Doctor Robert MacArthur Interview
Today, our team managed to conduct an interview with Californian based orthopedic surgeon, Doctor Robert Mac, in response to numerous inquiries about his own experiences and encounters with incorrect surgical procedures and intraoperative burn, as well as the broader area of "never should happen events".
Who is Dr. MacArthur?
Dr. Bobby Mac completed his studies from the Univ of UC Berkeley with a dual degree in Biochem and Physiology. In the course of his time at the Univ, Doctor Rob MacArthur had been a renown sportsman, competing on both various boxing and Rugby teams.
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Following that, Dr. Robert MacArthur entered at the Columbia P&S, and became the chosen leader of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos school of medicine). Rob Mac proceeded to conclude his orthopedic training at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the incidence of wrong site surgery tends to be a once-in-a-career event for every single bone specialist, but this number Robert MacArthur surges to 4 for each lifetime for sports, hand, and spine specialists. Unfortunately, many of these surgeons commonly do not report these occurrences, let alone, not talk about them openly. Doctor Mac carries a profound sense of pride and satisfaction about how he dealt with these harrowing occurrences.
Rather than trying to cover up the incident, Doc MacArthur responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Bobby Mac completely investigated the fundamental causal factors of his 2 events, and put out multiple works outlining how to stop these occurrences
Gradually, became acknowledged as a recognized specialist in the field of accidents that are preventable. He's authored 2 articles in a prominent orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. In order to assisting other doctors prevent subsequent occurrences, his first work guided the reader through the exact errors that occurred that caused the wrong site event.
His second publication, co-authored with Dr. David Ring, the Chairman of the AAOS, broached the topic of the "culture of shame and blame." Taking responsibility for these incidents is rare, as the usual reaction is pointing fingers at third parties. He stressed that accusations not just discourages surgeons from making reports their incidents but additionally takes away from the crucial analysis of root causes that could potentially thwart future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When discussing the incident of burns during surgery, Dr. MacArthur demonstrated the same investigative vigor he applied to his research on wrong-site surgeries. For example, he contacted the producer of the troublesome clamp to determine if like burn events had transpired. The manufacturer informed him that the clamp in question had been "no longer in production." You can make your own inferences based on that what you wish.
And to prevent uneven heating in massive hinged clamps, Doctor Mac conducted a thorough investigation of the reasons for uneven heating in oversized clamps.
His findings indicated that quick sterilization could cause uneven heating. He pointed out that nursing organizations strongly advise against the use of rapid sterilization unless there's an urgent need for instance, disinfecting a item that has fallen. Additional investigation revealed that St Joseph's Hospital was frequently utilizing flash sterilization to facilitate back-to-back surgeries without needing to purchase additional equipment trays.
With the aim to stop further burns, Dr. Robert MacArthur notified the hospital at St. Joseph's of the risks associated with continuing to use this particular clamp and the routine deployment of flash sterilization.
Instead of blaming the clamp, Doctor MacArthur took responsibility and made it evident that he had made a surgical mistake. He was advised that the clamp was heated, but when he grasped it, he found the handles to be at a comfortable temperature. Differing from some surgeons who might impatiently reach for a towel to manage a too-hot clamp, he operated the clamp without any uneasiness.
Shame and Blame, Dr. Robert MacArthur's Response
In The perspective of Dr. MacArthur on response on the topic of the "blame game," he spotlights how the legal and the wider public often confuse the "captain of the ship'' concept with root cause analysis. According to this "captain of the ship" perspective, the surgeon is responsible for any adverse events that happen to a patient under their care. This makes it enticing for many to exclusively blame the surgeon for any incorrect surgical procedure.
Nevertheless, Dr. Robert MacArthur underscores that such an approach contradicts the core principles of identifying underlying causes. This form of analysis strives to deeply understand what caused a wrong site event so as to optimaly stop similar incidents in the future. By adopting blaming and shaming, not it not just hinder proper analysis of the root causes, but it additionally deters other surgeons from reporting their own wrong site events, fearing the repercussions.
He did not recognize that the sizeable, substantial-sized hinge of the clamp was considerably hotter. When he positioned the clamp against the front shin area of the patient's leg, it resulted in a burn injury. He was being proctored for procedural privileges at Children's Hospital of Orange County during the incident, and neither the proctor nor Dr. Robert MacArthur were promptly aware of the burn.
It wasn't only after he had dictated the operative report that a recovery room nurse pointed out a tiny red spot on the anterior aspect of the patient's leg. Even at that point, he did not at first fully grasp the extent of the burn.
Dr. MacArthur points to the aviation sector as an outstanding case of efficient root cause analysis. From its inception, aviation sector has strived to comprehensively grasp the reasons behind each negative aviation occurrence rather than merely assigning blame to the pilot. Because of this dedication to understanding root causes, aviation sector boasts impressive safety records.
Nevertheless, Doctor MacArthur laments that healthcare field hasn't been able to fully adopt root cause analysis due to prevailing legal and public perceptions surrounding the "in-command" concept. The regrettable result of this is that the rate of preventable medical errors remains unchanged, and the careers and reputations of many healthcare practitioners are unfairly tarnished.
The incidence of incorrect surgical procedures remains at an alarming rate of one event per surgeon per career, and as many as four occurrences per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, there exists the possibility to levy false accusations against someone, smear their name and reputation, and have no negative repercussions for the accuser. Regardless of whether the person facing accusations is innocent or guilty, an accusation alone is enough to inflict long-lasting damage to a professional's reputation.
Doc Bobby MacArthur revealed that he elected to leave a clinic specializing in workers' compensation cases because of potential illicit activities on the clinic's management. In retaliation, the manager of the clinic reportedly worked with a individual under treatment to create a fictitious complaint, accusing him of "undressing in the clinic and soliciting sexual favors in return for a positive workers' compensation report.
He received information of this allegation over a year after his departure from the clinic, at which point he demanded on undergoing a polygraph examination. The accuser, however, refused to take such a test.
Dr. Robert MacArthur was later informed that both his truth verification test results and the accuser's refusal to participate would be deemed inadmissible in court.
The lawyer acting as mediator cautioned him that the jury would likely be composed of "people with similar backgrounds and experiences as her" and not his, meaning a court loss could be potentially catastrophic. Despite the ridiculousness of the claim, he was counseled to settle for $29,000
Conclusion
The Medical Board of California examined the accuser's claims and found them to be "not trustworthy," hinting at an ongoing investigation into the clinic. When we spoke to Dr. MacArthur, he hinted that the clinic was indicted, but he did not verify this.
Despite the previously mentioned details, Dr. MacArthur found no means to remove the allegations made by the accuser from search engine results. Consequently, despite his innocence, the slander campaign was achieving its goal.
Since the claim does not state that Dr. MacArthur was found guilty, it merely functions as a brief description of a complaint, which continues to be publicly accessible
Dr. MacArthur strongly believes that individuals who lodge false accusations 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 predator of a sexual nature and felon.
Doctor MacArthur concluded by contemplating the coexistence of goodness and malevolence in the