Malpractice in Surgery
Safety Culture and Quality Management in the Hospital
1st Edition
Published on 19. December 2012
XIV, 170 pages
978-3-11-027160-7 (ISBN)
Description
Tentative estimates suggest that one in ten patients suffers from an adverse event in hospital. In Germany, approx. 1.8 million out of approx. 18 million inpatients suffer from adverse events; 50 percent of these cases are estimated to be avoidable. In the US, nearly 100,000 people die from the consequences of mistreatment.
The intensive care units record 1.7 medical errors per patient and day. The most affected disciplines are the operative disciplines, particularly general surgery. Medical errors mainly occur when the indication for surgery is being made, during surgery and post-surgery. Suspicious oncological diagnostic results and post-operative complications are also often ignored.
This book deals with complications and typical medical errors in surgery. It shows solutions and ways of dealing effectively with these errors and how to establish an efficient security management system.
More details
Series
Language
English
Place of publication
Berlin/Boston
Germany
Target group
Professional and scholarly
US School Grade: College Graduate Student
Illustrations
15 s/w Tabellen, 1 Abbildung
1 b/w ill., 15 b/w tbl.
File size
0,81 MB
ISBN-13
978-3-11-027160-7 (9783110271607)
Schweitzer Classification
Other editions
Additional editions
Book
12/2012
1st Edition
De Gruyter
€34.95
Shipment within 7-9 days
Persons
Michael Imhof, Office for Medical and Scientific Expert Assessments, Würzburg, Germany.
Content
1 - Preface [Seite 9]
2 - Abbreviations [Seite 11]
3 - 1 Principles of medical malpractice [Seite 15]
3.1 - 1.1 Introduction [Seite 15]
3.2 - 1.2 Notes concerning the history of medical malpractice [Seite 15]
3.3 - 1.3 Defining malpractice [Seite 18]
3.4 - 1.4 Statistical surveys [Seite 20]
3.5 - 1.5 Summary [Seite 25]
4 - 2 Errors, incidents and complications in general surgery [Seite 29]
4.1 - 2.1 Introduction [Seite 29]
4.2 - 2.2 Medical errors in laparoscopic cholecystectomy [Seite 29]
4.2.1 - 2.2.1 Historical remarks [Seite 29]
4.2.2 - 2.2.2 Statistics for medical complications [Seite 30]
4.2.3 - 2.2.3 Complications specific to laparoscopic cholecystectomy [Seite 31]
4.2.4 - 2.2.4 Surgical procedure, and possible causes of errors [Seite 34]
4.2.5 - 2.2.5 Medical malpractice litigation after laparoscopic cholecystectomy [Seite 35]
4.2.6 - 2.2.6 Informed consent [Seite 39]
4.2.7 - 2.2.7 Real-life examples [Seite 39]
4.2.8 - 2.2.8 Summary [Seite 41]
4.3 - 2.3 Risks and possible errors related to minimally invasive or laparoscopic surgery [Seite 41]
4.3.1 - 2.3.1 Introduction [Seite 41]
4.3.2 - 2.3.2 Fundamentals underlying the technical standard and potential errors [Seite 41]
4.3.3 - 2.3.3 Real-life examples [Seite 45]
4.3.4 - 2.3.4 Summary [Seite 47]
4.4 - 2.4 Complications and possible errors in inguinal hernia treatment [Seite 47]
4.4.1 - 2.4.1 Introduction [Seite 47]
