engleski

Enhance the resilience of health care workers through the clear procedures for adverse events management, and psychological support: Croatian experience

Occupational stress is an important factor affecting health. Difficult working conditions, unexpected situations, and emotional engagement are psychological strains of healthcare workers. Adverse event (AV) is unintended harm to the patient caused by medical management rather than by the underlying disease or condition of the patient. Resilience after AVs is one’s capacity to cope with those stressors. We present a Croatia case study in this paper. Material and Methods. This study will cover the regulations and quality standards related to adverse events, register of adverse events in University Hospital Centre Zagreb (UHC Zagreb) and survey for healthcare workers. Results. In Croatia, the law on quality of healthcare requires management of adverse events. Within the documentation of the quality management system in hospital, there is a procedure on the adverse events management (AEs), which clearly defines how to report AEs. Department for quality created a register for AEs and collect the data. Commission on quality of UHC Zagreb discusses AVs and preventive measures. Every year Department for quality research stress at work in a hospital. Employees give high marks to their clear role at work. During the COVID 19 pandemic, significantly more employees stated that they needed psychological support due to emotionally demanding work. A team for psychological support starts to work for all employees at the beginning of the pandemic. At the international level, UHC Zagreb is part of the European researchers’ network working on second victims (ERNST), which is important for future activities to increase employee.

COVID-19 ; mental health ; psychological support

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