POSTER ID EP.1828

 

Title

Surgical complications and their implications for obstetrician and gynecologist as second victim

Objective:
 This study aims to explore the psychological, professional, and systemic implications of surgical complications on obstetricians and gynecologists (OB-GYNs), specifically focusing on the concept of "second victims." It seeks to understand the emotional distress and professional repercussions OB-GYNs face following surgical complications and evaluate the effectiveness of institutional support systems in mitigating these effects.

 

Study Design:
 A cross-sectional survey was conducted over one year, targeting OB-GYNs with varying years of experience. The study population included surgeons who had experienced at least one significant surgical complication within the past year. Key outcomes assessed included measures of psychological distress (e.g., anxiety, depression, burnout), professional repercussions (e.g., litigation fears, altered clinical confidence), and the effectiveness of support systems.

Methods:
 This mixed-methods study utilized quantitative surveys and qualitative interviews to assess the experiences of OB-GYNs who encountered surgical complications. A structured questionnaire was distributed to a random sample of OB-GYNs practicing in tertiary care centers and private hospitals. Semi-structured interviews were conducted with a subset of participants to gain deeper insights into their emotional responses, coping mechanisms, and perceptions of institutional support. Data were analyzed using thematic analysis for qualitative data and statistical tools for quantitative findings.

 

Results:
The study included 150 OB-GYNs, with 65% reporting significant psychological distress following a surgical complication. Among these, 70% experienced guilt, 60% reported self-doubt, and 55% noted fear. Professional consequences included 40% hesitancy in future surgical decision-making, 30% reduced confidence, and 25% fear of litigation. Participants who accessed peer counseling reported a 45% reduction in anxiety levels. However, 60% of respondents noted a lack of adequate institutional support, and 75% perceived a pervasive culture of stigma surrounding the discussion of surgical errors.

Conclusion:
 Surgical complications profoundly affect OB-GYNs, positioning them as "second victims" of adverse events. Addressing this issue requires a multifaceted approach, including enhancing institutional support, reducing stigma, and fostering resilience. By prioritizing the well-being of healthcare providers, we can not only improve their quality of life and enhance patient safety and clinical outcomes.

 

 

 

 

Categories

Quality improvement

 

Authors and affiliations

 

Dr Yasmeen Akhtar Haseeb (Presenting) dryasmeenhaseeb@yahoo.com

Salmaniya Medical complex Ministry of Health, Manama, Bahrain

Arabian Gulf University, Manama, Bahrain