4.4.2 - 2.4.2 Fundamentals of inguinal hernia surgery [Seite 48]
4.4.3 - 2.4.3 Informed consent [Seite 49]
4.4.4 - 2.4.4 Intra- and postoperative errors and complications [Seite 49]
4.4.5 - 2.4.5 Real-life examples [Seite 52]
4.4.6 - 2.4.6 Summary [Seite 54]
4.5 - 2.5 Complications and errors in the surgical treatment of benign thyroid disorders [Seite 55]
4.5.1 - 2.5.1 Introduction [Seite 55]
4.5.2 - 2.5.2 Fundamentals of the surgical treatment of struma [Seite 55]
4.5.3 - 2.5.3 Informed consent [Seite 56]
4.5.4 - 2.5.4 Remarks concerning the surgical technique [Seite 56]
4.5.5 - 2.5.5 Technical errors and complications [Seite 58]
4.5.6 - 2.5.6 Prospects for new minimally invasive techniques [Seite 58]
4.5.7 - 2.5.7 Real-life examples [Seite 59]
4.5.8 - 2.5.8 Summary [Seite 60]
4.6 - 2.6 Complications and errors arising in the diagnostics and treatment of acute appendicitis [Seite 60]
4.6.1 - 2.6.1 Introduction [Seite 60]
4.6.2 - 2.6.2 Fundamentals [Seite 60]
4.6.3 - 2.6.3 Remarks concerning the surgical technique [Seite 62]
4.6.4 - 2.6.4 Errors and complications [Seite 63]
4.6.5 - 2.6.5 Real-life examples [Seite 64]
4.6.6 - 2.6.6 Summary [Seite 64]
4.7 - 2.7 Anastomotic insufficiency in the gastrointestinal tract as a frequent source of malpractice claims [Seite 65]
4.7.1 - 2.7.1 Introduction [Seite 65]
4.7.2 - 2.7.2 Fundamental concepts [Seite 65]
4.7.3 - 2.7.3 Anastomotic leaks in the upper gastrointestinal tract [Seite 67]
4.7.4 - 2.7.4 Errors and management of complications [Seite 68]
4.7.5 - 2.7.5 Real-life example [Seite 69]
4.7.6 - 2.7.6 Anastomotic leakage in the lower gastrointestinal tract - errors and risks [Seite 70]
4.7.7 - 2.7.7 Examples of liability issues [Seite 71]
4.7.8 - 2.7.8 Summary [Seite 73]
4.8 - 2.8 Diagnostic and therapeutical errors in the treatment of acute abdomen [Seite 73]
4.8.1 - 2.8.1 Introduction [Seite 73]
4.8.2 - 2.8.2 Fundamentals [Seite 73]
4.8.3 - 2.8.3 Malpractice claims and complications related to peritonitis and abdominal sepsis [Seite 76]
4.8.3.1 - 2.8.3.1 Peritonitis with abdominal sepsis [Seite 76]
4.8.4 - 2.8.4 Real-life examples [Seite 78]
4.8.5 - 2.8.5 Ileus [Seite 80]
4.8.6 - 2.8.6 Malpractice claims related to surgical ileus treatment [Seite 82]
4.8.7 - 2.8.7 Real-life examples [Seite 82]
4.8.8 - 2.8.8 Mesenteric ischemia [Seite 84]
4.8.8.1 - 2.8.8.1 Diagnostic and therapeutic errors related to mesenteric ischemia [Seite 84]
4.8.9 - 2.8.9 Real-life example [Seite 85]
4.8.10 - 2.8.10 Summary [Seite 86]
5 - 3 Retained surgical foreign bodies [Seite 107]
5.1 - 3.1 Introduction [Seite 107]
5.2 - 3.2 The issue of retained surgical foreign bodies [Seite 107]
5.3 - 3.3 Risk management related to the prevention of RSFBs [Seite 109]
5.4 - 3.4 Real-life examples [Seite 110]
5.5 - 3.5 Summary [Seite 111]
6 - 4 Quality management related to wrong-site surgery [Seite 115]
6.1 - 4.1 Introduction [Seite 115]
6.2 - 4.2 Statistical surveys [Seite 115]
6.3 - 4.3 Root cause analysis [Seite 117]
