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Prevent surgery errors essay
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People in Cleveland, and throughout Ohio, often require surgery to identify, address and repair a range of injuries and medical conditions. When going in for surgery, patients generally expect the doctors and staff to be focused on performing the procedure, and to exercise good judgment. Unfortunately, surgical mistakes commonly occur. These types of errors may cause people to suffer additional or worsened medical ailments, or death. Many surgical errors are preventable. These types of mistakes are often referred to as never events, because it is widely held that they should never happen. However, surgical patients across the U.S. experience surgical never events approximately 80 times per week, according to American Medical News. Common …show more content…
preventable surgical errors There are a number of surgical mistakes that are categorized as never events. The U.S. Department of Health and Human Services points out that some of most common preventable errors include the following: • Performing the procedure on the wrong body part • Performing the procedure on the wrong patient • Performing the wrong procedure • Unintentionally leaving objects, such as surgical sponges, in patients Furthermore, using devices that are contaminated, or administering contaminated medications, may also be considered surgical never events. These, and similar medical mistakes, are considered avoidable if surgeons and staff take proper care. Causes of surgical mistakes There are numerous factors, which may contribute to the occurrence of never events. When performing surgical procedures, the surgeons, staff and other medical professionals treating the patients have a responsibility to maintain their focus. However, distractions can, and do, occur, and commonly play a role in surgical mistakes. Furthermore, neglecting to establish, or comply with, safety protocols may also lead to these types of errors. Fatigue is also a common factor in surgical never events.
This may be due to the long shifts that surgeons and hospital staff often work. Additionally, the time of day may contribute to allowing preventable surgical mistakes to happen. For example, a surgeon may be more likely to make a mistake late at night, or at the end of a long shift. Complications from surgical never events Due to this type of medical malpractice, people may experience a range of effects. These may include infections, broken bones and other serious ailments. As a result, surgical patients may require further medical treatment and care, which may include undergoing additional surgical procedures. The complications caused by preventable surgical mistakes may lead to temporary or permanent disability, as well as death, for some patients. Working with an attorney In addition to the potential health implications that surgical errors may have for people in Ohio, these types of mistakes may also lead to lost wages and medical expenses. Depending on the circumstances, however, their health care providers, or the facilities where the procedures where performed, could be held financially liable. Therefore, those who have experienced surgical never events may consider consulting with an attorney. A legal representative may explain their rights, as well as their options for obtaining
compensation.
In the plaintiff’s suit, he alleged the surgery did not go well because the hospital had hired a surgeon, who was not competent or qualified enough to perform the surgery therefore; the hospital was just as negligent as the doctor was. Before the trial date, Dr. Salinsky and his insurance company, Employers Mutual Liability Insurance Company of Wisconsin, settled with plantiff out of court on the basis they will be released from the suit upon payment of $140,000 (Johnson v. Misericordia Community Hospital). Although, Salinsky settled with plaintiff prior to trial, there was still “question of whether he was negligent in the manner in which he performed the operation on July 11, 1975, remained an issue at trial, as it was incumbent upon the plaintiff to prove that Salinsky was negligent in this respect to establish a
Hospitals are busy places, and with so much going on it is hard to believe that mistakes are not made. However, there are some accidents that should never happen. Such events have been termed ‘never events’ because they are never supposed to happen. This term was first introduced by Ken Kizer, MD, in 2001 (US, 2012). The Joint Commission has classified never events as sentinel events and asks that hospitals report them. A sentinel event is defined as, “an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof” (US, 2012). Never events are termed sentinel events because in the past 12 years 71% of the events reported were fatal (US, 2012). Because these events are never supposed to happen, many insurance companies will not reimburse the hospitals when they occur. A study in 2006, showed that the average hospital could experience a case of wrong-site surgery, one example of a never event, only once every 5 to 10 years (US, 2012). This study illustrates how rare a never event is. Hospitals do not want these never events to happen any more than a patient does. To help prevent these errors, hospitals have created policies that, if followed, will minimize the possibility of a mistake. The consequences of never events are devastating and because of this the goal is to make sure that they are eradicated from hospitals and medical facilities.
There are couple facts that have occurred in this case study, Dr. Jones doesn’t seem to have the proper staff in order to accommodate any further complications that might occur during the surgery. Dr. Jones didn’t necessarily have to have three procedures that involved three different anesthesia procedures. Mr. Smith overpaid for his procedures when he could have had the problem fixed in one appointment for only $2,000. I am personally not very familiar with these types of procedures which why these are the only facts that I can point at this moment. When it’s all said and done, Dr. Jones made his overhead and Mr. Smith is well because of the procedures done.
...untable, and can face a malpractice lawsuit, for causing a visceral perforation because he or she was not careful enough, made a mistake, or tried to perform something blind, causing the patient to get more complicated procedure, and possibly die.
