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Surgeons Struggle When Patients Suffer From Complications

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Surgeons Struggle When Patients Suffer From Complications
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The term 'second victim syndrome' describes the emotional and psychological impact healthcare workers may experience after medical errors or complications.

The term "second victim syndrome" has been used to describe clinician trauma after medical complications. About half of clinicians experience "second victim" feelings at least once in their careers.

“Things went poorly for this newborn with a complex congenital anomaly, and I felt entirely responsible due to my decision,” says Steven Stylianos, professor and chief of the division of pediatric surgery and surgeon-in-chief of the Bristol-Myers Squibb Children’s Hospital, in an interview with . Despite the tragic outcome, he remained personally involved in the infant’s care, speaking with the parents daily until the baby passed away.

, a book that estimated as many as 98,000 preventable patient deaths each year in the United States due to medical errors. to highlight the lasting effects of medical complications on healthcare professionals. He explains that the term “second victim” reflected his belief that health workers can be “injured by the very same flaws in the healthcare system that cause patient harm.

”The term SVS is used to describe the physical, psychological, and emotional impacts experienced by clinicians following their role in medical complications. While patients are recognized as the first victims in a medical complication, the concept of SVS acknowledges the suffering of healthcare providers, marked byincluding over 27,000 surgeons revealed that burnout was associated with a 2.5-fold increased risk of medical error, furthering the cycle of pain and trauma.shows that 50% of healthcare professionals will experience"second victim" feelings at least once in their careers following involvement in an adverse event.

This tends to be especially pronounced among surgeons, like Stylianos, whose roles carry higher levels of risk,, and complexity. A 2024 study also revealed that, in the aftermath of a surgical error, some surgeons resort to maladaptive coping mechanisms, with Furthermore, the weight of a complication can be exacerbated by an internalized belief among surgeons that the error was entirely their fault.

This sense of personal responsibility is often reified within healthcare systems, where such accidents are frequently met with investigations, punishments, or judgments of incompetence. As a result, second victims who suffer in silence often experience a steady decline in job satisfaction, questioning their abilities even to the point of stepping down or quitting medicine entirely.

Wu’s work in describing the term SVS as a potential issue among healthcare professionals helped recognize the systemic factors that may contribute to medical errors or complications. Recent discussion around SVS is geared toward shifting the blame away from individual clinicians, while also working to reverse the deeply ingrained culture ofWhile these emotions can be substantial, for surgeons and others, it is important to address them soon after an adverse event to facilitate better outcomes for healthcare professionals.

Stylianos states, “The most important act to begin healing right after a serious adverse event is speaking with a peer and venting emotions to someone who understands the visceral feelings, someone who is non-judgmental, supportive. ”Peer support has emerged as one of the most effective interventions for helping second victims to cope. In one assessment of a surgery-specific peer support program,at the University of Missouri, led by Susan Scott, a nurse and professor.

The team offers a confidential peer support network that has gained widespread recognition and is implemented by many national healthcare institutions. The Scott Three-Tiered Interventional Model of Second Victim Support outlines a structured progression of care; beginning with departmental mentoring, followed by peer support experts, and concluding with professional counseling. The intervention functions to provide immediate peer guidance by trained colleagues, both within and outside of a clinician’s specific medical unit.

Wu underscores the benefits of such initiatives, suggesting that “through shared understanding, respect, and mutual empowerment, peer support helps people become and stay engaged in the healing process. ”The Best Ways to Begin AgainSelf Tests are all about you. Are you outgoing or introverted? Are you a narcissist?

Does perfectionism hold you back? Find out the answers to these questions and more with Psychology Today.

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