GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Hospital and primary care of the Spanish Health System. However, this guideline could be useful for other health organisation in Europe.


Professional learning program on quality and safety

GOP Description
Implementation level
Clinical settings
Hospitals and Primary Care Centres
To present a set of recommendations for supporting health professionals involved directly or indirectly in AEs and who suffer emotionally as a consequence of it
To awareness health professionals about the second victim phenomenon and provide them with tools to support effectively a partner become a second victim after an AE
Managers and patient safety coordinators of hospitals, primary care, health districts. Health authorities of the Health Ministry and the autonomous health services in Spain.
Physicians, Nurses and other health care professionals.
However, this guideline could be useful for other health organisation in Europe.
Qualitative and quantitative research to identify and describe the gaps and barriers for being aware of the second victims phenomenon and to design intervention to reduce the impact of adverse event on health care professionals.
A guideline design following AGREE to introduce evidence-base-interventions in hospitals and primary care for supporting healthcare professionals who also have a negative emotional response as a consequence of the occurrence of an adverse event.
Healthcare institutions should identify the best way to introduce these recommendations in their organisations.
An online training program including theoretical and practical aspect of the second victims’ phenomenon supports this guideline. The practical focus includes video showing bad and good behaviours for supporting second victims.
Timeframe implementation
We have needed 12 months to designed and validate the guideline. Six months are estimated to introduce this guideline in a hospital.
Implementation tools available
This guideline includes recommendations, checklist and algorithms’ decision describing how to introduce support intervention for second victims in hospitals and primary care.
The training program is accessible on http://www.segundasvictimas.es/acceso.php and is free.
Implementation cost
A total of 41,200 euros.
Method used to measure the results
A questionnaire was used to identify what is happened in hospitals and primary care. The guideline has been assessed by 45 managers from hospitals and primary care through a specify scale considering ease, feasibility and utility.
Assessment findings of the guideline (scale 0 to 10): Ease 8.8, feasibility 7.3 and utility 8.8 (scores expressed in terms of means).
Because the recommended actions included in the guidelines are novel, there are more doubts about the actual ability to implement them than about their effectiveness.
Analysis of the results
All participants in this evaluation considerer this guideline is needed and pertinent and they have a positive expectation about its impact on healthcare organisations.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
There is no specified text here
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
Other information about the GOP that you would like to add (Link or attached document)
The most important barrier to introduce these interventions is related to the lack of awareness of many managers and professionals about this phenomenon. However, they only need some minutes to understand the problem because they have seen before in colleagues the same emotional symptoms that are described in the training program.
20150928012748327_661_GOP_Art. SV.pdf