Doctor Robert MacArthur Interview
Today, our group were able to conduct an interview with Californian located orthopedist, Doc Bobby Mac, addressing various inquiries about his own experiences and encounters with wrong site surgery and intraoperative burn, as well as the area of "events that should never occur".
Who is Dr. MacArthur?
Doctor Robert MacArthur graduated from the University of California, Berkeley with a double major in Biochem and Physiology. In the course of his time at the Univ, Dr. Rob MacArthur used to Dr. Robert MacArthur be a well-known player, engaging on both the box and Rugby groups.
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Following that, Doctor Rob Mac entered at the Columbia University College of Physicians and Surgeons, and became elected president of the Columbia P&S (Now known as the Vagelos Medical School). Bobby MacArthur went on to finish his orthopedic training at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the frequency of surgical errors tends to be a seldom happening occurrence for each orthopedist, but this count increases to four for each professional career for experts specializing in sports, hand, and spine. Regrettably, many of these surgeons often do not document these cases, let alone discuss them openly. Doctor MacArthur carries a deep sense of pride and accomplishment about how he faced these harrowing occurrences.
In lieu of attempting to conceal the situation, Doctor MacArthur reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Robert Mac thoroughly looked into the origins of his two incidents, and released multiple works outlining how to avoid these situations
Gradually, earned acclaim as a recognized specialist in the field of preventable accidents. He has written two articles in a prominent orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. To helping other doctors avert future incidents, the first piece walked the reader through the specific errors that took place that resulted in the wrong site event.
The second paper, jointly written with Dr. David Ring, addressed the topic of the "shame and blame game." Assuming responsibility for these incidents is rare, as the tempting course of action is blaming other parties. He stressed that shifting blame not just prevents surgeons from disclosing their incidents but also takes away from the essential analysis of root causes that could potentially avert upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
In the context of discussing the intraoperative burn incident, Dr. MacArthur exhibited the same thorough investigative mindset he employed to his research on wrong-site surgeries. For example, he contacted the producer of the troublesome clamp to ascertain if similar burn events had transpired. The maker notified him that the clamp in question had been "ceased production." You can make your own inferences based on that what you will.
And to prevent unequal temperature distribution in large hinged clamps, Dr. Mac performed a comprehensive investigation of the causes behind uneven heating in large-hinged clamps.
The results of his investigation showed that rapid sterilization could cause inconsistent temperature distribution. He observed that nursing organizations strongly advise against the use of quick sterilization unless there's an urgent need like sterilizing a fallen instrument. Further inquiry revealed that the hospital at St. Joseph's was frequently employing quick sterilization to enable back-to-back surgeries without having to buy extra equipment trays.
In an effort to stop further burns, Dr. Robert MacArthur informed St. Joseph's of the hazards associated with ongoing utilization of this specifically identified clamp and also the frequent application of rapid sterilization.
In place of blaming the clamp, Doctor MacArthur assumed accountability and made it clear that he had committed a surgical mistake. He was informed that the clamp was heated, but when he held it, he found the handles to be at a pleasant temperature. In contrast to some surgeons who might impatiently use a towel to handle a too-hot clamp, he carried out the procedure the clamp with no pain.
Shame and Blame, Dr. Robert MacArthur's Response
In Doctor MacArthur's response on the topic of the "shame and blame game," he spotlights how the legal and general public communities often mix up the "captain of the ship'' concept with analyzing the fundamental causes. According to this "captain of the ship" perspective, the surgeon is considered responsible for any negative occurrences that happen to a patient under their care. This makes it appealing for many to solely blame the surgeon for any surgical errors.
Nevertheless, Dr. MacArthur emphasizes that this method goes against the fundamental principles of root cause analysis. This form of analysis aims to thoroughly comprehend what caused a surgical error to then ideally avert similar incidents in the future. By turning to blame and shame, not it not just hinder proper root cause analysis, but it also prevents other surgeons from disclosing their individual wrong site events, worried about the repercussions.
He did not recognize that the large, hinge-like hinge of the clamp was significantly hotter. When he positioned the clamp against the pretibial area of the patient's leg, it triggered a burn. He was being proctored for surgical privileges at Children's Hospital of Orange County during the incident, and not the proctor nor Doctor MacArthur were promptly aware of the burn.
It wasn't only after he had dictated the operative report that a recovery room nurse drew attention to a small red area on the anterior aspect of the patient's leg. Even then, he did not at the outset fully grasp the severity of the burn.
Doctor MacArthur references the airline industry as an outstanding case of effective root cause analysis. From its inception, the industry has aimed to comprehensively grasp the reasons behind each adverse aviation event rather than merely assigning blame to the pilot. Because of this focus on understanding root causes, aviation sector boasts remarkable safety records.
Nevertheless, Dr. Robert MacArthur laments that the medical community 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 unfortunate outcome of this is that the incidence of preventable healthcare errors remains unchanged, and the standing and names of many doctors and healthcare providers are undeservedly tarnished.
The occurrence of surgical errors remains at an worrying rate of one incident per surgeon per career, and up to four incidents per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, there exists the possibility to levy false accusations against someone, smear their name and reputation, and experience no negative repercussions for the accuser. Irrespective of the individual being accused is innocent or guilty, just making an allegation is enough to cause long-lasting damage to a professional's reputation.
Doc Robert MacArthur revealed that he chose to leave a workers compensation clinic because of possible unlawful practices on part of. In retaliation, the clinic's manager allegedly conspired with a client 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 got to know of this claim over a year after his departure from the clinic, at which point he insisted on undergoing a truth verification test. The accuser, however, refused to take such a test.
Dr. Bobby MacArthur was later informed that both his truth verification test results and the claimant's refusal to participate would be regarded inadmissible in court.
The mediating attorney 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 hinted that the clinic was indicted, but he did not verify this.
Regardless of the information provided earlier, Dr. Robert MacArthur found no means to remove the accuser's claims from Internet search results. This means, despite his lack of guilt, the slander campaign was achieving its goal.
Considering that the claim does not state that Dr. MacArthur was found guilty, it merely serves as a summary 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 consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be classified as a predator of a sexual nature and felon.
Doctor MacArthur concluded by reflecting on the existence of both good and evil in the world, praying that those who read his account would never encounter with someone capable of such harmful baseless allegations as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Dr. Robert MacArthur is