Clinical Scenarios with High Risk for Second Victim Response

There are many different types of clinical events which can evoke a second victim response. Examples of high risk situations that may induce a stress response include the following:
 Unanticipated clinical event involving a pediatric patient
 Unexpected patient death
 Preventable harm to patient
 Multiple patients with bad outcomes within a short period of time within one clinical area
 Patient who ‘connects’ to health care professional’s own family
 Long term care relationship with patient death
 Clinician experiencing his or her first patient death
 Failure to detect patient deterioration in timely manner
 Death in a young adult patient
 Notification of pending litigation plans
 Community high-profile patient/event
 Health care professional who experienced needle stick exposure with high-risk patient
 Death of a staff member or spouse of a staff member

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