Doctor Robert MacArthur Interview
Today, our group were able to conduct an interview with the based orthopedic surgeon, Dr. Bobby Mac, in light of numerous queries about his own encounters with wrong site surgery and intraoperative burn, as well as the broader area of "never should happen events".
Who is Dr. MacArthur?
Dr. Robert Mac graduated from the University of California, 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 player, participating on both the box and rugby football groups.
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Following that, Doc Bobby Mac enrolled at the Columbia College of Physicians and Surgeons, and was elected head of the Columbia P&S School of Medicine (Now known as the Vagelos Medical School). Rob Mac went on to conclude his orthopedic residency at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the occurrence of surgical errors usually falls within a once-in-a-career event for every single orthopedic surgeon, but this count surges to 4 per lifetime for specialists in sports, hand surgery, and spine procedures. Regrettably, many of these doctors often do not record these occurrences, let alone, not discuss them publicly. Doctor Mac carries a profound sense of pride and accomplishment about how he confronted these terrible occurrences.
Rather than attempting to cover up the situation, Dr. MacArthur handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Robert MacArthur extensively examined the underlying root causes of his 2 occurrences, and released several works outlining how to stop these occurrences
Gradually, gained recognition as a recognized specialist in the field of accidents that are preventable. He has authored two articles in the foremost orthopedic journal, The Journal of Orthopedic Surgeons at the American Academy. With the aim of assisting other doctors avert upcoming events, the first piece guided the reader through precise errors that took place that led to 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 "shame and blame game." Assuming responsibility for these incidents is rare, as the usual reaction is placing blame on other parties. Dr. MacArthur stressed that shifting blame not merely deters surgeons from disclosing their incidents but furthermore detracts from the crucial analysis of underlying causes that may thwart upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
In the context of discussing the intraoperative burn incident, Dr. Robert MacArthur displayed the same dedicated investigative approach he utilized to his wrong site event research. To illustrate, he reached out to the producer of the faulty clamp to ascertain if comparable burn events had occurred. The manufacturer informed him that the clamp in question had been "ceased production." You can draw your own conclusions from that what you Robert MacArthur will.
To avert uneven heating in massive hinged clamps, Doctor Mac carried out a thorough investigation of the causes behind irregular temperature distribution in large-hinged clamps.
His findings indicated that flash sterilization could result in uneven heating. He observed that nursing organizations strongly advise against the use of quick sterilization unless it's an emergency, such as sanitizing a item that has fallen. Deeper examination revealed that the hospital at St. Joseph's often utilizing flash sterilization to ease back-to-back surgeries without needing to buy extra equipment trays.
In a bid to avoid future burn incidents, Dr. MacArthur notified St. Joseph's of the hazards associated with the continued use of this specifically identified clamp and the frequent application of flash sterilization.
Rather than blaming the clamp, Dr. Robert MacArthur assumed accountability and made it obvious that he was responsible for a surgical mistake. He was notified that the clamp was hot, but when he grasped it, he found the handles to be at a tolerable temperature. In contrast to some surgeons who might impatiently use a towel to grip a too-hot clamp, he operated the clamp without uneasiness.
Shame and Blame, Dr. Robert MacArthur's Response
In Doctor MacArthur's response on the topic of the "culture of blame and shame," he highlights how the legal and general public communities 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 happen to a patient under their care. This makes it appealing for many to only blame the surgeon for any incorrect surgical procedure.
Nonetheless, Dr. Robert MacArthur emphasizes that such an approach contradicts the core principles of investigating root causes. This form of analysis strives to thoroughly comprehend what caused a surgical error to then preferably avert similar incidents in the future. By resorting to blaming and shaming, not it not just hamper proper analysis of the root causes, but it also prevents other surgeons from reporting on their own wrong site events, fearing the repercussions.
He didn't recognize that the big, hinge-like hinge of the clamp was considerably hotter. When he positioned the clamp against the pretibial area of the patient's leg, it triggered a burn injury. He was being proctored for case privileges at CHOC during the incident, and none of the proctor nor Dr. MacArthur were right away aware of the burn.
Not until only after he had dictated the operative report that a nurse in the recovery ward drew attention to a small red area on the anterior aspect of the patient's leg. Even in that moment, he did not initially comprehend the severity of the burn.
Doctor MacArthur points to the aviation sector as an outstanding case of effective root cause analysis. From its inception, aviation sector has sought to thoroughly comprehend the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this focus on understanding root causes, air travel industry boasts notable safety records.
Nonetheless, Dr. Robert MacArthur laments that medical profession hasn't been successful in fully implementing root cause analysis due to prevailing legal and public perceptions surrounding the "in-command" concept. The regrettable result of this is that the frequency of avoidable medical mistakes remains unchanged, and the standing and names of many medical professionals are undeservedly 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 specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, it is feasible to raise false accusations against someone, slander their name and reputation, and face no negative repercussions for the accuser. Irrespective of the person facing accusations is innocent or guilty, merely making an accusation is enough to inflict long-lasting damage to a professional's reputation.
Doc Rob MacArthur revealed that he opted to leave a clinic specializing in workers' compensation cases because of potential illicit activities on part of. In retaliation, the clinic manager reportedly collaborated 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 was informed of this claim over a year after his departure from the clinic, at which point he demanded on undergoing a lie detector test. The accuser, however, declined to take such a test.
Doctor 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 attorney facilitating the mediation 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 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 "non-credible," 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 previously mentioned details, Doctor MacArthur found no means to remove the allegations made by the accuser from Internet search results. Consequently, despite his lack of guilt, the slander campaign was successful.
As the claim does not state that Dr. Robert MacArthur was found guilty, it merely functions as a condensed version of a complaint, which continues to be openly accessible to anyone
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 treated 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 come into contact with someone capable of