Doctor Robert MacArthur Interview
Today, we were to have a conversation with California's located bone specialist, Doctor Robert Mac, in response to the inquiries about his own experiences and encounters with incorrect surgical procedures and intraoperative burn, as well as the area of "never should happen events".
Who is Dr. MacArthur?
Doctor Rob Mac graduated from the Univ of California, Berkeley with a double major in Biochemistry and Physiology. Throughout his time at the Univ, Doctor Robert Mac was a renown sportsman, competing on both several box and rugby football squads.
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Afterwards, Doc Bobby MacArthur entered at the Columbia University College of Physicians and Surgeons, and got elected as elected leader of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos Medical School). Rob MacArthur proceeded to finish his orthopaedic residency at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the incidence of wrong site surgery usually falls within a once-in-a-career event for each orthopedist, but this figure jumps to fourfold for each lifetime for specialists in sports, hand surgery, and spine procedures. Regrettably, many of these surgeons frequently do not record these occurrences, let alone discuss them openly. Doctor MacArthur carries a intense sense of pride about how he faced these harrowing occurrences.
Rather than seeking to conceal the situation, Doc Mac reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Rob MacArthur completely examined the causal factors of his dual events, and released numerous works outlining how to avoid such events
Over time, gained recognition as a recognized specialist in the field of accidents that can be avoided. He has penned two articles in the foremost orthopedic journal, The Journal of Orthopedic Surgeons at the American Academy. With the aim of helping other doctors stop future incidents, the first piece guided the reader through precise errors that took place that caused the incorrect surgical procedure.
His second publication, authored together with Dr. David Ring, broached the topic of the "shame and blame game." Assuming responsibility for these incidents is seldom, as the usual reaction is blaming external factors. He stressed that pointing fingers not merely prevents surgeons from making reports their incidents but furthermore takes away from the vital analysis of root causes that may prevent upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
In the context of discussing the incident of burns during surgery, Dr. Robert Mac displayed the same investigative vigor he applied to his wrong site event research. As an illustration, he contacted the maker of the troublesome clamp to find out if comparable burn events had happened. The maker informed him that the clamp in question had been "no longer in production." You can make your own inferences based on that what you will.
In order to avoid uneven heating in large hinged clamps, Doc MacArthur conducted a detailed investigation of the reasons for irregular temperature distribution in oversized clamps.
The results of his investigation showed that quick sterilization could cause uneven heating. He noted that nursing organizations recommend strongly against the use of rapid sterilization unless there's an urgent need such as disinfecting a fallen instrument. Deeper examination revealed that the hospital at St. Joseph's was frequently utilizing rapid sterilization to enable back-to-back surgeries without having to purchase additional equipment trays.
With the aim to prevent future burns, Dr. MacArthur informed the hospital at St. Joseph's of the hazards associated with ongoing utilization of this specific clamp and the regular use of rapid sterilization.
Instead of blaming the clamp, Dr. Robert MacArthur assumed accountability and made it obvious that he had made a surgical mistake. He was informed that the clamp had a high temperature, but when he took hold of it, he found the handles to be at a tolerable temperature. Differing from some surgeons who could impatiently reach for a towel to handle a too-hot clamp, he carried out the procedure 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 emphasizes 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 adverse events that occur to a patient under their care. This makes it tempting for many to solely blame the surgeon for any wrong site event.
However, Dr. Robert MacArthur stresses that such an approach opposes the principles of identifying underlying causes. This form of analysis strives to deeply understand what caused a surgical error so as to preferably stop similar incidents in the future. By turning to blame and shame, not it not just hamper proper analysis of the root causes, but it additionally prevents other surgeons from disclosing their individual wrong site events, fearing the repercussions.
He didn't recognize that the large, substantial-sized hinge of the clamp was significantly hotter. When he positioned the clamp against the front shin area of the patient's leg, it triggered a burn. He was being proctored for procedural privileges at the CHOC Hospital during the incident, and none of the proctor nor Dr. Robert MacArthur were immediately aware of the burn.
It wasn't only after he had dictated the operative report that an attending nurse in the recovery room pointed out a small red area on the anterior aspect of the patient's leg. Even then, he did not at first comprehend the severity of the burn.
Dr. MacArthur cites the air travel industry as an exemplary case of effective root cause analysis. From its inception, the industry has aimed to thoroughly comprehend the reasons behind each adverse aviation event rather than just blaming to the pilot. Because of this dedication to understanding root causes, aviation sector boasts notable safety records.
However, Dr. MacArthur laments that healthcare field hasn't been able to fully adopt root cause analysis due to prevailing legal and public perceptions surrounding the "in-command" concept. The unfortunate outcome of this is that the incidence of preventable healthcare errors remains unchanged, and the careers and reputations of many healthcare practitioners are unjustly tarnished.
The occurrence of wrong site surgery persists at an disturbing rate of one event 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
As of 2023, it is feasible to bring forth false accusations against someone, smear their name and reputation, and face no negative repercussions for the accuser. Irrespective of the accused is innocent or guilty, just making an allegation is enough to bring about long-lasting damage to a professional's reputation.
Dr. Rob Mac 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 patient 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 received information of this allegation over a year after his departure from the clinic, at which Robert MacArthur point he insisted on undergoing a truth verification test. The accuser, however, refused to take such a test.
Doc Bobby MacArthur was later notified that both his truth verification test results and the accuser's refusal to participate would be regarded inadmissible in court.
The mediating attorney cautioned him that the jury would likely be composed of "her peers" and not his, meaning a court loss could be highly damaging. Despite the ridiculousness 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 "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 previously mentioned details, Dr. MacArthur found no means to erase the allegations made by the accuser from Internet search results. Consequently, despite his clear conscience, the defamatory campaign was effective.
As the claim does not state that Doctor MacArthur was found guilty, it merely acts as a condensed version of a complaint, which continues to be available to the public
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 sex offender and felon.
Dr. MacArthur concluded by reflecting on the existence of both good and evil in the world, hoping 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
Doctor MacArthur