Wrong site, wrong procedure, and wrong patient errors are avoidable safety issues. Nearly 1.9 trillion dollars are spent on medical errors each year in the United States (Catalano & Fickenscher, 2008). Between 1995 and 2007, 691 wrong-site surgeries have been reported to The Joint Commission's Sentinel Event data repository (AHC Media LLC, 2008). In 2003 in response to the outcry for better patient safety The Joint Commission published their National Patient Safety Goals. Among the goals was the Universal Protocol. The Universal Protocol is actually drawn from several of the National Patient Safety Goals. It relies on multiple check points and the involvement of the entire surgical team to avoid such errors. Wrong site, wrong procedure, and wrong patient surgeries should never happen. The Universal Protocol is an evolving process which reflects the success and failures of healthcare practice, thus it requires periodic updates and policy revisions.
Reducing surgical or any medical errors is a team work, everyone involve in the surgery has a crucial part to play to ensure quality health care is delivered and success of the surgery. For instance, if a nurse forgot to assess a patient’s vital signs or document/report any abnormal finding to the surgeon has made a big mistake that can lead to more complications or death of a patient. Also, patients who refused to adhere to the instructions given by the healthcare professional such as not to eat or drink, smoke, take over counter medication, before due to risk may impose during and after
There is a risk for every procedure. Some complications that could happen includes infections, poor healing of the wound, bleeding, and even a reaction to the anesthesia that is used
Medical errors have been plaguing our country for decades. The first time that doctors acknowledged that medical mistakes could lead to death and injury was during the 1950’s. No action is taken at this time to improve hospitals, and
The “Never Events” is in reference to medical errors that should never occur. Never Events are defined as medical and surgical errors of wrong site surgery, delay in treatment, medication error, wrong procedure performed on patient, suicide, and death by patient using contaminated drugs. The list was altered since then, recently in 2011 and now contains of 29 events gathered in six categories: surgical, product or device, patient protection, care management, environmental, radiologic, and criminal, stated by, (Patient Safety Network Agency for Health care Research and Quality, 2014). The ramifications of such a policy for pros are the useful awareness being reached out to hospitals, and other health facilities to be mindful of errors. Another
This could possibly lead to death depending on how serious the procedure was or if they messed something up. This is very common and happens more often than you think they would. Wrong site surgery happens at least 40 times a week nationwide according to the Joint Commission Center for Transforming Health. Because they are rare, they are hard to study. Dr. Mark Chassin says “There’s no silver bullet or easy answer.” Meaning it just has to happen and there’s no easy way to do it (Crane). $1.3 billion in settlements total up over a course of 20 years to surgeons of all ages (O’Reilly). There are many ways to prevent wrong-site surgeries. For instance: make a checklist, watch for miscommunication during handoffs, mark patient before and during surgery and let the patient know where they are being marked (Fields). “You think we can sew it back on?” This would be awful and could possibly happen if they performed wrong-site surgery. Wrong-site surgery can be a terrible thing. This can cause external and internal damage due to the nervous system. This can cause problems all over your body due to the nervous system being messed with if you don’t put things back like they are supposed to be. This can cause part of your body to shut down and make things worse for you. “What do you mean he wasn't in for a sex change?!” The doctor could also be performing on the wrong patient if he or she isn’t
Operating on the wrong body part is probably just as tragic as the wrong patient. If a doctor reads the chart wrong or worse if the chart is incorrect then devastating effects could occur. Most doctors now confirm with the patient verbally which part they are operating on and mark with an indelible marker. The most devastating case
In general, medical errors are expensive, with post-operative complications “accounting for 35 percent of costs for medical errors and 39 percent of costs for preventable medical errors” (Andel, et al., 2012, pg.). Data gathered by Andel et al. (2012) have yielded that 1.5 million medical injuries out of 6.3 million were preventable if “better polices and practices were followed” (pg. 4). Imagine how much money an HCO could save if healthcare providers were simply “more careful” when collecting history, diagnosing, administering medication, and treating patients. Andel et al. (2012) mentions that the result of such practices would quantify to more than 19 billion of opportunity savings (pg.
When a patient comes to the hospital for a surgical procedure, he or she expects the surgery to be completed successfully with little or no complication. However, healthcare associated
General surgery is not a career choice for those who are mentally or physically weak in mind or body. The intense education and rigorous hours occupy most of a surgeon's time. This admirable, and complex career choice captivates my interest in several different areas. The enhanced amount of education, financial security, and prospective job opportunities are just a few of the reasons I am driven to this area of medicine. The most rewarding aspect is to combine my own empirical qualities in a way that will provide the highest level of care for patients.
Anesthesia blunders are a type of restorative misbehavior when they happen because of therapeutic expert's carelessness or preventable mix-up. In law, anesthesia mistake claims happen when a patient encounters superfluous damage because of blunders in regulating anesthesia. Anesthesia mistakes can be performed by a specialist, attendant, anesthesiologist, or other medicinal staff individuals who manage analgesic medications to a patient. (Anesthesia Errors, (n.d) )