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Table 2 Description of HCWs experiences of PSI and of hospital management of the patient safety culture

From: Opportunities to strengthen resilience of health care workers regarding patient safety

Variables

N (%)

PSI experience

 

Saw/heard about near misses or AEs at their department/hospital in the last year

64(33.2)

Hospital management of patient safety culture

 

• Risk of recurrence

 

Expectation of next AE at department in the next 12 months1

79(41.8)

Expectation of next AE at hospital in the next 12 months1

107(56.0)

• Open disclosure experience

 

Institutional response

 

Reporting and root-cause analysis2

36(18.7)

Informing and apologising to patient2

35(18.1)

Conflicts among the colleagues2

25(13.0)

Losing reputation2

12( 6.2)

Offering institutional support2

12( 6.2)

Buddy support (by colleagues)2

56(29.0)

Patient response

 

Accepting explanation and apology2

36(18.7)

Reject the apology and respond aggressively2

14( 7.3)

Patient filed a formal complaint2

7( 3.6)

Patient-HCW relation worsens2

20(10.4)

• Second victim experience

 

Sadness3

31(16.1)

Irritability3

40(20.7)

Anxiety3

29(15.0)

Suicidal ideation3

14( 7.3)

Depression4

72(37.3)

 Mild (5–9)

43(22.8)

 Moderate (10–14)

11( 5.8)

 Moderate severe (15–19)

12( 6.3)

 Severe (20–27)

6( 3.2)

• Promotion of training

 

How to communicate an PSI5

134(69.4)

How to handle an uncooperative or aggressive patient5

161(83.4)

How to inform patient or family about AEs5

135(69.9)

How could HCWs better cope with aftermath of AEs5

155(80.3)

  1. 1 very likely/somewhat likely; 2 always/almost always; 3 one or more days; 4 PHQ-9 score (overall); 5 yes