Doctor Robert MacArthur Interview
Today, our group were to conduct an interview with the located orthopedic surgeon, Dr. Bobby MacArthur, addressing the inquiries about his experiences and encounters with wrong site surgery and surgical burn incidents, as well as the subject of "never should happen events".
Who is Dr. MacArthur?
Doctor Robert Mac graduated from the Univ of UC Berkeley with a dual degree in Biochem and Physiology. In the course of his time at the Univ, Doctor Bobby Mac was a well-known player, competing on both the combat sports and rugby football groups.
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Subsequently, Doc Rob MacArthur enrolled at the Columbia College of Physicians and Surgeons, and got elected as elected head of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos School of Medicine). Rob MacArthur went on to conclude his orthopaedic residence at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the occurrence of incorrect surgical procedures tends to be a one-time event in a career for every bone specialist, but this figure jumps to four per professional career for sports, hand, and spine specialists. Regrettably, a lot of of these frequently do not report these cases, let alone or discuss them publicly. Doc Mac carries a profound sense of pride about how he dealt with these terrible occurrences.
Rather than trying to hide what happened, Doctor MacArthur reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Robert Mac thoroughly investigated the fundamental origins of his two events, and released numerous works outlining how to prevent such events
He eventually, became acknowledged as a recognized specialist in the field of preventable accidents. He has written two articles in the foremost orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. With the aim of assisting other doctors avert future incidents, his first work walked the reader through the exact errors that happened that caused the incorrect surgical procedure.
The second paper, co-authored with Dr. David Ring, broached the topic of the "tendency to shame and blame." Assuming responsibility for these incidents is uncommon, as the common response is pointing fingers at third parties. Dr. MacArthur stressed that shifting blame not only prevents surgeons from reporting their incidents but additionally diverts from the crucial analysis of underlying causes that could potentially prevent upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the surgical burn occurrence, Dr. MacArthur exhibited the same thorough investigative mindset he employed to his research on wrong-site surgeries. For example, he got in touch with the manufacturer of the faulty clamp to find out if like burn events had transpired. The producer notified him that the clamp in question had been "discontinued." You can make your own inferences based on that what you desire.
And to prevent unequal temperature distribution in large hinged clamps, Dr. MacArthur conducted a detailed investigation of the reasons for irregular temperature distribution in big-hinged clamps.
His research findings suggested that quick sterilization could cause inconsistent temperature distribution. He observed that associations for nurses strongly advise against the use of rapid sterilization unless it's an emergency, for instance, disinfecting a item that has fallen. Additional investigation revealed that the hospital at St. Joseph's regularly utilizing rapid sterilization to ease back-to-back surgeries without needing to buy extra equipment trays.
In an effort to stop further burns, Doctor MacArthur notified St. Joseph's of the hazards associated with continuing to use this specific clamp and the regular use of quick sterilization.
In place of blaming the clamp, Dr. MacArthur accepted responsibility and made it obvious that he had committed a mistake during surgery. He was informed that the clamp had a high temperature, but when he held it, he found the handles to be at a tolerable temperature. Unlike some surgeons who might impatiently use a towel to grip a too-hot clamp, he performed surgery the clamp without any discomfort.
Shame and Blame, Dr. Robert MacArthur's Response
Regarding The perspective of Dr. MacArthur on response on the topic of the "culture of blame and shame," he spotlights how the legal and the wider public often conflate the "captain of the ship'' concept with identifying the underlying reasons. According to this "captain of the ship" perspective, the surgeon is held accountable for any negative occurrences that take place to a patient under their care. Robert MacArthur This makes it tempting for many to exclusively blame the surgeon for any wrong site event.
Nevertheless, Dr. Robert MacArthur emphasizes that this perspective opposes the principles of investigating root causes. This form of analysis intends to thoroughly comprehend what caused a wrong site event in order to optimaly prevent similar incidents in the future. By adopting blame and shame, not it not just hamper proper analysis of the root causes, but it also deters other surgeons from disclosing their individual wrong site events, afraid of the repercussions.
He failed to recognize that the sizeable, walnut-sized hinge of the clamp was noticeably hotter. When he positioned the clamp against the pretibial area of the patient's leg, it resulted in a burn. He was being proctored for surgical privileges at the CHOC Hospital during the incident, and none of the proctor nor Doctor MacArthur were right away aware of the burn.
It was not only after he had dictated the operative report that a nurse in the recovery ward pointed out a tiny red spot on the anterior aspect of the patient's leg. Even then, he did not initially fully grasp the severity of the burn.
Doctor MacArthur references the airline industry as an outstanding case of efficient root cause analysis. From its inception, air travel industry has sought to comprehensively grasp the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this commitment to understanding root causes, air travel industry boasts impressive safety records.
Nevertheless, 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 regrettable result of this is that the incidence of preventable healthcare errors remains unchanged, and the careers and reputations of many doctors and healthcare providers are unjustly tarnished.
The incidence of wrong site surgery continues at an alarming rate of a single occurrence per surgeon per career, and up to four occurrences per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, it is possible to bring forth false accusations against someone, slander 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 cause long-lasting damage to a professional's reputation.
Doctor Robert MacArthur shared that he chose to leave a workers compensation clinic because of potential illicit activities on part of. In retaliation, the clinic's manager supposedly conspired with a client to create a fictitious complaint, accusing him of "stripping naked in the middle of the clinic and requesting sex in exchange for a favorable workers comp report.
He got to know of this allegation over a year after his departure from the clinic, at which point he asserted on undergoing a lie detector test. The accuser, however, refused to take such a test.
Doc Rob Mac was later informed that both his polygraph examination results and the claimant's refusal to participate would be considered 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 absurdity of the claim, he was counseled to settle for $29,000
Conclusion
California's 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 hinted that the clinic was indicted, but he did not officially state this.
In spite of the previously mentioned details, Dr. Robert MacArthur found no means to erase the allegations made by the accuser from online search listings. Consequently, despite his lack of guilt, the slander campaign was effective.
As the claim does not state that Doctor MacArthur was found guilty, it merely acts as a brief description of a complaint, which continues to be available to the public
Doctor MacArthur strongly believes that individuals who lodge false accusations should be subject to consequences equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be considered to be a sex offender and felon.
Dr. MacArthur concluded by thinking about the coexistence of goodness and malevolence in the world, wishing that those who read his account would never come into contact with someone capable of such