Prevent and Undo Mistakes in Surgery (original) (raw)
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Mishaps and Errors in Surgery: A New Chapter (Review)
2014
Health providers either a physician or specialized surgeon make mistakes. They may do errors in procedure, interpretation, ignorance or indeed, seldom, and recklessness. Although in every event, a patient may suffer each time whenever a mistake happens. Despite of that event, every point an error transpires, a case may feel. One fails to uphold one profession’s rudimentary oath: “First, do no harm.” At the cessation be forced to decide to gather all the errors and mistakes made by a dental surgeon or a medical professional and aimed to script it. In this reader, surgeons, health providers and medical professionals can obtain a panel of delegates and article proceeding with the approach of studying from errors moreover should not execute it again and again.
Surgeon-journal of The Royal Colleges of Surgeons of Edinburgh and Ireland, 2013
Conclusion: Junior doctors are a unique population, with a higher propensity to medical error. A transition from the current culture of 'name, blame and shame' is required. We need to ensure that the 'learning moment' is seized and that mistakes are learned from and not simply forgotten. Surgery has an opportunity to learn from high risk-industries and incorporate human factors training, into surgical training programs in order to better manage and prevent medical error.
International Journal of Surgery, 2005
Making errors is part of normal human behaviour. However when errors have significant consequences or occur in high risk industries they become of paramount importance. There has been little research in why and how errors occur in the healthcare industry. Errors occur throughout healthcare, but in particular, surgery as a high risk speciality. Surgery is a dynamic speciality with a milieu of possible mishaps waiting to happen. So to understand and prevent errors in surgery we must explore this intricate multi-cogwheel process. This article will summarise the epidemiology of surgical errors, factors which influence them in the patient pathway, explain concepts and models of why errors occur, technical skill error assessment and possible strategies to prevent or reduce surgical errors. Practicing surgery in the new millennium will embrace new innovations, medications, technologies, equipment, operations, all which aim to improve the treatment and care of patients. However we must remember with this constant evolution in healthcare the error goalposts are forever moving, so we must be vigilant not to take our eye off the error ball.
Journal of comparative effectiveness research, 2018
Innovation can be variably defined, but when applied to healthcare is often considered to be the introduction of something new, whether an idea, method or device, into an unfilled void or needy environment. Despite the introduction of many positive surgical subspecialty altering concepts/devices however, epic failures are not uncommon. These failures can be dramatic in regards to both their human and economic costs. They can also be very public or more quiet in nature. As surgical leaders in our communities and advocates for patient safety and outcomes, it remains crucial that we meet new introductions in technology and patient care with a measured level of curiosity, skepticism and science-based conclusions. The aim of an expert committee was to identify the most dominant failures in technological innovation and/or dogmatic clinical beliefs within each major surgical subspecialty. In summary, this effort was pursued to highlight the past failures and remind surgeons to remain vigil...
When a Surgical Colleague Makes an Error
Pediatrics, 2016
Professionalism requires that doctors acknowledge their errors and figure out how to avoid making similar ones in the future. Over the last few decades, doctors have gotten better at acknowledging mistakes and apologizing to patients when a mistake happens. Such disclosure is especially complicated when one becomes aware of an error made by a colleague. We present a case in which consultant surgeons became aware that a colleague seemed to have made a serious error. Experts in surgery and bioethics comment on appropriate responses to this situation.
Delivering Bad News in Aesthetic Surgery
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Usually, patients undergoing plastic surgery have only the expectation of success about the practice they will undergo, and on the same way, surgeons are prepared and technically trained to achieve the better result. But what happens when things go wrong? How can we manage this critical situation where patient receives this bad news and will probably blame the surgeon for this unexpected outcome? Elective cosmetic surgery is an increasingly high risk area of medical professional liability, and, although some claims of negligence associated with elective plastic surgery are generated because the patient's expectations were not met, others arise from a genuine adverse outcome where results need revisions, and perhaps surgical planning was not the best. (1),(2). Unfortunately sometimes this narrow limit between an adverse event and a medical error is forced to be seen as malpraxis by lawyers, family patients and friends.
Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events
Psychology, health & medicine, 2012
Concerns about patient safety have prompted studies of adverse surgical events (ASEs), but descriptive classification of errors and malpractice claims have overshadowed qualitative investigations into the processes that lead to expert errors and their solutions. We studied consultant surgeon's perspectives on how and why events occurred through semi-structured interviews about general and specific events. The sample contained heterogeneous cross-section of ages, gender and specialists, with >2 years consultant status and working within a 25-mile radius. Overarching findings included (1) pressures to work harder, faster and beyond capability within a blaming culture; (2) optimism bias from over-confidence and complacency; and (3) multiple pressures to 'finish' an operation or list, resulting in completion bias. Seven high order themes were identified on the healthcare system, adverse event types, contributing factors, emotions, cognitive processes, error detection, ...