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SVMIC Risk Basics: Surgical Practice
Review results for all tests ordered preoperatively to ensure
that any abnormalities receive proper follow-up.
Incorporate checklists and guidelines developed by
professional societies and organizations.
If using a tasking system for interoffice communication, be sure
to have a surrogate reviewer assigned to open task-boxes and
review messages for anyone not in the office. Educate staff to
communicate “critical values” verbally rather than relying on
tasking.
The risks of distraction in the OR and the tools to overcome
distraction should be incorporated in training programs for
surgeons and for perioperative personnel.
Communicate and document follow-up instructions, warnings,
and relevant discharge information to patients. Be sure to
convey such information in layman’s terms that are clearly
understandable.
While focusing on patient safety, as we have done through this
presentation, can greatly reduce your chances of a malpractice
claim, your strongest weapon may indeed be the ability to
connect with your patients and create a bond of trust. Decades
of research teaches us that if a patient trusts his or her
physician, he or she is much more likely to forgive an adverse
outcome. The formula for a lawsuit is a disappointing outcome
plus a physician who has lost the benefit of the doubt. The
benefit of the doubt is given by patients to physicians they
believe to be honest, caring, and competent. They form an
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