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Deployment of a Second Victim Peer Support Program: A Replication Study.

Jenna Merandi1, Nancy Liao1, Dorcas Lewe1

  • 1Nationwide Children's Hospital, Columbus, Ohio; The Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, Ohio; Quality Improvement Services, Nationwide Children's Hospital, Columbus, Ohio; Patient Care Services, Nationwide Children's Hospital, Columbus, Ohio; University of Missouri Health Care, Columbia, Mo.

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Healthcare providers experiencing distress after medical errors, known as the second victim phenomenon, can be supported by peer programs. The "YOU Matter" program at Nationwide Children's Hospital improved staff well-being and return-to-work metrics.

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Occupational Health

Background:

  • The second victim phenomenon describes healthcare providers' distress following medical errors.
  • This distress includes burnout, compassion dissatisfaction, and psychological issues like anxiety and depression.
  • Many institutions lack systematic support for affected healthcare professionals.

Purpose of the Study:

  • To implement and evaluate an institution-wide peer support program for second victims.
  • To adapt and deploy the University of Missouri Health Care's "forYOU" Team model at Nationwide Children's Hospital (NCH).
  • To assess the program's implementation, management, and sustainability over two years.

Main Methods:

  • Emulated the "forYOU" Team framework for a hospital-wide peer support program.
  • Adapted program structure for NCH, incorporating electronic peer support reporting.
  • Monitored program implementation, management, and sustainment for 24 months.

Main Results:

  • Successfully deployed an institution-wide second victim support program,
  • Documented 232 peer and 21 group encounters since program initiation.
  • High-risk areas included ED, PICU, CTICU, and pharmacy; RNs and LPNs comprised 32% of encounters.
  • Supported staff reported improved emotional states and return-to-work metrics.

Conclusions:

  • Implementing peer support programs enhances staff psychological safety and patient safety culture.
  • "YOU Matter" at NCH validates the "forYOU" Team model's effectiveness.
  • The program's success demonstrates generalizability to other healthcare institutions.