Author:
Pacutova Veronika,Geckova Andrea Madarasova,de Winter Andrea F.,Reijneveld Sijmen A.
Abstract
Abstract
Background
The COVID-19 pandemic endangered the quality of health care and the safety of patients and health care workers (HCWs). This provided challenges for HCWs’ resilience and for hospital management and probably increased risks for patient safety incidents (PSI). HCWs may also have experienced psychological consequences as second victims of PSI, but evidence on this is lacking. Therefore, we mapped HCWs’ experiences with PSI during the second wave of COVID-19, the associations of these experiences with the hospital management of patient safety culture and HCWs’ interests in receiving further training.
Methods
We obtained data from 193 HCWs working at the COVID-related departments of one large hospital in eastern Slovakia via a questionnaire developed in direct collaboration with them. We measured PSI experiences as various HCWs’ experiences with near miss and adverse events and the hospital management of patient safety culture using indicators such as risk of recurrence, open disclosure and second victim experiences. For analysis, we used logistic regression models adjusted for age and gender of the HCWs.
Results
One-third of the hospital HCWs had experienced PSI; these were more likely to expect adverse events to recur (odds ratio, OR = 2.7–3.5). Regarding the hospital management of patient safety culture, the HCWs’ experiencing openly disclosed PSI was associated with one negative outcome, i.e. conflicts among colleagues (OR = 2.8), and one positive outcome, i.e. patients’ acceptance of their explanation and apologies (OR = 2.3). We found no associations for any other essential domains after disclosure. PSI experiences were strongly associated with psychological indicators of second victimhood, such as sadness, irritability, anxiety and depression (OR = 2.2–4.3), while providing support was not. The majority of the HCWs would like to participate in the suggested trainings (83.4%).
Conclusion
HCWs with PSI experiences reported poor hospital management of the patient safety culture, which might reflect they missed the opportunities to strengthen their resilience, especially during the COVID-19 pandemic.
Publisher
Springer Science and Business Media LLC
Reference51 articles.
1. Pacutova V, Madarasova Geckova A, Kizek P, de Winter AF, Reijneveld SA. The impact of pandemic management on the quality of life of slovak dentists. Int J Environ Res Public Health. 2021;18(10):5484.
2. Pacutova V, Madarasova Geckova A, Majernikova SM, Kizek P, de Winter AF, Reijneveld SA. Job leaving intentions of dentists associated with COVID–19 risk, impact of pandemic management, and personal coping resources. Int J Public Health. 2022;67:1604466.
3. Pacutova V, Madarasova Geckova A, Kizek P, Novotny M, de Winter AF, Reijneveld SA. Psychological responses of health care workers are strongly associated with pandemic management. Front Psychol. 2022;13:902673.
4. Pacutova V, Madarasova Geckova A, Kizek P, Majernikova SM, de Winter AF, Reijneveld SA. Pandemic management impacts slovak health care workers’ quality of life during the second wave of the COVID–19 pandemic. PLoS ONE 2023. “Forthcoming”.
5. What is a patient safety incident?. Clinical excellence commission open disclosure handbook – Chap. 2. Available online: https://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0018/259011/what_is_a_patient_safety_incident.pdf (accessed 20.1.2023).