6.4 - 4.4 Risk management related to the prevention of WSPEs [Seite 119]
6.5 - 4.5 Summary [Seite 122]
7 - 5 Towards a preventive safety culture within the hospital [Seite 125]
7.1 - 5.1 Introduction [Seite 125]
7.2 - 5.2 Safety culture [Seite 125]
7.3 - 5.3 Error management as part of quality management in the hospital [Seite 126]
7.4 - 5.4 Error classification [Seite 128]
7.5 - 5.5 The JCAHO patient safety event taxonomy [Seite 129]
7.6 - 5.6 Reporting systems as tools to aid safety culture and risk management [Seite 130]
7.6.1 - 5.6.1 CIRS as an aspect of risk management [Seite 137]
7.7 - 5.7 Summary [Seite 139]
8 - 6 Ethical aspects of an open safety culture: towards a new physician-patient relationship in 21st century medicine [Seite 143]
9 - Bibliography [Seite 155]
10 - Index [Seite 185]
2 - Abbreviations [Seite 11]
3 - 1 Principles of medical malpractice [Seite 15]
3.1 - 1.1 Introduction [Seite 15]
3.2 - 1.2 Notes concerning the history of medical malpractice [Seite 15]
3.3 - 1.3 Defining malpractice [Seite 18]
3.4 - 1.4 Statistical surveys [Seite 20]
3.5 - 1.5 Summary [Seite 25]
4 - 2 Errors, incidents and complications in general surgery [Seite 29]
4.1 - 2.1 Introduction [Seite 29]
4.2 - 2.2 Medical errors in laparoscopic cholecystectomy [Seite 29]
4.2.1 - 2.2.1 Historical remarks [Seite 29]
4.2.2 - 2.2.2 Statistics for medical complications [Seite 30]
4.2.3 - 2.2.3 Complications specific to laparoscopic cholecystectomy [Seite 31]
4.2.4 - 2.2.4 Surgical procedure, and possible causes of errors [Seite 34]
4.2.5 - 2.2.5 Medical malpractice litigation after laparoscopic cholecystectomy [Seite 35]
4.2.6 - 2.2.6 Informed consent [Seite 39]
4.2.7 - 2.2.7 Real-life examples [Seite 39]
4.2.8 - 2.2.8 Summary [Seite 41]
4.3 - 2.3 Risks and possible errors related to minimally invasive or laparoscopic surgery [Seite 41]
4.3.1 - 2.3.1 Introduction [Seite 41]
4.3.2 - 2.3.2 Fundamentals underlying the technical standard and potential errors [Seite 41]
4.3.3 - 2.3.3 Real-life examples [Seite 45]
4.3.4 - 2.3.4 Summary [Seite 47]
4.4 - 2.4 Complications and possible errors in inguinal hernia treatment [Seite 47]
4.4.1 - 2.4.1 Introduction [Seite 47]
4.4.2 - 2.4.2 Fundamentals of inguinal hernia surgery [Seite 48]
4.4.3 - 2.4.3 Informed consent [Seite 49]
4.4.4 - 2.4.4 Intra- and postoperative errors and complications [Seite 49]
4.4.5 - 2.4.5 Real-life examples [Seite 52]
4.4.6 - 2.4.6 Summary [Seite 54]
4.5 - 2.5 Complications and errors in the surgical treatment of benign thyroid disorders [Seite 55]
4.5.1 - 2.5.1 Introduction [Seite 55]
4.5.2 - 2.5.2 Fundamentals of the surgical treatment of struma [Seite 55]
4.5.3 - 2.5.3 Informed consent [Seite 56]
4.5.4 - 2.5.4 Remarks concerning the surgical technique [Seite 56]
4.5.5 - 2.5.5 Technical errors and complications [Seite 58]
4.5.6 - 2.5.6 Prospects for new minimally invasive techniques [Seite 58]
4.5.7 - 2.5.7 Real-life examples [Seite 59]
4.5.8 - 2.5.8 Summary [Seite 60]
