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How to Avoid Errors in Surgery

By Elizabeth Cohen
,
CNN
posted: 87 DAYS 11 HOURS AGO
comments: 232
filed under: Health News
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ATLANTA, Georgia (CNN) -- I thought my husband was crazy.
When our 2-year-old daughter had hernia surgery, he insisted on seeing the surgeon minutes before to remind him that the hernia was on her right side, not her left.

Pre-Surgery Safety Precautions

SurgeonsHelen King, Corbis

While surgical errors of any sort are cause for alarm, news headlines have featured some all-out horror stories, such as doctors removing the wrong organ or even amputating the wrong leg. Experts say there are things you as a patient can do to lower your chances of something like that happening to you.

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The nurses weren't happy; it wasn't protocol to have the surgeon meet with parents immediately before a procedure.
"Maybe this is overkill," I said to my husband. "He knows what side the hernia's on. He's already seen her twice in his office. Plus, we've told the pre-op nurses 10 times it's on the right side."
But experts tell me my husband was right on. Mistakes do happen, no matter how great the surgeon, and it behooves you to help them get it right. Witness these headlines: Minnesota doctors remove the healthy kidney of a cancer patient while leaving the diseased one behind; California doctors remove the appendix of the wrong patient; one of the most experienced surgeons in a Boston, Massachusetts, hospital operates on the wrong side of a patient. All of these mistakes happened in the past year.
Solid numbers are hard to come by, because most states don't require doctors to report surgical errors. To make sure you're not the next victim, you might have to get pushy, like my husband did.
"You need to be that thorn in their side," said Dr. Samuel Seiden, an anesthesiologist who's co-author of a study on surgical errors. "You will catch things. You might also frustrate the nurses, but you have to look out for yourself."
Of course, looking out for yourself can be tough when you're anesthetized. But Seiden and other surgical errors experts say there are steps you can take to lower the chances you'll become the next headline.
1. Check out your doctor and hospital
Specifically, ask your doctor how many times he or she has done this procedure, and compare that with other physicians.
You can check out the hospital by going to HealthGrades or The Leapfrog Group, which rank hospitals by specialty. (For example, you can find good places to get hip surgery in Topeka, Kansas, or to have a baby in New York.) The U.S. Department of Health and Human Services has detailed information about procedures performed at different hospitals.
2. Tell everyone who you are and why you're having surgery.
You may feel like an idiot, but tell all the nurses and doctors your name, your date of birth, and what surgery you're having (for example, "I'm John Smith, I was born 10/21/70, and I'm having arthroscopic surgery on my left knee."). This can help prevent you receiving a surgery intended for someone down the hall. (Of course, if your name really is John Smith, you might want to give your address, too).
3. Make sure your doctor initials your site
The American Academy of Orthopaedic Surgeons urges its members to sign their initials directly on the site before surgery (shown in the group's public service ads, like the one pictured above). Make sure your surgeon -- not somebody else -- does the signing and that it's in the right place.
4. Confirm the surgery site with the surgeon right before the procedure
You may have already told the nurses, but it's the surgeon who's doing the actual cutting, so you need to tell him or her directly, says Dr. James Beaty, past president of the American Academy of Orthopaedic Surgeons.
"You should say, 'I'm not going back to surgery until I see my doctor and we confirm that this is the right site,' " he said.
5. Train someone to be your advocate
Don't just bring a friend or family member to your surgery; train them to advocate for you. You're likely to be anxious and a little addled before the surgery (not to mention asleep during it), so you'll need help.
"Equip them with the information they need," advised Ilene Corina, president of PULSE of New York, a patient advocacy group. For example, your advocate can help you check the initials on the surgical site or help you contact your surgeon.
So, how did my husband know to follow Tip No. 4, before he had the chance to read his lovely wife's column? He says it was just common sense -- and his submarine training. When you give an order in a submarine, the other person repeats it back to you, and then you repeat the order again. In engineering lingo, it's called creating a "closed loop."
Our daughter had a successful surgery, and I'm sure the surgeon would have gotten the correct side even without our involvement. Still, it can't hurt to check.
After checking, as they were wheeling our precious baby into surgery, my husband looked the surgeon in the eye, put his hand on his arm and said, "I know you've done this hundreds of times. But for us, she's our only one."
I'm sure that didn't hurt, either.
To watch the video, go to cnn.com.

Senior producer Jennifer Pifer contributed to this report.
© 2008 Cable News Network. Turner Broadcasting System, Inc. All Rights Reserved.
2008-07-18 13:57:45
GOOD READ?
453 votes
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Robert6296

02:04 PMJul 22 2008

I've never heard of someone dying from a flu shot, though i suppose its theoretically possible, though highly unlikely

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Robert6296

02:02 PMJul 22 2008

however for a small percentage of people, generally those with weaker immune systems, can actually get the full blown flu from a shot that injects a strain their bodies do not kill fast enough thus giving the weakened strain time to feed and replicate..but even those who do get sick from a shot still beat off the weakened strain in the end and suffer flu like symptoms for only a day or two

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Robert6296

01:58 PMJul 22 2008

flu shots r a weaken strain of the most popular strain of the season, its injected so that your bodies natural immunities can fight it and kill thus forming antibodies that will protect you from that strain in the future

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Robert6296

01:55 PMJul 22 2008

nakaina- lol um before u make a total fool of yourself any longer..u can get the flu from a flu shot

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Kkelley20554

10:41 AMJul 22 2008

I guess I've always had good surgeons. I've had 6 operations, the first one was 40 years ago. Even then my surgeon used a black marker to X the spot, as well as every surgeon since. May not be his initials but they've still always been able to remember why they put that X there :)

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RETolles

05:47 AMJul 22 2008

In response to IamNOT1ofURfans, sometimes when a nurse or doctor try 'to do the best job they can', it simply isn't good enough. Hence why we need malpractice lawyers, and is the same reason you are required to carry it . . . there are some that are just not good enough. Remember, that student that graduated last in their class still gets to call themself a doctor/nurse.

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Runswscissors78

05:41 AMJul 22 2008

I feel for all of you that have had bad experiences. I have a son that was born premature. Two years and twenty seven times in the hospital I have found 99% of the nurses were angels. I had fired a few Doctors until I found one that worked for us. Only one time did I report a nurse. It was in the middle of the night and my son's breathing was in distress. I could not find her or any other nurse for over ten minutes, they were in the break room having cake it was one of the nurses birthday. I held her responsible. Many hospitals have cut staff and the nurses are over worked. Remember doctors and nurses are only human and they make mistakes just like the rest of us do.

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sue46747

05:23 AMJul 22 2008

When I had my shoulder surgery the nurse wrote a huge YES on my right shoulder and NO on the front and back of my left shoulder. Then she signed both, I signed them and the Dr stopped by to add his initials. At the time it seemed funny but by 11 AM that day the Dr had done over a dozen surgeries and this was just a means of being certain he fixed the right place.

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MCW819

03:57 AMJul 22 2008

I live next to one of the greatest hospitals in the world, The Cleveland Clinic, I remeber a couple years ago we had the King of Jordan come in for open heart surgery. Anyway when i had my surgery they asked about every 5 minutes my name, date of birth and procedure being done, to avoid errors like these.

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IamNOT1ofURfans

03:54 AMJul 22 2008

As a nurse I have witness many procedures and I have to say that the doctors/nurses take great pains to do the best job they can. Thanks to malpractice lawyers on every corner, they can help you turn something minor into something major

AVG RATING:
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