{"id":214,"date":"2019-05-06T13:38:30","date_gmt":"2019-05-06T13:38:30","guid":{"rendered":"https:\/\/www.precisionostech.com\/?p=214"},"modified":"2020-09-28T17:23:10","modified_gmt":"2020-09-28T17:23:10","slug":"examining-the-rise-in-orthopedic-surgery-patient-claims","status":"publish","type":"post","link":"https:\/\/www.precisionostech.com\/pt\/examining-the-rise-in-orthopedic-surgery-patient-claims\/","title":{"rendered":"Examinando o aumento nas reivindica\u00e7\u00f5es de pacientes de cirurgia ortop\u00e9dica"},"content":{"rendered":"<h2 class=\"wp-block-heading\">As nuances dos n\u00fameros<br><\/h2>\n\n\n\n<h4 class=\"wp-block-heading\"><em>\u201cMedicine\u2019s distinction is that lives are lost in those slim margins\u201d<\/em><br><\/h4>\n\n\n\n<p>To appreciate the value of perfectionism in medicine, one only needs to consider the difference between 99% and 99.5% success rates. This marginal half-percent represents entire human lives. It means that for every 1000 individuals receiving treatment, five people won\u2019t be so lucky \u2013 or ten. This could result in five able-bodied people who can no longer live independently, five competent adults who can no longer participate in intelligent discussions, or five family members who will no longer be alive to celebrate another holiday or birthday.<\/p>\n\n\n\n<p>When these numbers represent quality of life or mortality rates, abiding by the cliche of \u2018just do your best\u2019 feels unacceptable. In fact, the severity of medical errors is so frightening that surgeons have been compared to pilots with respect to the high degree of situational awareness and technical responses in time-pressured situations, prompting the creation of Surgical Safety Checklists similar to pilots\u2019 checklists.<\/p>\n\n\n\n<p>But here\u2019s the defining difference: If a pilot makes a mistake, s\/he experiences the outcome along with the passengers. If a surgeon makes a procedural error, only the patient directly experiences the consequence.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Ou eles querem?<\/h4>\n\n\n\n<p>Entre no mundo das reivindica\u00e7\u00f5es de responsabilidade m\u00e9dica, em que a conclus\u00e3o de um procedimento cir\u00fargico pode ser o in\u00edcio de um pesadelo emocional e profissional para o cirurgi\u00e3o.<\/p>\n\n\n\n<p>Given its highly technical nature, it is unsurprising that orthopedic surgeons are at a higher risk of litigation for medical malpractice than other specialties. Coverys\u2019s review of 474 closed orthopedic claims from 2013-2017 revealed that 62% of the claims were procedural-related, 90% of which cited \u201cnegligent surgical performance\u201d. These figures seemingly suggest that we are graduating and employing surgeons with subpar technical skills, however research shows that this is untrue and the explanation is much more complex.<\/p>\n\n\n\n<p>The abundance of medical information on the internet and fictionalized medical experiences on TV have empowered patients into adjudicators of their own surgical experiences. This is certainly not a negative; person-centred care is at the forefront of shifting North American healthcare paradigms and adds an extra level of diligence. However, it can create a gap between the patient and surgeon\u2019s expectations of the procedural experience \u2013 whether realistic or not. This disconnect suggests that communication, as well as technical skill, plays a significant role in negligence claims.<\/p>\n\n\n\n<p>This hypothesis is further strengthened when we look at the top allegation categories of orthopedic claims cited in Coverys\u2019 review: technical skill ranked highest at 29%, clinical judgment ranked closely behind at 23%, and communication followed at 13%. These claims spanned pre, intra, and post-operative care and included risk factors of negligent post-operative monitoring (15%), inappropriate or inadequate testing (13%), narrow diagnostic focus (13%), and failure to obtain a referral or specialist consult (8%).<\/p>\n\n\n\n<p>The patient safety incidents reported in malpractice claims are valuable information sources that focus on areas of concern and inform future solutions; it\u2019s just a matter of how we transform these incidents into learning opportunities.<\/p>\n\n\n\n<p>No <a href=\"https:\/\/www.precisionostech.com\/pt\/about\/\">Precision OS<\/a>, hipotetizamos que a aprendizagem experiencial \u00e9 a maneira mais eficaz de combater alega\u00e7\u00f5es de neglig\u00eancia. Nossa abordagem ao treinamento em cirurgia ortop\u00e9dica visa reduzir a probabilidade de complica\u00e7\u00f5es que aumentam para o n\u00edvel legal em 1) facilitando uma experi\u00eancia cir\u00fargica mais transparente e realista e 2) melhorando as melhores pr\u00e1ticas na tomada de decis\u00f5es.