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Son Yıl Tıp Öğrencilerinde İkincil Mağdur Deneyimi: Kesitsel Bir Çalışma

Yıl 2023, Cilt: 76 Sayı: 3, 189 - 194, 24.10.2023

Öz

Amaç: Hasta güvenliği olayları ve tıbbi hatalar, tıp kariyeri boyunca kaçınılmaz bileşenlerdir. Son çalışmalar, tıp öğrencilerinin de hasta güvenliği olayları yaşayabileceğini öne sürmektedir. Bu çalışmanın amacı, tıp fakültesi son sınıf öğrencilerinde ikincil mağdur deneyimi yaygınlığının araştırılmasıdır.

Gereç ve Yöntem: Bu kesitsel çalışma, Ankara Üniversitesi Tıp Fakültesi’nde Ocak-Mayıs 2023 tarihleri arasında gerçekleştirildi. Çalışmaya son sınıf tıp öğrencileri dahil edildi. Toplam dört kurumla temasa geçildi. Dönem 6 tıp öğrencilerinden Türkçe-ikinci mağdur sendromu deneyim ve destek aracı (T-SVEST) anketini doldurmaları istendi.

Bulgular: Çalışmaya toplam 334 tıp öğrencisi dahil edildi. Katılımcıların %59,6’sı (n=199) bir hasta güvenliği olayı (yaşadığını bildirirken, %40,4’ü (n=135) bir hasta güvenliği olayı yaşamadığını bildirdi. Hasta güvenliği olayına dahil olan katılımcılar arasında yalnızca %28,8’i olaydan çok veya aşırı derecede etkilendiğini ifade etti, sırasıyla %21,1 ve %7,6; %32,1 (n=64) olaydan orta derecede etkilendiğini hissederken, %15,1 (n=30) olaydan hiç etkilenmediğini belirtti; ortalama skor 2,93 [standart sapma (SS): 1,13] idi. Tıp öğrencilerinin en çok hasta güvenlik olay yaşadığı bölüm acil servis olup, bunu genel cerrahi, dahiliye ve pediatri bölümleri izlemiştir. Örnek büyüklüğü için T-SVEST için ortalama puan 2,84’tür (SS=0,63).

Sonuç: Tıp öğrencileri arasındaki ikincil mağdur deneyimi araştırılmamış bir konudur. Bu nedenle tıp eğitimi, bunu önlemek için öğrencilerde bu fenomen hakkında farkındalık yaratmaya zaman ayırmalıdır.

Anahtar Kelimeler: Hasta Güvenlik Olayı, İkincil Mağdur, Tıp Öğrencileri

Etik Beyan

The study complied with the Declaration of Helsinki and was approved by the Institutional Review Board of Ankara University Faculty of Medicine, Ethical Committee (IRB no: I02-96-23, date: 02.03.2023).

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

  • 1. Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139.
  • 2. Institute of Medicine (US) Committee on Quality of Health Care in America. To Err is Human: Building a Safer Health System. Kohn LT, Corrigan JM, Donaldson MS, editors. Washington (DC): National Academies Press (US).; 2000.
  • 3. Amaniyan S, Faldaas BO, Logan PA, et al. Learning from Patient Safety Incidents in the Emergency Department: A Systematic Review. J Emerg Med. 2020;58:234-244.
  • 4. Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320:726-727.
  • 5. Denham, CR. TRUST: The 5 Rights of the Second Victim. Journal of Patient Safety. 2007;3:107-119.
  • 6. Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42:377-386.
  • 7. Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis. J Patient Saf. 2020;16:e61-e74.
  • 8. Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: Validation of an Organizational Resource for Assessing Second Victim Effects and the Quality of Support Resources. J Patient Saf. 2017;13:93-102.
  • 9. Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016;316:2214-2236.
  • 10. Ozeke O, Ozeke V, Coskun O, et al. Second victims in health care: current perspectives. Adv Med Educ Pract. 2019;10:593-603.
  • 11. Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno MF. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43:E1-E5.
  • 12. Koca A, Elhan AH, Genç S, et al. Validation of the Turkish version of the second victim experience and Support Tool (T-SVEST). Heliyon. 2022;8:e10553.
  • 13. Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Patient Saf. 2010;36:233-240.
  • 14. Rinaldi C, Ratti M, Russotto S, et al. Healthcare Students and Medical Residents as Second Victims: A Cross-Sectional Study. Int J Environ Res Public Health. 2022;19:12218.
  • 15. Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and gynaecology: A Second Victim Experience and Support Tool Survey. J Nurs Manag. 2021;29:642-652.
  • 16. Seys D, Wu AW, Van Gerven E, et al. Health care professionals as second victims after adverse events: a systematic review. Eval Health Prof. 2013;36:135-162.
  • 17. Commission, J. Quick safety issue 39: Supporting second victims. 2018. https://www.jointcommission.org/-/media/tjc/documents/newsletters/ quick-safety-issue-39-2017-second-victim-final3rev.pdf

Second Victim Experience in Last Year Medical Students: A Cross-sectional Study

Yıl 2023, Cilt: 76 Sayı: 3, 189 - 194, 24.10.2023

Öz

Objectives: Patient safety incidents and medical errors are inevitable components during the medical career. Recent studies have suggested that medical students may also experience patient safety incidents. The aim of this study is to investigate the prevalence of the second victim experience in last year medical students.

