Despite widespread adoption by hospitals of surgical robot technology over the past decade, a "slapdash" system of reporting complications paints an unclear picture of its safety, according to Johns Hopkins researchers. In a report, the Johns Hopkins team says that of the 1 million or so robotic surgeries performed since 2000, only 245 complications -- including 71 deaths -- were reported to the U.S. Food and Drug Administration.
A family is speaking out about a botched kidney transplant in which a nurse threw out a man's viable kidney just before it was to be given to his sister, saying that at first they assumed the woman had died because her scheduled surgery ended so soon. She was to receive her brother's kidney at the University of Toledo Medical Center last August but awoke without having undergone surgery because a nurse had accidentally thrown it out.
What should doctors disclose to patients in the aftermath of adverse events? Does it matter if the adverse event was related to an error? Does it matter if it was preventable or not, anticipated or unexpected? Recently, I was at the Carolina Refresher Course facilitating a session on adverse events in anesthesiology. We touched on a variety of issues, but spent the most time discussing the importance of disclosure conversations.
The U.S. Food and Drug Administration (FDA) hit Allendale, NJ-based Stryker’s Spine division with a Class I recall for the company’s OASYS Midline Occiput Plate. According to reports, Stryker learned that a post-operative fracture can occur in the pin that connects the tulip head to the plate body.
Encompass’ new Patient Safety Footwear line Shower-Steps by Albahealth provides added protection on wet surfaces to help prevent falls which could lead to injury. The slip-resistant flexible sole and mesh upper feature an open weave design, which allows water to flow through while bathing and provides maximum traction.
The University of Toledo Medical Center denies a family's allegations of medical negligence over a botched kidney transplant and wants the Ohio Court of Claims to dismiss the case, according to court filings. The hospital has said a nurse accidentally threw out a chilled, protective slush containing a viable kidney donated to a Toledo woman by her younger brother in August 2012.
An orthopedic surgeon from New York reportedly has 261 malpractice suits against him. He has been accused of performing "phantom" and unnecessary operations. If you've been following my blog, you know that I am not a big fan of lawyers. But I have to admit that one lawyer's questions about what the hospital knew about all this and why the surgeon wasn't scrutinized sooner are good ones.
Ansell introduces a new product of the Sandel brand of healthcare safety devices. The Disarm-It-All is the only counting and disposal box capable of single-handed removal of syringe needles, traditional scalpel blades, and beaver blades. The Disarm-It-All offers new safety features designed to reduce the risk of sharps injuries and exposure to bloodborne pathogens in addition to safely counting and disposing blades and needles.
Cardinal Health offers the SurgiCount Safety-Sponge System, which is clinically proven to help eliminate one of the most common, yet preventable surgical errors: retained surgical sponges. The system helps to eliminate retained surgical sponges by providing more accurate, real-time counts in the operating room, as well as provide auditable, post-operative evidence based outcomes through a complete documentation solution.
The number of complications experienced by U.S. patients after major cancer surgery is rising, but fewer are dying from their operations, a new study reveals. Researchers analyzed data from 2.5 million patients older than 18 who had major cancer surgery between 1999 and 2009. Procedures included partial or complete removal of a cancerous colon, bladder, esophagus, stomach, uterus, lung, pancreas, or prostate.
The University of Kentucky has settled its case with the state over the release of safety data for its embattled pediatric heart surgery program, which was closed last year following patient deaths. The dispute stems from a request last year by a local radio reporter for information about the program.
Researchers discovered a 52.9 percent complication rate in the group of patients in whom CSF drainage was continuous, whereas they found only a 23.1 percent complication rate in the group of patients in whom CSF drainage was intermittent.
It is not the personal risks faced by doctors compared to pilots that kill and harm patients. It is the fact that the kinds of solutions needed in healthcare are just at the gestational stage. Facile comments that doctors don’t care as much as pilots are just plain wrong and divert attention from the steps that can and should be taken to learn from the airline industry.
It's a patient's worst nightmare: going in for surgery, only to have the wrong body part operated on. A woman said it happened to her at Florida's Halifax Health, and a scathing new report reveals how the surgeon never told the patient he made a mistake and even tried to justify his work.
Every year, more than half a million Americans undergo procedures to have a narrowed coronary artery propped open with a small metal mesh tube, or stent. In an emergency, when someone is having a heart attack, the operation can be lifesaving. But far too often, studies show, stents continue to be implanted in patients who stand to gain little if any benefit.
The number of physicians offering group doctor visits has doubled since 2005. Dr. Devi Nampiaparampil, assistant professor at the NYU School of Medicine, spoke to the "CBS This Morning" co-hosts about this recent and surprising medical trend.
New ACS NSQIP Surgical Risk Calculator Offers Personalized, Accurate Estimates Of Surgical ComplicationsAugust 14, 2013 10:58 am | News | Comments
The new American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator is a revolutionary new tool that quickly and easily estimates patient-specific postoperative complication risks for almost all operations, according to research findings appearing online in the Journal of the American College of Surgeons.
Elton John had it so, so right: “It’s sad, so sad. Why can’t we talk it over. Oh, it seems to me that sorry seems to be the hardest word.” Mistakes are all to common in medicine, but can we say the “hardest word” when we’re involved in the mistake?
For patients with early-stage lung adenocarcinomas, the histological pattern of the tumor predicts the risk of recurrence and might help guide surgical decisions, researchers reported. In a retrospective study, recurrence was significantly increased among patients who had a tumor resection if five percent or more of the cancer had micropapillary morphology.
For patients with a blocked superficial femoral artery, surgical bypass was linked to more re-interventions than angioplasty and stenting, a single-center study showed, but bypass surgeons had to contend with larger lesions. In the first two years after the procedures, 54 percent of patients who underwent surgery, compared with 31 percent of those who received endovascular treatment, required re-intervention.
The University of Florida's health system is reviewing the application of a heart surgeon from Kentucky who came under scrutiny after a CNN investigation into the deaths of babies in his care. Dr. Mark Plunkett was the chief heart surgeon at Kentucky Children's Hospital before he resigned to take a position with University of Florida Health.
A new study by thoracic surgeons and pathologists at Memorial Sloan-Kettering Cancer Center shows that a specific pattern found in the tumor pathology of some lung cancer patients is a strong predictor of recurrence. Knowing that this feature exists in a tumor's pathology could be an important factor doctors use to guide cancer treatment decisions.
Breast cancer survivors who have extensive surgery are four times more likely to develop the debilitating disorder arm lymphoedema, a QUT study has found. The findings reveal the invasiveness of surgery to treat breast cancer increases the risk of developing arm lymphoedema.
Better communication is the key to improving patient outcomes after cardiac surgery, according to a new scientific statement from the American Heart Association. "Preventable errors are often not related to failure of technical skill, training, or knowledge," investigators wrote, "but represent cognitive, system, or teamwork failures."
A veteran nurse present during a botched kidney transplant at an Ohio hospital last summer has sued for wrongful termination. The lawsuit filed Friday in Columbus seeks $25,000 for Melanie LeMay, a nurse suspended then fired after a different nurse accidentally threw away a viable kidney as medical waste during the procedure last August.