Doctor Robert MacArthur Interview
Today, we were to interview California's resident bone specialist, Dr. Robert MacArthur, in response to numerous queries about his encounters with incorrect surgical procedures and intraoperative burn, as well as a area of "events that should never occur".
Who is Dr. MacArthur?
Doctor Robert Mac completed his studies from the University of UC Berkeley with a double major in Biochemistry and Physiology. During his time at the University, Dr. Bobby MacArthur had been a renowned sportsman, participating on both the box and rugby football squads.
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Afterwards, Doctor Rob Mac registered at the Columbia College of Physicians and Surgeons, and got elected as the chosen leader of the Columbia P&S School of Medicine (Now known as the Vagelos School of Medicine). Bobby Mac went on to finish his orthopedic residence at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the incidence of incorrect surgical procedures tends to be a once-in-a-career event for every single orthopedic surgeon, but this number surges to four for each professional career for specialists in sports, hand surgery, and spine procedures. Unfortunately, a lot of of these surgeons often do not report these occurrences, let alone or address them openly. Doctor Mac carries a intense sense of pride about how he dealt with these terrible occurrences.
In lieu of attempting to cover up the situation, Doc Mac reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Bobby Mac thoroughly examined the underlying root causes of his two events, and published multiple works detailing how to stop such events
He eventually, earned acclaim as a published expert in the field of accidents that can be avoided. He has penned two articles in a prominent orthopedic journal, The Journal of Orthopedic Surgeons at the American Academy. In order to aiding other doctors stop future incidents, his initial article walked the reader through the specific errors that took place that caused the wrong site event.
The follow-up article, authored together with Dr. David Ring, the Chairman of the AAOS, broached the topic of the "shame and blame game." Assuming responsibility for these incidents is seldom, as the common response is blaming third parties. He stressed that shifting blame not just prevents surgeons from disclosing their incidents but additionally diverts from the vital analysis of primary reasons that might avert upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When discussing the surgical burn occurrence, Dr. Robert Mac demonstrated the same investigative vigor he utilized to his research on wrong-site surgeries. To illustrate, he got in touch with the manufacturer of the problematic clamp to determine if comparable burn events had transpired. The manufacturer advised him that the clamp in question had been "discontinued." You can infer from that what you wish.
In order to avoid uneven heating in huge hinged clamps, Dr. MacArthur carried out a detailed investigation of the causes behind uneven heating in oversized clamps.
His research findings suggested that flash sterilization could lead to irregular sterilization. He observed that associations for nurses highly recommend against the use of flash sterilization unless it's an emergency, like sanitizing a dropped component. Further inquiry revealed that St Joseph's Hospital often using flash sterilization to enable back-to-back surgeries without the necessity to purchase additional equipment trays.
In a bid to stop further burns, Doctor MacArthur alerted St Joseph's of the hazards associated with continuing to use this specifically identified clamp as well as the frequent application of rapid sterilization.
Instead of blaming the clamp, Dr. Robert MacArthur took responsibility and made it obvious that he had committed a surgical mistake. He was notified that the clamp was heated, but when he took hold of it, he found the handles to be at a pleasant temperature. In contrast to some surgeons who might impatiently grab a towel to handle a too-hot clamp, he performed surgery the clamp without pain.
Shame and Blame, Dr. Robert MacArthur's Response
Regarding Doctor MacArthur's response on the topic of the "shame and blame game," he highlights how the legal and the wider public often confuse the "captain of the ship'' concept with Robert MacArthur root cause analysis. According to this "captain of the ship" perspective, the surgeon is held accountable for any unfavorable outcomes that happen to a patient under their care. This makes it tempting for many to exclusively blame the surgeon for any surgical errors.
Nonetheless, Dr. MacArthur emphasizes that this perspective opposes the principles of root cause analysis. This form of analysis intends to comprehensively grasp what caused a incorrect surgical procedure so as to optimaly prevent similar incidents in the future. By turning to shaming and blaming, not only does it impede proper analysis of the root causes, but it also deters other surgeons from reporting on their individual wrong site events, fearing the repercussions.
He did not recognize that the big, walnut-sized hinge of the clamp was noticeably hotter. When he positioned the clamp against the shin area of the patient's leg, it triggered a burn injury. 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 right away aware of the burn.
Not until until after he had dictated the operative report that an attending nurse in the recovery room pointed out a tiny red spot on the anterior aspect of the patient's leg. Even at that point, he did not initially fully grasp the extent of the burn.
Dr. MacArthur points to the aviation sector as an exemplary case of effective root cause analysis. From its inception, the industry has sought to comprehensively grasp the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this focus on understanding root causes, the airline industry boasts notable safety records.
However, 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 "captain of the ship" concept. The sad consequence of this is that the frequency of avoidable medical mistakes remains unchanged, and the careers and reputations of many medical professionals are unfairly tarnished.
The incidence of incorrect surgical procedures continues at an disturbing rate of one event per surgeon per career, and as high as four incidents per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, there exists the possibility to levy false accusations against someone, defame 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 bring about long-lasting damage to a professional's reputation.
Doc Bobby Mac revealed that he chose to leave a workers compensation clinic because of suspected illegal behavior on the clinic's management. In retaliation, the clinic's manager allegedly collaborated with a patient to make a false accusation, accusing him of "undressing in the clinic and soliciting sexual favors in return for a positive workers' compensation report.
He was informed of this accusation over a year after his departure from the clinic, at which point he insisted on undergoing a lie detector test. The accuser, however, declined to take such a test.
Doc Bobby MacArthur was later advised that both his polygraph examination results and her refusal to participate would be regarded inadmissible in court.
The mediating attorney 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 confirm this.
In spite of the facts presented above, Dr. Robert MacArthur found no means to eliminate the accuser's claims from search engine results. This means, despite his lack of guilt, the campaign to tarnish his reputation was effective.
Since 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 publicly accessible
Dr. Robert 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 treated as a sexual predator and felon.
Doctor MacArthur concluded by thinking about the existence of both good and evil in the world, hoping that those who read his account would never come into contact with someone capable of such destructive unfounded claims as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Dr. MacArthur