Ver el código de «Second victim»

==Background==
*Second victims are healthcare providers in the midst of a medical mistake or error and become victimized because of their role. 

* University of Missouri Health canter found almost 1in 7 staff reported experiencing a patient safety event resulting in personal disturbed emotions.<ref>Scott SD. The "second victim" phenomenon: a harsh reality of health care professions. AHRQ; WebM&M Perspectives on Safety; May 2011.</ref>

==Clinical Features==
*Immediate.
**Stress related psychological and physical reactions:
***Sadness, Fear, shame and anger
***Panicking, horrified and apprehensive.
***Sympathomimetic reaction with tachypnea, tachycardia, elevated blood pressure and difficulty concentrating.
***Lonliness and fear of being called names and losing job.
*Subsequent.
**Fear of returning to work.
***Loss of confidence.
***Self doubt, remorse.
***Hypervigilence, second guessing everything.
*Ongoing till resolved.
**Characteristics of PTSD (inability to process the feeling of fear, sadness, guilt and shame).
** Resulting in:
***Insomnia, flashbacks and thoughts of suicide.
***Damaged self perception.
***Loss of self security.

==Differential Diagnosis==

==Evaluation==

==Management==

==Disposition==

==See Also==

==External Links==

==Category==

==References==
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