Danger Zone
Caring for the Caregiver: Moving Beyond the Finger Pointing After an Adverse Event

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Susan Paparella, Member, Bux-Mont Chapter, is Vice President at the Institute for Safe Medication Practices (ISMP*

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    Experienced colleagues who can help process negative experiences and stressors are crucial to future satisfaction and reduction of clinician burnout.215 Yet much of the literature in medicine notes that in the immediate aftermath of error, clinicians frequently feel isolated and receive unsupportive, judgmental reactions from peers and superiors.216 Negative reactions of colleagues often prevent people from coming forward when they need help most.

  • Nurses' experiences with errors in nursing

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    Recently, Bodenbeimer and Sinsky (2014) proposed an additional fourth goal to the “Triple Aim” approach to health care introduced by Berwick, Nolan and Whittington, (2008) that focuses on improving the work life of all health care providers. Finally, the number of individuals affected is also unknown because the means to accurately identify the number of nurses who incur significant suffering from medical errors does not currently exist (Hall & Scott, 2012; Paparella, 2011). The only participants who experienced little distress following errors and who reported them matter-of-fact without expecting negative repercussions were those who had made errors that were the focus of a tracking initiative on their units related to nurse sensitive indicators (NSIs).

  • The Second Victim of Adverse Health Care Events

    2012, Nursing Clinics of North America
    Citation Excerpt :

    The impact of such events on nurses is variable, with instances that are greatly disturbing to one nurse not necessarily being stressful to another.17 Current knowledge does not allow us to accurately estimate the percentage of health care errors that result in significant suffering by the involved health care provider, although such descriptions by nurses and other providers are common.9,18 Events that are emotionally distressing to health care providers make them feel personally responsible for the unexpected outcomes and as if they have failed their patients.8

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Susan Paparella, Member, Bux-Mont Chapter, is Vice President at the Institute for Safe Medication Practices (ISMP*), Horsham, PA, and a member of the Advisory Committee for the Institute for Quality, Safety, and Injury Prevention.

Earn Up to 9 CE Hours. See page 301.

Section Editor: Susan Paparella, RN, MSN

Submissions to this column are encouraged and may be sent to

Susan Paparella, RN, MSN

[email protected]

*

ISMP is a nonprofit organization that works closely with health care practitioners, consumers, hospitals, regulatory agencies, and professional organizations to educate caregivers about preventing medication errors. ISMP is the premier international resource on safe medication practices in health care institutions. If you would like to report medication errors to help others, E-mail us at: [email protected] or call (800)FAIL-SAF(e). This Medication Error Reporting Program keeps information confidential and secure. We will include only the level of detail that the reporter wishes in our publications.

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