &  R. Strametz

  2. Notfallmedizinisches Trainingszentrum in Singen (NOTIS e. V.), Engen, Deutschland

    S. Bushuven

  3. Institut für Krankenhaushygiene und Infektionsprävention, Hegau-Jugendwerk Gailingen, Gesundheitsverbund Landkreis Konstanz, Konstanz, Deutschland

    S. Bushuven

Authors
  1. V. Klemm
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  2. H. Rösner
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  3. S. Bushuven
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  4. R. Strametz
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Corresponding author

Correspondence to R. Strametz.

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Interessenkonflikt

R. Strametz ist stellvertretender Vorsitzender des European Researchers’ Network Working on Second Victims (EU COST Action 19113) und erhält von der EU für internationale Vernetzungstreffen Reisekostenerstattungen. V. Klemm, H. Rösner und S. Bushuven geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Klemm, V., Rösner, H., Bushuven, S. et al. Das Second-Victim-Phänomen – Was anästhesiologisches Fachpersonal darüber wissen sollte. Anaesthesiologie 72, 803–808 (2023). https://doi.org/10.1007/s00101-023-01337-6

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  • DOI: https://doi.org/10.1007/s00101-023-01337-6

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