Materials and Methods: This cross-sectional study was conducted at Ankara University Faculty of Medicine, from January to May 2023. Last year medical students were included in the study. A total of four institutions were contacted. Last year medical students were asked to fill the Turkishsecond victim syndrome experience and support tool (T-SVEST) questionnaire.

Results: A total of 334 last year medical students were included in the study. Among the participants, 59.6% (n=199) reported to have experienced a patient safety incident (PSI), while 40.4% (n=135) did not experienced a PSI. Among participants who were involved in a PSI, only 28.8% felt very or extremely affected by the event, respectively 21.1% and 7.6%; 32.1% (n=64) felt moderately affected from the event whereas 15.1% (n=30) did not feel affected by the event at all. The mean score was 2.93 [standard deviation (SD): 1.13]. The most current department where the students experienced a PSI was the emergency department followed by general surgery, internal medicine and pediatric departments. The mean score for the T-SVEST for the sample size was 2.84 (SD=0.63).

Conclusion: Second victim experience among last year medical students remains unexplored. Therefore, medical education should allocate time to raise awareness of this phenomenon among students to prevent it.

Key Words: Medical Students, Patient Safety Incident, Second Victim

Etik Beyan

The study complied with the Declaration of Helsinki and was approved by the Institutional Review Board of Ankara University Faculty of Medicine, Ethical Committee (IRB no: I02-96-23, date: 02.03.2023).

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Kaynakça

  • 1. Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139.
  • 2. Institute of Medicine (US) Committee on Quality of Health Care in America. To Err is Human: Building a Safer Health System. Kohn LT, Corrigan JM, Donaldson MS, editors. Washington (DC): National Academies Press (US).; 2000.
  • 3. Amaniyan S, Faldaas BO, Logan PA, et al. Learning from Patient Safety Incidents in the Emergency Department: A Systematic Review. J Emerg Med. 2020;58:234-244.
  • 4. Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320:726-727.
  • 5. Denham, CR. TRUST: The 5 Rights of the Second Victim. Journal of Patient Safety. 2007;3:107-119.
  • 6. Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42:377-386.
  • 7. Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis. J Patient Saf. 2020;16:e61-e74.
  • 8. Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: Validation of an Organizational Resource for Assessing Second Victim Effects and the Quality of Support Resources. J Patient Saf. 2017;13:93-102.
  • 9. Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016;316:2214-2236.
  • 10. Ozeke O, Ozeke V, Coskun O, et al. Second victims in health care: current perspectives. Adv Med Educ Pract. 2019;10:593-603.
  • 11. Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno MF. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43:E1-E5.
  • 12. Koca A, Elhan AH, Genç S, et al. Validation of the Turkish version of the second victim experience and Support Tool (T-SVEST). Heliyon. 2022;8:e10553.
  • 13. Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Patient Saf. 2010;36:233-240.
  • 14. Rinaldi C, Ratti M, Russotto S, et al. Healthcare Students and Medical Residents as Second Victims: A Cross-Sectional Study. Int J Environ Res Public Health. 2022;19:12218.
  • 15. Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and gynaecology: A Second Victim Experience and Support Tool Survey. J Nurs Manag. 2021;29:642-652.
  • 16. Seys D, Wu AW, Van Gerven E, et al. Health care professionals as second victims after adverse events: a systematic review. Eval Health Prof. 2013;36:135-162.
  • 17. Commission, J. Quick safety issue 39: Supporting second victims. 2018. https://www.jointcommission.org/-/media/tjc/documents/newsletters/ quick-safety-issue-39-2017-second-victim-final3rev.pdf
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp, Anesteziyoloji
Bölüm Makaleler
Yazarlar

Ayça Koca 0000-0002-1546-3150

Proje Numarası -
Yayımlanma Tarihi 24 Ekim 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 76 Sayı: 3

Kaynak Göster

APA Koca, A. (2023). Second Victim Experience in Last Year Medical Students: A Cross-sectional Study. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 76(3), 189-194. https://doi.org/10.4274/atfm.galenos.2023.93823
AMA Koca A. Second Victim Experience in Last Year Medical Students: A Cross-sectional Study. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Ekim 2023;76(3):189-194. doi:10.4274/atfm.galenos.2023.93823
Chicago Koca, Ayça. “Second Victim Experience in Last Year Medical Students: A Cross-Sectional Study”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76, sy. 3 (Ekim 2023): 189-94. https://doi.org/10.4274/atfm.galenos.2023.93823.
EndNote Koca A (01 Ekim 2023) Second Victim Experience in Last Year Medical Students: A Cross-sectional Study. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76 3 189–194.
IEEE A. Koca, “Second Victim Experience in Last Year Medical Students: A Cross-sectional Study”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 76, sy. 3, ss. 189–194, 2023, doi: 10.4274/atfm.galenos.2023.93823.
ISNAD Koca, Ayça. “Second Victim Experience in Last Year Medical Students: A Cross-Sectional Study”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76/3 (Ekim 2023), 189-194. https://doi.org/10.4274/atfm.galenos.2023.93823.
JAMA Koca A. Second Victim Experience in Last Year Medical Students: A Cross-sectional Study. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;76:189–194.
MLA Koca, Ayça. “Second Victim Experience in Last Year Medical Students: A Cross-Sectional Study”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 76, sy. 3, 2023, ss. 189-94, doi:10.4274/atfm.galenos.2023.93823.
Vancouver Koca A. Second Victim Experience in Last Year Medical Students: A Cross-sectional Study. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;76(3):189-94.