xRead - Second Victim Syndrome (March 2026)

A CCEPTED MANUSCRIPT

FIGURE LEGENDS

Figure 1. Intraoperative adverse event (iAE) incidence. Surgeons’ account of the incidence of

intraoperative adverse events within the past 12 months.

Figure 2, Types of emotions experienced by surgeons after a patient suffered an intraoperative

adverse event (iAE) . Surgeons could choose more than one answer (select all that applies). Other

responses: 1) “annoyed”; 2) “Concern over why it happened. Discuss all involved what happened

how to avoid. Concern about dealing with pt and family”; 3) “It is not an emotion, it is a - get the

patient fixed right”; 4) “remorse for the patient”; 5) “regret”, 6) “N/A”.

Figure 3. Years of experience and negative emotions felt by surgeons after an intraoperative

adverse event. Surgeons experiencing (A) sadness; (B) anxiety; (C) guilt; (D) anger; (E)

MANUSCRIPT

shame/embarrassment.

Figure 4. Most helpful existing support systems for surgeons to cope with intraoperative adverse

events.

Figure 5. Surgeons’ perception of existing formal processes to report intraoperative adverse

events. Surgeons could choose more than one answer (select all that applies). Other:1) Notify

CRICO (malpractice) representative; 2) patient safety report; 3) QAPI meetings; 4) Risk

ACCEPTED

management.

19