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Completing my professional doctorate has been both challenging and rewarding journey and I’m delighted to share some insights from my research with my fellow Radiographers and Sonographers. My study focused on the second victim phenomenon – a term used to describe the emotional and psychological impact healthcare professionals experience following adverse clinical events and its relevance to obstetric sonographers, particularly when a diagnostic error occurs.
Why This Maters:
Sonographers play a critical role in antenatal care, providing accurate and timely information that influences clinical decisions and patient outcomes. However, the complexity of obstetric ultrasound means that errors can happen, whether through misinterpretation, missed findings, or technical limitations. When mistakes occur, the emotional toll on the sonographer can be profound, yet this aspect of professional well-being is often overlooked.
What is Second Victim Phenomenon?
The concept refers to healthcare professionals who experience distress after being involved in an adverse event, error or unexpected outcome. For sonographers, making a diagnostic error can trigger feelings of guilt, shame and self-doubt. These emotions may persist long after the event, sometimes leading to burnout or even leaving the profession. My research explored how this phenomenon manifests in obstetric sonography and what support mechanisms are – or are not – available.
Key Insights
Emotional and Professional Impact Sonographers described intense feelings of responsibility and fear of litigation following diagnostic errors.
Support GapsMany reported lack of structured support, relying instead on informal conversations with colleagues.
- Cultural Barriers A perceived blame culture within some organisations discouraged open discussion and learning from errors
Developing Solutions
One of the most rewarding aspects of my doctorate was creating three evidence-based models of support designed specifically for sonographers and ultrasound managers:
Creating a Supportive Learning Environment– education on diagnostic error, second victim phenomena, wellbeing training and peer support
- Ultrasound Manager Support Tool – guidance on investigations, safe spaces and emotional first aid.
- Early Intervention Guideline– a phased approach covering pre-error preparation, immediate response and ongoing support
These models are practical, adaptable and intended to help individuals, managers and organisations prepare for and respond effectively when diagnostic error occurs. I am keen to promote these frameworks within the profession to ensure sonographers have access to structured, meaningful support.
Looking Ahead
I hope this work encourages further dialogue within our profession. Supporting sonographers through structured peer support and organisational strategies is vital for sustaining a healthy workforce and promoting patient safety. A culture that prioritises learning over blame benefits both practitioners and patients.
If you would like to learn more about my research or these support models, please feel free to connect with me.