Doctor Robert MacArthur Interview
Today, we were able to have a conversation with the based orthopedist, Dr. Bobby MacArthur, in response to the inquiries about his experiences and encounters with wrong Dr. Robert MacArthur site surgery and burns during surgery, as well as a area of "events that should never occur".
Who is Dr. MacArthur?
Doc Rob Mac graduated from the Univ of UC Berkeley with a double major in Biochemistry and Physio. In the course of his time at the Univ, Doctor Robert MacArthur had been a renowned sportsman, participating on both the boxing and Rugby teams.
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Afterwards, Doc Rob MacArthur enrolled at the Columbia 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 School of Medicine). Rob Mac proceeded to conclude his orthopedic residency at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the occurrence of surgical errors tends to be a once-in-a-career event for each orthopedist, but this count increases to 4 in each career for specialists in sports, hand surgery, and spine procedures. Sadly, many of these doctors frequently do not record these cases, let alone or talk about them freely. Doc MacArthur carries a profound sense of pride and satisfaction about how he dealt with these unfortunate occurrences.
Rather than trying to hide the incident, Dr. Mac reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Bobby MacArthur completely looked into the underlying root causes of his dual incidents, and put out numerous works outlining how to stop these occurrences
Gradually, earned acclaim as a recognized specialist in the field of accidents that can be avoided. He's penned two articles in the foremost orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. With the aim of aiding other doctors avert future incidents, the first piece walked the reader through the specific errors that took place that caused the incorrect surgical procedure.
The follow-up article, jointly written with Dr. David Ring, addressed the topic of the "culture of shame and blame." Taking responsibility for these incidents is rare, as the common response is blaming external factors. Dr. MacArthur stressed that accusations not only prevents surgeons from reporting their incidents but furthermore diverts from the vital analysis of underlying causes that might prevent future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When discussing the incident of burns during surgery, Dr. Robert MacArthur displayed the same investigative vigor he applied to his research on wrong-site surgeries. As an illustration, he contacted the producer of the troublesome clamp to find out if similar burn events had occurred. The producer notified him that the clamp in question had been "discontinued." You can draw your own conclusions from that what you desire.
To avert uneven heating in large hinged clamps, Doctor MacArthur carried out a comprehensive investigation of the causes behind irregular temperature distribution in oversized clamps.
His research findings suggested that rapid sterilization could lead to uneven heating. He observed that associations for nurses recommend strongly against the use of flash sterilization unless an emergency situation arises for instance, sterilizing a fallen instrument. Additional investigation revealed that St Joseph's Hospital regularly using quick sterilization to ease back-to-back surgeries without needing to purchase additional equipment trays.
In a bid to avoid future burn incidents, Dr. MacArthur notified the hospital at St. Joseph's of the risks associated with ongoing utilization of this specifically identified clamp and the frequent application of quick sterilization.
In place of blaming the clamp, Dr. MacArthur accepted responsibility and made it evident that he was responsible for 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 comfortable temperature. Unlike some surgeons who might impatiently grab a towel to grip a too-hot clamp, he operated the clamp without any discomfort.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing Doctor MacArthur's response on the topic of the "culture of blame and shame," he spotlights how the legal and the wider public often mix up the "in-command'' concept with root cause analysis. According to this "captain of the ship" perspective, the surgeon is considered responsible for any adverse events that take place to a patient under their care. This makes it enticing for many to only blame the surgeon for any wrong site event.
However, Dr. MacArthur emphasizes that such an approach opposes the fundamental principles of root cause analysis. This form of analysis aims to comprehensively grasp what caused a wrong site event so as to optimaly stop similar incidents in the future. By turning to blame and shame, not it not just hinder proper analysis of the root causes, but it furthermore deters other surgeons from disclosing their own wrong site events, fearing the repercussions.
He failed to recognize that the sizeable, hinge-like hinge of the clamp was considerably hotter. When he positioned the clamp against the shin area of the patient's leg, it triggered a burn. He was being proctored for case privileges at the CHOC Hospital during the incident, and none of the proctor nor Dr. Robert MacArthur were right away aware of the burn.
It was not only after he had dictated the operative report that an attending nurse in the recovery room noticed a tiny red spot on the anterior aspect of the patient's leg. Even then, he did not at the outset comprehend the severity of the burn.
Dr. Robert MacArthur cites the air travel industry as an model case of successful root cause analysis. From its inception, the industry has sought to thoroughly comprehend the reasons behind each aviation incident rather than merely assigning blame to the pilot. Because of this focus on understanding root causes, the airline industry boasts impressive safety records.
However, Doctor 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 "in-command" concept. The regrettable result of this is that the rate of preventable medical errors remains unchanged, and the standing and names of many doctors and healthcare providers are undeservedly tarnished.
The frequency of wrong site surgery continues at an worrying rate of one event per surgeon per career, and as many as four occurrences per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, there exists the possibility to bring forth false accusations against someone, slander 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.
Doctor Rob MacArthur shared that he elected to leave a workers compensation clinic because of possible unlawful practices on part of. In retaliation, the clinic manager allegedly worked with a client to make a false accusation, 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 insisted on undergoing a truth verification test. The accuser, however, refused to take such a test.
Doctor Robert 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 "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
The Medical Board of California 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 suggested that the clinic was indicted, but he did not officially state this.
Despite the information provided earlier, Doctor MacArthur found no means to remove the allegations made by the accuser from search engine results. Meaning, despite his clear conscience, the slander campaign was successful.
Considering that the claim does not state that Dr. MacArthur was found guilty, it merely functions 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 sexual predator and felon.
Doctor 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 damaging false accusations as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Doctor MacArthur is a