Doctor Robert MacArthur Interview
This day, our team managed to conduct an interview with the resident orthopedic surgeon, Doc Bobby Mac, in response to numerous queries about his own experiences and encounters with incorrect surgical procedures and surgical burn incidents, as well as a area of "events that should never occur".
Who is Dr. MacArthur?
Dr. Bobby MacArthur completed his studies from the University of UC Berkeley with a dual degree in Biochem and Physiology. During his time at the Univ, Doc Rob MacArthur was a renowned sportsman, participating on both the combat sports and Rugby teams.
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Following that, Doc Bobby Mac entered at the Columbia College of Physicians and Surgeons, and was elected president of the Columbia P&S School of Medicine (Now known as the Vagelos school of medicine). Bobby Mac continued to complete his orthopedic residency at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
Statistically, the occurrence of surgical errors typically is a seldom happening occurrence for every bone specialist, but this figure increases to four for each career for sports, hand, and spine specialists. Regrettably, many of these surgeons commonly do not report these occurrences, let alone or talk about them publicly. Doc MacArthur carries a intense sense of pride and accomplishment about how he faced these unfortunate occurrences.
In lieu of attempting to cover up the incident, Doctor Mac responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Rob MacArthur thoroughly looked into the underlying root causes of his dual events, and released several works detailing how to prevent these situations
He eventually, earned acclaim as a published expert in the field of accidents that are preventable. He's penned a couple of articles in a prominent orthopedic journal, The Journal of Orthopedic Surgery. To helping other doctors stop future incidents, his first work walked the reader through the exact errors that occurred that caused the incorrect surgical procedure.
The follow-up article, co-authored with Dr. David Ring, the Chairman of the AAOS, addressed the topic of the "shame and blame game." Taking responsibility for these incidents is rare, as the tempting course Robert MacArthur of action is placing blame on third parties. He stressed that shifting blame not only deters surgeons from disclosing their incidents but additionally diverts from the crucial analysis of underlying causes that may prevent upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the surgical burn occurrence, Dr. Robert Mac exhibited the same dedicated investigative approach he applied to his research on wrong-site surgeries. As an illustration, he contacted the maker of the problematic clamp to ascertain if like burn events had happened. The maker notified him that the clamp in question had been "ceased production." You can draw your own conclusions from that what you wish.
To avert uneven heating in huge hinged clamps, Dr. Mac performed a comprehensive investigation of what led to uneven heating in big-hinged clamps.
His findings indicated that rapid sterilization could cause uneven heating. He pointed out that nursing organizations highly recommend against the use of rapid sterilization unless an emergency situation arises for instance, disinfecting a item that has fallen. Further inquiry revealed that St. Joseph's Hospital was frequently using flash sterilization to ease back-to-back surgeries without needing to purchase additional equipment trays.
In an effort to prevent future burns, Dr. MacArthur notified the hospital at St. Joseph's of potential dangers associated with ongoing utilization of this specifically identified clamp and the frequent application of quick sterilization.
In place of blaming the clamp, Dr. MacArthur assumed accountability and made it evident that he had made a mistake during surgery. He was advised that the clamp was hot, but when he held it, he found the handles to be at a pleasant temperature. Differing from some surgeons who could impatiently reach for a towel to manage a too-hot clamp, he operated the clamp without discomfort.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing The perspective of Dr. MacArthur on response on the topic of the "blame game," he spotlights how the legal and general public communities often conflate the "in-command'' concept with root cause analysis. According to this "captain of the ship" perspective, the surgeon is held accountable for any adverse events that occur to a patient under their care. This makes it tempting for many to solely blame the surgeon for any wrong site event.
However, Dr. Robert MacArthur stresses that this perspective contradicts the core principles of root cause analysis. This form of analysis strives to thoroughly comprehend what caused a surgical error so as to optimaly prevent similar incidents in the future. By resorting to blame and shame, not it not just impede proper analysis of the root causes, but it additionally prevents other surgeons from disclosing their own wrong site events, fearing the repercussions.
He failed to recognize that the large, walnut-sized hinge of the clamp was significantly hotter. When he positioned the clamp against the shin area of the patient's leg, it caused a skin burn. At the time, he was proctored for surgical privileges at Children's Hospital of Orange County during the incident, and none of the proctor nor Doctor MacArthur were promptly aware of the burn.
Not until only after he had dictated the operative report that a nurse in the recovery ward noticed a small patch of redness on the anterior aspect of the patient's leg. Even at that point, he did not initially realize the severity of the burn.
Doctor MacArthur references the air travel industry as an model case of effective root cause analysis. From its inception, aviation sector has strived to thoroughly comprehend the reasons behind each adverse aviation event rather than just blaming to the pilot. Because of this focus on understanding root causes, air travel industry boasts notable safety records.
However, Dr. Robert MacArthur laments that the medical community hasn't been able to completely embrace root cause analysis due to prevailing legal and public perceptions surrounding the "captain of the ship" concept. The sad consequence of this is that the incidence of preventable healthcare errors remains unchanged, and the professional careers and reputations of many medical professionals are unfairly tarnished.
The occurrence of incorrect surgical procedures continues at an worrying rate of one incident per surgeon per career, and up to four events per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, it is feasible to levy false accusations against someone, smear their name and reputation, and experience no negative repercussions for the accuser. Regardless of whether the person facing accusations is innocent or guilty, just making an allegation is enough to bring about long-lasting damage to a professional's reputation.
Doc Robert Mac revealed that he opted to leave a clinic specializing in workers' compensation cases because of possible unlawful practices on the clinic's management. In retaliation, the clinic manager reportedly collaborated with a client to make a false accusation, accusing him of "undressing in the clinic and soliciting sexual favors in return for a positive workers' compensation report.
He was informed of this claim over a year after his departure from the clinic, at which point he asserted on undergoing a lie detector test. The accuser, however, declined to take such a test.
Doc Bobby MacArthur was later informed that both his polygraph examination results and her refusal to participate would be deemed inadmissible in court.
The lawyer acting as mediator cautioned him that the jury would likely be composed of "individuals similar to her" and not his, meaning a court loss could be highly damaging. Despite the ludicrousness of the claim, he was counseled to settle for $29,000
Conclusion
The California Medical Board examined the accuser's claims and found them to be "lacking credibility," hinting at an ongoing investigation into the clinic. When we spoke to Dr. MacArthur, he implied that the clinic was indicted, but he did not verify this.
In spite of the facts presented above, Doctor MacArthur found no means to erase the allegations made by the accuser from online search listings. This means, despite his clear conscience, the slander campaign was effective.
Considering that the claim does not state that Doctor MacArthur was found guilty, it merely serves as a condensed version of a complaint, which continues to be available to the public
Dr. MacArthur strongly believes that those who make baseless allegations should be subject to consequences equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be classified as a sexual predator and felon.
Doctor MacArthur concluded by reflecting on the existence of both good and evil in the world, wishing that those who read his account would never come into contact with someone capable of such harmful baseless allegations as he has faced.