surgery error

Published on: July 31, 2015

“Never Events” in the Operating Room Still Occur

Certain major errors during surgery are so rare that they are called “never events”. While such medical errors are rare, they do continue to occur in hospitals across the country.

According to a new review of surgical errors published in the JAMA Surgery Journal, approximately one out of every 100,000 surgeries involves a wrong site error. In a wrong site error, the doctor either operates on the wrong side of the patient’s body, on the wrong body part, or even on the wrong person.

The good news is that these “never events” are very rare. The bad news is that there is very limited data on these errors, which makes devising strategies to control them very challenging. For example, researchers had very little data available on the number of fires that break out in operating rooms during surgery. When there are only a few rare events, data collection is difficult, and researchers find it more challenging to develop strategies to prevent these errors.

Published on: July 18, 2011

Frequent Occurrences of Wrong-Site Surgery have Implications for the Medical Field

by Robert N. Katz, Esq.

It’s every patient’s nightmare – being admitted to a hospital for routine surgery and wading through a drug-induced fog hours later only to find that doctor’s have operated on the wrong site.Patients, who only wanted a good outcome, are left to figure out how to deal with their unexpected injuries and with a medical malpractice claim they never expected to have to pursue. Apparently, wrong-site surgeries have become a reality for some patients, occurring more often than previously thought. According to the Joint Commission, "National rates of wrong-site surgeries-which include wrong procedure, wrong side and wrong patient-can reach as high as 40 incidences a week." Medical malpractice attorneys agree that the culprit, as is usually the case in institutional settings, is a lack of communication.

The operating room becomes a hum of noise; from the incessant sound of machines to the voices of nurses and doctors battling time and sometimes even each other. The Las Vegas Review-Journal cites issues with pre-operation prep (such as unapproved abbreviations on charts and illegible handwriting) and scheduling processes as added distractions. In light of this, it’s easy to see how some details, such as the purpose of the operation, could get lost in translation. When this occurs, patient safety is put at risk and hospitals, doctors and nurses expose themselves to significant liability for medical malpractice.

Hospitals are exploring various ways to combat wrong-site surgeries, however, and one of the most popular tactics seems to be the institution of a “time out” of sorts – calling for all key participants in the OR to take a step back and assess their plan. This program, designed by the Joint Commission Center for Transforming Health Care and instituted in 2003, works by essentially creating a script for staff to follow, says the Review-Journal. Throughout the course of this “Universal Protocol” script, doctors are required to 1.) Complete a pre-operative verification. 2.) Marking of the operative site and 3.) A time out immediately before starting the procedure.

Published on: April 3, 2009

Fulton County Boy Awarded $2.3 Million for Botched Circumcision

by Robert N. Katz, Esq.

There could be not a medical malpractice awardthatcould compensate this boy and his family for the unimaginable horror they have been made to suffer.While a Fulton County Jury has awarded them damages of $2.3 million for a circumcision procedure that went wrong, the boy and his family will need counseling for a very long time.

The award relates to the injury caused to the young boy during what should have been a fairly routine circumcision procedure performed soon after he was born. The procedure however ended with the doctor removing a small portion of the tip of the penis. There was bungling on the part of more than one doctor at the hospital, Tenet South Fulton Medical Center where the procedure was performed in 2004. The pediatrician who was informed by a nurse after the boy began to bleed heavily, failed to respond to the call. Due to the negligence and failures of both the doctors, the boy suffered a permanent injury.

In 2006, his mother filed a medical malpractice lawsuit against the doctor who performed the circumcision, as well as the pediatrician who failed to respond to an emergency. The jury was convinced that the doctor Haiba Sonyika snipped off a portion of the organ and that the pediatrician Cheryl J. Kendall could have reattached the cut off portion if she had responded to the emergency immediately.The boy has been awarded $1.8 million in damages, while his mother has been awarded an additional award of $500,000. The hospital where the procedure was performed was not found negligent.