Doctor Robert MacArthur Interview
On this particular day, our team were to interview California's located orthopedist, Doctor Bobby MacArthur, addressing numerous inquiries about his own experiences and encounters with wrong site surgery and surgical burn incidents, as well as a area of "events that should never occur".
Who is Dr. MacArthur?
Doc Robert MacArthur completed his studies from the Univ of California, Berkeley with a double major in Biochemistry and Physio. During his time at the Univ, Dr. Robert MacArthur had been a renowned athlete, competing on both various box and Rugby teams.
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Following that, Doc Bobby MacArthur entered at the Columbia P&S, and was the chosen head of the Columbia P&S (Now known as the Vagelos school of medicine). Rob MacArthur continued to finish his orthopedic training at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the occurrence of incorrect surgical procedures typically is a one-time event in a career for every single bone specialist, Robert MacArthur but this count surges to 4 per professional career for experts specializing in sports, hand, and spine. Regrettably, many of these doctors frequently do not report these cases, let alone or talk about them freely. Dr. MacArthur carries a deep sense of pride and satisfaction about how he faced these unfortunate occurrences.
Instead of seeking to cover up what happened, Doctor MacArthur reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Robert MacArthur completely examined the underlying origins of his 2 events, and published several works detailing how to stop these occurrences
He eventually, gained recognition as a published expert in the field of accidents that can be avoided. He has authored 2 articles in the leading orthopedic journal, The Journal of Orthopedic Surgery. With the aim of helping other doctors avert future incidents, his first work walked the reader through precise errors that happened that resulted in the wrong site event.
The second paper, jointly written with Dr. David Ring, who is also the Chairman of the AAOS, tackled the topic of the "tendency to shame and blame." Taking responsibility for these incidents is seldom, as the common response is blaming external factors. He stressed that pointing fingers not merely deters surgeons from reporting their incidents but furthermore diverts from the vital analysis of underlying causes that could potentially prevent subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
In the context of discussing the surgical burn occurrence, Dr. MacArthur demonstrated the same dedicated investigative approach he utilized to his wrong site event research. As an illustration, he contacted the producer of the problematic clamp to determine if like burn events had occurred. The producer informed him that the clamp in question had been "discontinued." You can infer from that what you wish.
And to prevent uneven heating in huge hinged clamps, Doctor Mac carried out a detailed investigation of the reasons for uneven heating in big-hinged clamps.
The results of his investigation showed that flash sterilization could cause irregular sterilization. He observed that nursing organizations highly recommend against the use of rapid sterilization unless there's an urgent need for instance, sanitizing a fallen instrument. Deeper examination revealed that St Joseph's Hospital was frequently using rapid sterilization to ease back-to-back surgeries without needing to acquire more equipment trays.
In an effort to avoid future burn incidents, Dr. MacArthur informed St. Joseph's of potential dangers associated with the continued use of this particular clamp and also the frequent application of rapid sterilization.
Rather than blaming the clamp, Doctor MacArthur assumed accountability and made it obvious that he had made a mistake during surgery. He was notified that the clamp was hot, but when he grasped it, he found the handles to be at a comfortable temperature. Differing from some surgeons who could impatiently grab a towel to grip a too-hot clamp, he performed surgery the clamp without pain.
Shame and Blame, Dr. Robert MacArthur's Response
Regarding The perspective of Dr. MacArthur on response on the topic of the "blame game," he highlights how the legal and the wider public often conflate the "captain of the ship'' concept with identifying the underlying reasons. According to this "in-command" perspective, the surgeon is considered responsible for any adverse events that occur to a patient under their care. This makes it enticing for many to only blame the surgeon for any surgical errors.
Nevertheless, Doctor MacArthur emphasizes that this perspective contradicts the principles of root cause analysis. This form of analysis strives to deeply understand what caused a surgical error to then optimaly avert similar incidents in the future. By adopting blame and shame, not only does it hamper proper root cause analysis, but it additionally prevents other surgeons from reporting on their own wrong site events, fearing the repercussions.
He did not recognize that the sizeable, hinge-like hinge of the clamp was considerably hotter. When he positioned the clamp against the shin area of the patient's leg, it resulted in 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 Dr. MacArthur were immediately aware of the burn.
Not until only after he had dictated the operative report that a recovery room nurse noticed a small red area on the anterior aspect of the patient's leg. Even then, he did not at the outset realize the extent of the burn.
Doctor MacArthur points to the air travel industry as an exemplary case of successful root cause analysis. From its inception, the industry has sought to deeply understand the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this commitment to understanding root causes, the airline industry boasts remarkable safety records.
Nonetheless, Dr. Robert MacArthur laments that medical profession hasn't been able to fully adopt root cause analysis due to prevailing legal and public perceptions surrounding the "captain of the ship" concept. The regrettable result 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 surgical errors continues at an alarming rate of one incident per surgeon per career, and up to four occurrences per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, it is possible to bring forth false accusations against someone, defame their name and reputation, and face no negative repercussions for the accuser. Regardless if the individual being accused is innocent or guilty, merely making an accusation is enough to cause long-lasting damage to a professional's reputation.
Doctor Bobby MacArthur revealed that he elected to leave a workers compensation clinic because of potential illicit activities on part of. In retaliation, the manager of the clinic supposedly conspired with a patient to fabricate a claim, accusing him of "stripping naked in the middle of the clinic and requesting sex in exchange for a favorable workers comp report.
He was informed of this accusation over a year after his departure from the clinic, at which point he asserted on undergoing a truth verification test. The accuser, however, opted not to take such a test.
Doc Robert Mac was later notified that both his lie detector test results and her refusal to participate would be regarded 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 potentially catastrophic. Despite the ridiculousness 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 "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 confirm this.
Regardless of the information provided earlier, Doctor MacArthur found no means to erase the accuser's claims from search engine results. Meaning, despite his lack of guilt, the defamatory campaign was effective.
Considering that the claim does not state that Dr. Robert MacArthur was found guilty, it merely functions as a brief description of a complaint, which continues to be publicly accessible
Dr. Robert MacArthur strongly believes that individuals who lodge false accusations should receive punishments equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be considered to be a sex offender and felon.
Doctor MacArthur concluded by contemplating the coexistence of goodness and malevolence in the world, wishing that those who read his account would never cross paths with someone capable of such destructive unfounded claims as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Dr. Robert MacArthur is a distinguished orthopedic surgeon acknowledged for his expertise in diagnosing,