4.6 - 2.6 Complications and errors arising in the diagnostics and treatment of acute appendicitis [Seite 60]
4.6.1 - 2.6.1 Introduction [Seite 60]
4.6.2 - 2.6.2 Fundamentals [Seite 60]
4.6.3 - 2.6.3 Remarks concerning the surgical technique [Seite 62]
4.6.4 - 2.6.4 Errors and complications [Seite 63]
4.6.5 - 2.6.5 Real-life examples [Seite 64]
4.6.6 - 2.6.6 Summary [Seite 64]
4.7 - 2.7 Anastomotic insufficiency in the gastrointestinal tract as a frequent source of malpractice claims [Seite 65]
4.7.1 - 2.7.1 Introduction [Seite 65]
4.7.2 - 2.7.2 Fundamental concepts [Seite 65]
4.7.3 - 2.7.3 Anastomotic leaks in the upper gastrointestinal tract [Seite 67]
4.7.4 - 2.7.4 Errors and management of complications [Seite 68]
4.7.5 - 2.7.5 Real-life example [Seite 69]
4.7.6 - 2.7.6 Anastomotic leakage in the lower gastrointestinal tract - errors and risks [Seite 70]
4.7.7 - 2.7.7 Examples of liability issues [Seite 71]
4.7.8 - 2.7.8 Summary [Seite 73]
4.8 - 2.8 Diagnostic and therapeutical errors in the treatment of acute abdomen [Seite 73]
4.8.1 - 2.8.1 Introduction [Seite 73]
4.8.2 - 2.8.2 Fundamentals [Seite 73]
4.8.3 - 2.8.3 Malpractice claims and complications related to peritonitis and abdominal sepsis [Seite 76]
4.8.3.1 - 2.8.3.1 Peritonitis with abdominal sepsis [Seite 76]
4.8.4 - 2.8.4 Real-life examples [Seite 78]
4.8.5 - 2.8.5 Ileus [Seite 80]
4.8.6 - 2.8.6 Malpractice claims related to surgical ileus treatment [Seite 82]
4.8.7 - 2.8.7 Real-life examples [Seite 82]
4.8.8 - 2.8.8 Mesenteric ischemia [Seite 84]
4.8.8.1 - 2.8.8.1 Diagnostic and therapeutic errors related to mesenteric ischemia [Seite 84]
4.8.9 - 2.8.9 Real-life example [Seite 85]
4.8.10 - 2.8.10 Summary [Seite 86]
5 - 3 Retained surgical foreign bodies [Seite 107]
5.1 - 3.1 Introduction [Seite 107]
5.2 - 3.2 The issue of retained surgical foreign bodies [Seite 107]
5.3 - 3.3 Risk management related to the prevention of RSFBs [Seite 109]
5.4 - 3.4 Real-life examples [Seite 110]
5.5 - 3.5 Summary [Seite 111]
6 - 4 Quality management related to wrong-site surgery [Seite 115]
6.1 - 4.1 Introduction [Seite 115]
6.2 - 4.2 Statistical surveys [Seite 115]
6.3 - 4.3 Root cause analysis [Seite 117]
6.4 - 4.4 Risk management related to the prevention of WSPEs [Seite 119]
6.5 - 4.5 Summary [Seite 122]
7 - 5 Towards a preventive safety culture within the hospital [Seite 125]
7.1 - 5.1 Introduction [Seite 125]
7.2 - 5.2 Safety culture [Seite 125]
7.3 - 5.3 Error management as part of quality management in the hospital [Seite 126]
7.4 - 5.4 Error classification [Seite 128]
7.5 - 5.5 The JCAHO patient safety event taxonomy [Seite 129]
7.6 - 5.6 Reporting systems as tools to aid safety culture and risk management [Seite 130]
7.6.1 - 5.6.1 CIRS as an aspect of risk management [Seite 137]
7.7 - 5.7 Summary [Seite 139]
8 - 6 Ethical aspects of an open safety culture: towards a new physician-patient relationship in 21st century medicine [Seite 143]
9 - Bibliography [Seite 155]
10 - Index [Seite 185]
