Content Index

A vicious cycle

Second victims in Europe

Healthcare workers as second victims

Recommendations

Psychological safety for the staff

The importance of a safety culture

Patients’ needs

Patient Safety and quality of care

From a blame culture to a systems approach

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?