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Dr. Khalid Abulmajd
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In 1994, when I was an anesthesia intern, a bride and groom were admitted to the operating theater after a sudden road traffic accident during their celebration while they were going home. The attending consultant (my professor) tried his best to save them, but the bride passed away 15 minutes after arrival.
He turned to me and said that he had to leave and asked me to cover the service for the rest of the duty and call another consultant in case of need. I thought that he was escaping from the work.
In 2002, when I was dealing with a case of sudden cardiac arrest, the case was 19 years 19-year-old female who had undergone a tonsillectomy procedure. I breathed a sigh of relief when the case was revived after an effective Cardio-Pulmonary Resuscitation (CPR), all vital signs became within the acceptable range in addition to spontaneous regular breathing. I met the patient’s family and reassured them.
An hour later, the monitor declared an alarm with a flat ECG, and the patient passed away despite the continuous attempts of CPR.
I was so distracted, I couldn’t meet the family again, and I told my colleagues to take charge.
After that, I said what I had been told 8 years back by my professor; I have to leave, please cover me.
Over the years, I’ve never forgotten that case or the events of that day. Now, 16 years later, however, I changed my career, and it still haunts me.
I began to find answers to many questions: why medical errors occur, why our patients are not satisfied, why we all suffer, and why a significant amount of resources are utilized to achieve a minimal outcome.
The answer to all those questions is that ” Every system is perfectly designed to get the results it gets”. Upon reviewing our collective work, I realized that we are focusing on individual tasks rather than the overall system.
Treating diseased people is the main core of healthcare, but treating diseased healthcare systems is a priority.
Second Victims are “healthcare providers who are involved in an unanticipated adverse patient event, medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by the event.”
Second Victim is referring to the impact on the healthcare providers involved in a negative patient outcome- especially when there has been an error or the provider feels responsibility for the outcome. These events may cause the provider to feel guilty, fearful, frustrated, anxious, depressed, demoralized and even suicidal