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Patient Safety

RISE – Resilience In Stressful Events

  • PI:                     Albert Wu, M.D., M.P.H.
  • Funder:            Maryland Patient Safety Center
  • Status:              Ongoing

This project is evaluating the Johns Hopkins Hospital peer-support program to provide psychological first aid and emotional support to health care workers who are “second victims” of stressful patient-related events, including errors and adverse events.  The program has been expanded in collaboration with the Maryland Patient Safety Center on a “Caring for the Caregiver” program to promote dissemination to hospitals across the region.


Rise Peer Support For Caregivers in Distress


Moran D, Wu AW, Connors C, Chappidi MR, Sreedhara SK, Selter JH, Padula WV. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2017. PubMed PMID: 28452914.

Edrees H, Connors C, Paine L, Norvell M, Taylor H, Wu AW. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open 2016; 6: e011708. PubMed PMID: 27694486.

de Wit ME, Marks CM, Natterman JP, Wu AW. Supporting second victims of patientsafety events: shouldn't these communications be covered by legal privilege? J Law Med Ethics. 2013 Winter;41(4):852-8.  PubMed PMID: 24446943.

McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012 Oct;73(10):C146-8. PubMed PMID: 23124197.

Seys D, Scott S, Wu A, Van Gerven E, Vleugels A, Euwema M, Panella M, Conway J, Sermeus W, Vanhaecht K. Supporting involved health care professionals (second victims) following an adverse health event: a literature review. Int J Nurs Stud. 2013 May;50(5):678-87. PubMed PMID: 22841561.

Seys D, Wu AW, Van Gerven E, Vleugels A, Euwema M, Panella M, Scott SD, Conway J, Sermeus W, Vanhaecht K. Health care professionals as second victims after adverse events: a systematic review. Eval Health Prof. 2013 Jun;36(2):135-62. PubMed PMID: 22976126.

Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012 Apr;21(4):267-70. PubMed PMID: 22213379.

Edrees HH, Paine LA, Feroli ER, Wu AW. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011 Apr;121(4):101-8. PubMed PMID:21532531.