coping with a terrible error by simon carley
TRANSCRIPT
![Page 1: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/1.jpg)
a terrible errorSimon Carley
![Page 2: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/2.jpg)
short stay
![Page 3: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/3.jpg)
wants to go home
![Page 4: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/4.jpg)
RETURN return
![Page 5: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/5.jpg)
feel
![Page 6: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/6.jpg)
panic
![Page 7: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/7.jpg)
radiology
![Page 8: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/8.jpg)
path
![Page 9: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/9.jpg)
experts
![Page 10: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/10.jpg)
professional self-image
![Page 11: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/11.jpg)
personal
![Page 12: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/12.jpg)
clinical
![Page 14: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/14.jpg)
![Page 15: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/15.jpg)
![Page 16: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/16.jpg)
second victims
![Page 17: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/17.jpg)
Medical Error: the second Victim A. Wu. BMJ 2000
Second victims are healthcare providers who are involved in an unanticipated adverse patient event, in a medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by the event.
Frequently, these individuals feel personally responsible for the patient outcome. Many feel as though they have failed the patient, second guessing their clinical skills and knowledge base.
![Page 18: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/18.jpg)
Medical Error: the second Victim A. Wu. BMJ 2000
Second victims are healthcare providers who are involved in an unanticipated adverse patient event, in a medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by the event.
Frequently, these individuals feel personally responsible for the patient outcome. Many feel as though they have failed the patient, second guessing their clinical skills and knowledge base.
![Page 19: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/19.jpg)
predictable course for second victims.
![Page 20: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/20.jpg)
Chaos chaos
![Page 21: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/21.jpg)
shame denial
embarrassment
![Page 22: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/22.jpg)
flashbacks triggers
![Page 23: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/23.jpg)
restoring personal integrity
![Page 24: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/24.jpg)
obtaining emotional first aid
![Page 25: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/25.jpg)
enduring the inquisition
![Page 26: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/26.jpg)
Williams 1999
![Page 27: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/27.jpg)
![Page 28: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/28.jpg)
are we helpless?
![Page 29: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/29.jpg)
what works?
![Page 30: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/30.jpg)
resilience
![Page 31: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/31.jpg)
![Page 32: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/32.jpg)
It is not the stress… it is the state of mind,
that matters when one is stressed
Hans Selye
![Page 34: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/34.jpg)
![Page 35: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/35.jpg)
Personal Organisational Culture
![Page 36: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/36.jpg)
what happened?
![Page 37: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/37.jpg)
be aware prepare support
![Page 38: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/38.jpg)
Be Kind
![Page 39: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/39.jpg)
thank you
![Page 40: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/40.jpg)
![Page 41: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/41.jpg)
![Page 42: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/42.jpg)
Why bother?
![Page 43: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/43.jpg)
Enduring the inquisition
The inquisition
GMC
HIPAA
Families
Coroner
![Page 44: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/44.jpg)
ED days
![Page 45: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/45.jpg)
In no relationship is the physician
more often derelict than in
his duty to himself (herself).
![Page 46: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/46.jpg)
monitor incidents contact supervisors
Mentors Parallel support for second victims
Other things - develop emotional understanding
Schwartz rounds - build emotional and psychological understanding of how people
feel not just what happens.Orga
nisa
tions
![Page 47: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/47.jpg)
UnderstandingofselfandselfmasteryInteractionswithothersandwiderworldMeaningbeyondself-values-goals-focus
Positiveapproach-perspectivePersonalgrowthCareofhealth
Learningfromovercomingchallenges
understanding self social interactions
meaning beyond self health
learning from error
![Page 48: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/48.jpg)
Orga
nisa
tions Contact clinical staff
Reaffirm your confidence Give time and space
Keep informed Let them know you care
Be visible to all staff members.Teach resilience
Guide don’t dictate
![Page 49: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/49.jpg)
Clinicians get harmed tooYou may become a second victim
You will certainly meet second victimsThere is a predictable course to recovery
You can personally prepareYou can organisationally prepare
You can personally supportYou can organisationally support
![Page 50: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/50.jpg)
FOR SUFFERERS
Be honestDon’t rationalise
Ask for help Prepare
![Page 51: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/51.jpg)
Personal impact Professional impact
![Page 52: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/52.jpg)
Serious event
Chaos
Intrusive reflections
Restoring personal integrity
Enduring the inquisition
Obtaining emotional first aid
Moving on
Dropping out
Surviving
Thriving
![Page 53: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/53.jpg)
“a health care provider involved in an unanticipated adverse patient event, medical error and/or a patient related-injury who
become victimised in the sense that the provider is traumatised by the event.
![Page 54: Coping with a Terrible Error by Simon Carley](https://reader031.vdocuments.net/reader031/viewer/2022021922/58ed57911a28ab040c8b45db/html5/thumbnails/54.jpg)
“a health care provider involved in an unanticipated adverse patient event, medical error and/or a patient related-injury who
become victimised in the sense that the provider is traumatised by the event.
Frequently, second victims feel personally responsible for the unexpected patient outcomes and feel as though they have failed their patient, and feel doubts about their clinical skills
and knowledge base.”