Percepciones del Talento Humano en Salud sobre la Experiencia y apoyo Institucional después de la Ocurrencia de Eventos Adversos Centinelas en una Institución de Salud de Mediana y Alta Complejidad en la Ciudad de Medellín-Colombia

Objective: To describe the perceptions of human talent in health on the experience and institutional support after the occurrence of sentinel adverse events in a medium and high complexity health institution in the city of Medellín 2020. Methodology: Mixed method with quantitative emphasis, descriptive in scope, the population consisted of 85 people from the services of intensive care units, intermediate care, gynecology-obstetrics, perinatology, surgical, and assistance, administrative and managerial personnel linked to the patient safety program. Document review and survey were used as collection techniques, data were ordered in SPSS and univariate and bivariate analysis was performed, as well as interpretive analysis of the second victim's experience and support tool matrix (SVEST). Results: Within the socio-demographic and labor characteristics of the assistance, administrative and managerial personnel participating in the study, it is highlighted that 59% of personnel are between 31 and 50 years old, 77.65% belong to the female sex, 29% are technical education and working in administrative positions in 41%. On the other hand, regarding the experience of health personnel related to the occurrence of sentinel adverse events, it was shown that 29% of the respondents presented feelings of guilt, manifested in feelings of sadness in half of these people. The most prevalent event is the one associated with the administration of medications, followed by the procedure. Conclusions: Health care personnel do not recognize the concept of second and third victims of adverse events, although they manage to demonstrate the effects generated from the occurrence of the event. Through the application of the SVEST instrument, negative emotional reactions such as sadness, shame, and fear were identified after the occurrence of the adverse event. Additionally, third victims’ affectations are associated with the clinic’s reputation; whether they are not intervened on time, they can lead to subsequent events that affect the operation of the health institutions.