Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study.

Area of Science:

• Healthcare Management
• Occupational Health
• Psychology

Background:

• Second victims are healthcare workers experiencing emotional distress after patient adverse events.
• Organizational support programs are crucial for these affected staff.
• The Resilience In Stressful Events (RISE) program was developed at Johns Hopkins Hospital to offer this support.

Purpose of the Study:

• To detail the development of the RISE program.
• To evaluate the initial feasibility and subsequent implementation of RISE.
• To assess the program's effectiveness in supporting healthcare workers.

Main Methods:

• A mixed-methods approach was employed, utilizing frequency counts, staff surveys, and peer responder evaluations.
• Descriptive statistics summarized demographic data and response proportions.
• Qualitative analysis of open-ended responses from questionnaires and focus groups provided in-depth insights.

Main Results:

• A baseline survey revealed most staff experienced adverse events and preferred peer support.
• The RISE program received 119 calls in 52 months, primarily from nurses, with 88% of encounters deemed successful.
• Low program awareness was a barrier, though call volume increased over time, and the program adapted to include group support.

Conclusions:

• Hospital staff recognized the need for a multidisciplinary peer support program for second victims.
• Peer responders reported successful interventions for adverse events, not solely medical errors.
• Promoting awareness of emotional support's value and program availability is essential for expansion.