title: [Proposals for the study of the second victim phenomenon in Spanish Primary Care Centres and Hospitals].
abstract: OBJECTIVE
  To identify the Spanish studies conducted since 2014 on second victims. Its main objective was to identify a global response to the second victim problem, assessing the impact of adverse events (AE) on caregivers and developing of a set of tools to reduce their impact.
  
  
  METHODS
  Descriptive studies in which a sample of managers and safety coordinators from Hospitals and Primary Care were surveyed to determine the activities being carried out as regards second victims, as well as a sample of health professionals to describe their experience as a second victims. Qualitative studies are included to design a guide of recommended actions following an AE, an online awareness program on this phenomenon, an application (app) with activities on safety that are the responsibility of the managers, and a web tool for the analysis of AEs.
  
  
  RESULTS
  A total of 1,493 professionals (managers, safety coordinators and caregivers) from eight Spanish regions participated. The guide of recommendations, the online program, and the developed applications are accessible on the website: www.segundasvictimas.es, which has received more than 2,500 visits in one year.
  
  
  CONCLUSIONS
  Study results represent a starting point in the study of the second victim phenomenon in Spain. The tools developed raise the awareness of the medical healthcare community about this problem, and provide professionals with basic skills to manage the impact of AEs.
authors.affiliation: Universidad Miguel Hernández, Elche, Alicante, España. Electronic address: icarrillo@umh.es.
authors.forename: I
authors.initials: I
authors.lastname: Carrillo
authors.affiliation: Càtedra de Direcció, Gestió i Administració, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: L
authors.initials: L
authors.lastname: Ferrús
authors.affiliation: Servicio Navarro de Salud - Osasunbidea, Pamplona, Navarra, España.
authors.forename: C
authors.initials: C
authors.lastname: Silvestre
authors.affiliation: Observatorio para la Seguridad del Paciente, Agencia de Calidad Sanitaria de Andalucía, Sevilla, España.
authors.forename: P
authors.initials: P
authors.lastname: Pérez-Pérez
authors.affiliation: Área de Salud Talavera de la Reina, Servicio de Salud de Castilla-La Mancha (SESCAM), Toledo, España.
authors.forename: M L
authors.initials: ML
authors.lastname: Torijano
authors.affiliation: Área de Salud Talavera de la Reina, Servicio de Salud de Castilla-La Mancha (SESCAM), Toledo, España.
authors.forename: F
authors.initials: F
authors.lastname: Iglesias-Alonso
authors.affiliation: Centro de Salud Caspe, Sector Alcañiz, Servicio Aragonés de Salud (SALUD), Zaragoza, España.
authors.forename: P
authors.initials: P
authors.lastname: Astier
authors.affiliation: Servicio Madrileño de Salud, Madrid, España.
authors.forename: G
authors.initials: G
authors.lastname: Olivera
authors.affiliation: Gerencia de Atención Primaria de Salamanca, Gerencia Regional de Salud de Castilla y León (SACYL), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Maderuelo-Fernández
mesh_terms: D000059:Accidents / Q000523:psychology*; D017408:Guidelines as Topic; D006282:Health Personnel / Q000523:psychology*; D006302:Health Services Research / Q000941:ethics / Q000458:organization & administration*; D006801:Humans; D020407:Internet; D019300:Medical Errors / Q000523:psychology*; D063731:Mobile Applications; D061214:Patient Safety; D010564:Personnel, Hospital / Q000523:psychology; D011320:Primary Health Care; D013030:Spain; D013315:Stress, Psychological / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: Adverse events; Atención primaria; Errores médicos; Eventos adversos; Healthcare providers; Hospital; Hospitales; Medical errors; Patient safety; Primary care; Profesionales sanitarios; Seguridad del paciente