<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-4157</journal-id>
<journal-title><![CDATA[Biomédica]]></journal-title>
<abbrev-journal-title><![CDATA[Biomed.]]></abbrev-journal-title>
<issn>0120-4157</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-41572022000100184</article-id>
<article-id pub-id-type="doi">10.7705/biomedica.6169</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de eventos adversos y sus manifestaciones en profesionales de la salud como segundas víctimas]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of adverse events and their manifestations in health professionals as second victims]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flórez]]></surname>
<given-names><![CDATA[Fredy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Lucelly]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal]]></surname>
<given-names><![CDATA[Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pontificia Bolivariana  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>184</fpage>
<lpage>195</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-41572022000100184&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-41572022000100184&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-41572022000100184&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  Los eventos adversos pueden causar daño al paciente y también afectar a los profesionales de la salud, lo que los convierte en segundas víctimas. Las intervenciones se han enfocado principalmente en los pacientes, pero poca atención se ha prestado a los profesionales de la salud, probablemente por falta de herramientas.  Objetivo.  Estimar la prevalencia de eventos adversos y describir sus manifestaciones en el personal asistencial, con el fin de evidenciar el fenómeno de las segundas víctimas en un hospital de alta complejidad.  Materiales y métodos.  Se hizo un estudio transversal analítico mediante una encuesta a 419 profesionales asistenciales de las áreas de hospitalización, urgencias y cirugía en un hospital de alta complejidad de Medellín en el 2019. Se estimó la frecuencia de eventos adversos, y se determinó su asociación con algunas variables laborales y demográficas.  Resultados.  El 93,1 % de los entrevistados conocía de casos de incidentes y el 79 %, de eventos adversos graves. El 44,4 % se había visto involucrado en un evento adverso, y el 99 % de estos expresaba sentirse como segunda víctima por experimentar dificultad para concentrarse, sentimientos de culpa, cansancio, ansiedad y dudas sobre sus decisiones. El 95 % quería recibir capacitación para afrontar las consecuencias de los eventos adversos y saber cómo informar al paciente.  Conclusiones.  Con frecuencia los profesionales de la salud se exponen a eventos adversos que pueden causarles emociones negativas como culpa, cansancio, ansiedad e inseguridad. La mayoría de los profesionales que participan en un evento adverso manifiestan sentimientos como segunda víctima. El informar al paciente sobre un evento adverso requiere preparación y la mayoría de los profesionales entrevistados pidió capacitación en el tema.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Adverse events can cause harm to the patient, but they also affect health professionals making them second victims of the event. Interventions have been focused mostly on patients, but little on professionals, probably due to lack of tools.  Objective:  To estimate the prevalence of adverse events and describe their manifestations in healthcare personnel to evidence the phenomenon of second victims in a highly complex hospital.  Materials and methods:  We conducted an analytical cross-sectional study by a survey of 419 healthcare professionals from the hospitalization, emergency, and surgical areas in a highly complex hospital in Medellín in 2019. The frequency of adverse events was estimated and its association with some labor and demographic variables was determined.  Results:  We found that 93.1% of the participants knew of incident cases and 79% of serious adverse events while 44.4% had been involved in them and 99% of these had feelings as a second victim, mainly the difficulty to concentrate, guilt, fatigue, anxiety, and doubts about decisions; 95% indicated they wanted to receive training to face the consequences of adverse events and know how to inform the patient.  Conclusions:  Health professionals are frequently exposed to adverse events that can cause negative emotions in them such as guilt, fatigue, anxiety, and insecurity. Most professionals who participate in an adverse event express feelings as a second victim. Informing the patient about an adverse event requires preparation and most professionals requested training on the subject.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[near miss salud]]></kwd>
<kwd lng="es"><![CDATA[personal de salud]]></kwd>
<kwd lng="es"><![CDATA[errores médicos]]></kwd>
<kwd lng="es"><![CDATA[seguridad del paciente]]></kwd>
<kwd lng="es"><![CDATA[apoyo social]]></kwd>
<kwd lng="en"><![CDATA[Near miss, healthcare]]></kwd>
<kwd lng="en"><![CDATA[health personnel]]></kwd>
<kwd lng="en"><![CDATA[medical errors]]></kwd>
<kwd lng="en"><![CDATA[patient safety]]></kwd>
<kwd lng="en"><![CDATA[social support]]></kwd>
</kwd-group>
</article-meta>
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