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SVMIC Risk Basics: Anesthesiology
Be empathetic to the patient’s concerns — hear them out.
Avoid an assumption of responsibility.
If it’s clear at the time, explain how the dental injury
occurred. If it is not clear, do not speculate, but assure the
patient you’ll investigate the cause and report back.
Inform the patient that dental injury is a known risk and
complication that can occur with the most expert
practitioner.
Remind the patient that the risk was discussed with
him/her prior to surgery and was contained in the form
he/she signed.
Be sure to offer a “blameless apology”, i.e. that you’re
sorry the complication occurred, followed by the
suggestion that the patient follow up with his/her dentist.
If the patient requests payment, advise that the matter
will be reviewed in light of the request, but one has to be
careful not to commit to payment until this review has
occurred.
Inappropriate Response to Emergencies
Inappropriate response to emergencies may be a preventable
issue when it results from neglecting maintenance issues
including failure to do the anesthesia equipment checks or
checks on backup equipment. Examples from SVMIC’s claims
include:
In a failed airway situation, a dim bulb in the fiber optic
scope caused delay in intubating and possibly
contributed to hypoxic encephalopathy
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