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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > February, 2005 Vol. VI, No. 2

Medical Malpractice Quiz

Wrong Person Surgery — A Near Miss

Lorne B. Sheren, MD, JD

A busy day of surgery is scheduled at the six-OR surgery center. The ASC's practice is to admit patients into a common pre-operative area, placing patients on stretchers in the order in which they're processed through admitting. Once patients change into a gown and move onto a stretcher, a perioperative nurse ascertains that the chart is complete, starts an intravenous line and answers any questions the patient might have. Then a member of the anesthesia team interviews the patient and the surgeon pays a quick visit. When the room is ready, a dedicated transporter brings the patient to the OR. A 57-year-old woman is scheduled to undergo a laparoscopic cholecystectomy. The nurse anesthetist assigned to the room interviews the patient in the pre-op area, determines that the consent is in order, reviews the pre-op labs and ECG, and, after explaining the procedure, asks the patient to sign a consent for general anesthesia (see "When is Consent Truly Informed?" on page 20).

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