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Clinical Orthopaedics and Related Research®

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01-10-2016 | Not the Last Word

Not the Last Word: Two Patients, Two Operating Rooms, One Surgeon—Does The Math Add Up?

Author: Joseph Bernstein, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 10/2016

Excerpt

Investigative reporters at The Boston Globe—the same unit featured in the film Spotlight—have shined their attention on so-called simultaneous surgery. In a series of articles very much worth reading [1], The Boston Globe described a controversy at Massachusetts General Hospital regarding a practice certainly not limited to that institution: Namely, two patients, in two operating rooms at the same time, for two procedures performed by one surgeon. …

Abelson J. Saltzman J. Kowalczyk L, Allen S. Clash in the name of care. The Boston Globe. Available at: https://apps.bostonglobe.com/spotlight/clash-in-the-name-of-care/story/. Accessed May 16, 2016.

American College of Surgeons. Statements on Principles. Available at: https://www.facs.org/about-acs/statements/stonprin. Accessed May 16, 2016.

Bernstein J, MacCourt D, Abramson BD. Topics in medical economics: Medical malpractice. J Bone Joint Surg Am. 2008;90:1777–1782.CrossRefPubMed

Bernstein J, MacCourt DC, Jacob DM, Mehta S. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin Orthop Relat Res. 2010;468:2627–2632.CrossRefPubMedPubMedCentral

Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM, Kelz RR, Ko CY, Odell DD, Stulberg JJ, Lewis FR. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. N Engl J Med. 2016;374:713–727.CrossRefPubMed

Castle Connolly Top Doctors. About Castle Connolly and America’s top doctors^®. Available at: https://www.castleconnolly.com/about/index.cfm. Accessed May 16, 2016.

Fried GM. Surgical care is a team sport: Comment on “association between implementation of a medical team training program and surgical morbidity.” Arch Surg. 2011;146:1374.CrossRefPubMed

Hoffman J. Jurors find shared blame in ’84 death. New York Times. Available at: http://www.nytimes.com/1995/02/07/nyregion/jurors-find-shared-blame-in-84-death.html. Accessed May 16, 2016.

Kahneman D. Thinking Fast and Slow. New York, NY: Farrar, Strauss and Giroux; 2011.

10.

Mello MM, Livingston EH. Managing the risks of concurrent surgeries. JAMA. 2016;315:1563–1564.CrossRefPubMed

11.

Meyer MN. Two cheers for corporate experimentation: The A/B illusion and the virtues of data-driven innovation. Colo Tech L J. 2015;13:273.

12.

Rosenbaum L. Leaping without Looking–Duty Hours, Autonomy, and the Risks of Research and Practice. N Engl J Med. 2016;374:701–703.CrossRefPubMed

13.

Rothman DJ. What doctors don’t tell us. Available at: http://www.nybooks.com/articles/1996/02/29/what-doctors-dont-tell-us/. Accessed May 16, 2016.

14.

Shouldice Hospital. Welcome to Shouldice. Available at: http://www.shouldice.com/. Accessed May 16, 2016.

15.

Slobodzian J. Surgeon to pay back Medicare over billing Robert Booth Jr. submitted claims for surgeries done by residents, the U.S. says. He will repay $1.89 million. Phila. surgeon settles a dispute with Medicare. Available at: http://articles.philly.com/2001-08-31/news/25299500_1_medicare-surgeries-billing. Accessed May 16, 2016.

16.

Wilf-Miron R, Lewenhoff I, Benyamini Z, Aviram A. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Health Care. 2003;12:35–39.CrossRefPubMedPubMedCentral

Title: Not the Last Word: Two Patients, Two Operating Rooms, One Surgeon—Does The Math Add Up?
Author: Joseph Bernstein, MD
Publication date: 01-10-2016
Publisher: Springer US
Published in: Clinical Orthopaedics and Related Research® / Issue 10/2016
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-016-5001-2

At a glance: The STEP trials

Springer Medicine

Not the Last Word: Two Patients, Two Operating Rooms, One Surgeon—Does The Math Add Up?

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

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