Never events revisited

Learning from Jacintha Saldanha’s death

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f152 (Published 22 January 2013)
Cite this as: BMJ 2013;346:f152

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  1. Rajan Madhok, medical director1
  1. 1Kleyn Healthcare, Warrington WA2 7JQ, UK
  1. rajan.madhok{at}btinternet.com

Royal nurse Jacintha Saldanha’s suicide highlights the immense pressure felt by healthcare workers (HCWs) when involved in serious incidents. Wu previously raised awareness of the “second victim phenomenon,” whereby HCWs experience serious functional impairment, with some leaving their profession and a few committing suicide.1

During its annual conference in November, the British Association of Physicians …

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