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ferramentas e treinamento: um caminho a seguir<\/h2>\n\n\n\n<p>A boa not\u00edcia \u00e9 que a excel\u00eancia cir\u00fargica est\u00e1 enraizada em nossa disposi\u00e7\u00e3o de aprender, adaptar e melhorar de forma consistente. O respeito pela mitiga\u00e7\u00e3o de riscos deve come\u00e7ar nos primeiros est\u00e1gios de <a href=\"https:\/\/www.precisionostech.com\/pt\/heterogeneity-in-surgical-training\/\">treinamento cir\u00fargico<\/a> \u2013 and can be maintained throughout one\u2019s career.<\/p>\n\n\n\n<p>At Precision OS, we assert that it is important to consider the fast-paced and multifactorial environment of the operating room, as well as the communication and teamwork that accompany a surgeon\u2019s technical skills. Our high-fidelity orthopedic training platform simulates high-stakes situations without the threat of patient harm, which allows learners to confidently experiment, be challenged while making and learning from their mistakes in a risk-free setting. Further, the real-time feedback metrics offer a vehicle for improvement by analyzing the causes of failure in a systematic, controllable manner. Surgeons are able to approach their cases with higher technical preparedness and robust communication plans, thanks to the 3D structures and resulting immersive experience of the training modules.<\/p>\n\n\n\n<p>Our autonomous and 360-degree range of movement puts the surgeon in control of his\/her own training. The complete surgical workflow is simulated and taps into the user\u2019s informational and emotional involvement in the surgical experience. This added depth of understanding transforms Precision OS into a valuable planning tool, allowing the surgeon to anticipate issues such as specialist consultations, post-operative supports, or communication protocols for handoffs, etc. We know that addressing a full-range of considerations can make all of the difference when the patient evaluates their experience and questions whether they received the highest standard of care possible.<\/p>\n\n\n\n<p>The quest for perfectionism in medicine is a tale as old as the profession itself; from the first documented pledge of ethical standards of the Hippocratic Oath in the 5th century BCE to the high-achieving personalities that are drawn to medical school today, the desire to do better rings eternal. Orthopedic surgery is still an imperfect and ever-changing craft, but we believe that the quest for excellence comes down to finding more efficient ways for surgeons to use the knowledge they already possess. If the data consistently tells us that negligence claims are based on gaps in expectations, it is our responsibility to be forward thinking and institute a more effective method of communicating with our team and patients. Precision OS\u2019 immersive orthopedic surgery training simulator helps surgeons translate their academic knowledge into patient-value care of the highest quality standards. We are not only changing the learning curve; we are changing the culture of safety and transparency.<\/p>\n\n\n\n<p>\u200d<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Refer\u00eancia<\/h4>\n\n\n\n<ol class=\"wp-block-list\"><li>Gawande, Atul. Better: A surgeon\u2019s notes on performance. p222.<\/li><li>Rynecki ND et al. Malpractice Medical in Orthopaedic Surgery: A Westlaw-Based Demographic Analysis. Ortopedia. 2018; 41 (5): e615-e620. doi: 10.3928 \/ 01477447-20180621-06.<\/li><li>Marks M. The Value of Claims \u2018Signal\u2019 Data in Orthopaedic Surgery 2019. American Association of Orthopaedic Surgeons. Accessed on April 2 2019.&nbsp;<a href=\"https:\/\/www.aaos.org\/AAOSNow\/2019\/Jan\/Managing\/managing04\/?ssopc=1\">https:\/\/www.aaos.org\/AAOSNow\/2019\/Jan\/Managing\/managing04\/?ssopc=1<\/a><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>The Nuances of Numbers \u201cMedicine\u2019s distinction is that lives are lost in those slim margins\u201d To appreciate the value of perfectionism in medicine, one only needs to consider the difference between 99% and 99.5% success rates. This marginal half-percent represents entire human lives. It means that for every 1000 individuals receiving treatment, five people won\u2019t&#8230;<\/p>","protected":false},"author":3,"featured_media":216,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[19],"tags":[],"class_list":["post-214","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-surgery"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Examining the Rise in Orthopedic Surgery Patient Claims | Precision OS<\/title>\n<meta name=\"description\" content=\"Learn here how orthopedic surgery training simulators reduce patient claims &amp; make procedures easier for all involved. For more info, contact us today!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.precisionostech.com\/pt\/examining-the-rise-in-orthopedic-surgery-patient-claims\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Examining the Rise in Orthopedic Surgery Patient Claims | Precision OS\" \/>\n<meta property=\"og:description\" content=\"Learn here how orthopedic surgery training simulators reduce patient claims &amp; make procedures easier for all involved. 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