Page 22 - Avoiding Surgical Mishaps Part 1
P. 22

SVMIC Avoiding Surgical Mishaps: Dissecting the Risks


                 CASE STUDY


                     A case in point involved                                    APRIL
                     a 62-year-old male with

                     a history of cervical spine                     4/24      Initial ER Visit
                     fusion and congestive heart                     4/27      Colon

                     failure who presented to                                  Reconstruction
                     the emergency room after                                      MAY

                     having a bloody bowel
                     movement followed by a                           5/2      Discharged

                     fainting episode at home.
                     The emergency room                               5/6      ER Visit/Readmit
                                                                               (Chest Pain)
                     examination found left-
                     lower quadrant tenderness                        5/8      Primary Care
                                                                               (Abd Tenderness)
                     with guarding, so a GI
                     consult was obtained and a                      5/22      Surgeon Ofc Visit
                                                                               (f/u)
                     colonoscopy was performed.
                     A colon lesion was identified                                JUNE

                     and an endoscopic biopsy
                     showed adenocarcinoma,                           6/5      Surgeon Ofc Visit

                     resulting in the patient’s                                (RLQ Pain)
                     referral to a surgeon. The                       6/6      Primary Care/

                     patient was seen in the                                   Imaging
                     surgeon’s office by his                          6/7      Readmit

                     advanced practice registered                              (Surgeries, ect.)
                     nurse, who provided the                                      NOV

                     patient with a generic
                     consent form to authorize                                 Incisional Hernia

                     only that the surgeon would                               Repair
                     perform “a procedure”.                                       MAR

                     The patient signed the
                     form. No additional                                       Chemotherapy
                                                                               Begins

                     continued on following page


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