Study Shows Surgical Errors Related to Mental Stress, Burnout

 

A new study by the Mayo Clinic shows that major medical errors by surgeons are strongly connected to mental distress, depression and burnout.  The study included the participation of 7,905 surgeons, out of which 700 reported making major medical errors recently. There were some startling facts revealed in the study.

 

  • Close to 9 percent of surgeons had made a “major” error in the three months before the survey.
  • More than 70 percent of the surgeons attributed these errors to internal factors, and not systemic or organizational causes.
  • Symptoms of burnout including emotional exhaustion, depersonalization, as well as the surgeon’s mental quality of life, were closely linked to these errors.

According to the study’s authors, the research indicates that a surgeon’s mental state of mind may have a close bearing on the quality of care he can offer patients. However, there seems to be no link between the number of medical errors and the number of hours the surgeon worked, number of days on call per week, compensation method or work setting. This means that, according to the survey at least, reducing the number of work hours for surgeons may not have much impact on lowering mental stress. However, since the study was based on self reporting by surgeons, we can assume the findings are fairly limited.

 

It is definitely of concern that these errors also effect the surgeon and his level of confidence.  The Mayo Clinic researchers revealed that a surgeon can experience anguish and depression due to his/her errors, and the negative feelings can continue for years. This only places the surgeon’s future patients at risk from more medical errors. 

 

As an Atlanta medical malpractice lawyer, I am greatly concerned about these surgical errors, because these involve invasive techniques, and can have a lasting impact on a patient’s health and quality of life post-surgery. Rather than discussing tort reform, we should be analyzing ways that surgeons can deal with burnout and emotional distress, so they can take better care of their patients.

Surgical Checklist Could Reduce the Need for Medical Malpractice Lawyers

I came across this report that only confirms what Georgia medical malpractice lawyers have known all along – that simple basic steps are, in a majority of cases,  all that’s needed to prevent surgical and medical errors.

An international study covering a number of countries, both in the developing as well as developed world, probed the link between following a checklist of safety measures - much like the one you would tick off to make sure that your car was fine tuned and ready to go just before you set off on a cross country ride – and a corresponding effect on patient safety. The results were mind-blowing. Following a pre-defined safety checklist before and after a surgery, cut post-surgery death rates by almost half, and dramatically reduced the number of surgical errors that are caused in operating rooms around the world every day.

 

The checklist was developed by the World Health Organization, and includes at least a few steps that are also included in American hospital operating rooms. It includes basic steps that are often missed in an operating room, like making sure that the patient has no allergies, clearly marking the part to be operated on, ensuring that all X-rays and scans that are necessary during the procedure are in the operating room, and that all staff members know their roles during the procedure.

 

The results of following the checklist were monitored in a diverse range of eight cities from New Delhi to Seattle.   The results of using the checklist were clear to see - after the new procedures were followed, death rates after surgery fell by almost half. There was also a major drop in the number of complications that arose after surgery.

 

Already many countries are moving to have the checklist made mandatory in their operating rooms. The Joint Commission has said that it will consider making most of the measures on the checklist mandatory in surgical theaters.

 

Medical malpractice lawyers often get a bad reputation for rising insurance rates, doctor's defensive treatment of illnesses etc., etc.  however, as this study has revealed, these lawsuits are filed because some care falls below the standard of care while performing a surgical or medical procedure (not exercising reasonable care under the circumstances), leaving patients with serious and potentially life threatening conditions.  Marking spots to be operated, checking thoroughly to make sure that all sponges, scalpels and needles are accounted for after surgery are not high tech measures that are difficult to follow.  Simple steps can protect a patient's life and prevent serious complications and reduce the need to hire an experienced Atlanta medical malpractice attorney.