Content Index

Key concepts

Unsafe care – scale and nature of the problem

Patient Safety as a priority

Organisational accident model and factors that influence clinical practice

The victims of patient safety incidents

A practical example – Amelia’s case

Open disclosure

Avoiding litigation

Patients for Patient Safety

Just culture

Reporting culture

Speaking up

Strategies to improve speak-up

Barriers and gaps

Recommendations for detailed analysis of the incident

Recommendations for open disclosure 

Protecting the reputation of health professionals and the organization

A practical example: Do’s in case of an adverse event

What is a second victim?

Magnitude of the problem

Second victims’ symptoms and needs

Caring for the second victims

ERNST Consortium study

Peer Support Program Implementation Guide

Communication and Optimal Resolution (CANDOR)

Peer Support Toolkit

Second Victims Research Project

Second Victims in Healthcare