Posts Tagged ‘Concurrent surgeries’

Concurrent Surgeries – What You Don’t Know Could Hurt You

By admin

Tuesday, August 1st, 2017

A recent article by Sandra G. Boodman published in Kaiser Health News, a national health policy news service that is part of the nonpartisan Henry J. Kaiser Family Foundation, explored a topic unknown to many surgery patients.

Known as “running two rooms” or double-booking, senior attending surgeons delegate trainees — usually residents or fellows — to perform parts of one surgery while the attending surgeon works on a second patient in another operating room. Sometimes senior surgeons aren’t even in the OR and are seeing patients elsewhere.

The controversial practice has been standard in many teaching hospitals for decades, its safety and ethics largely unquestioned and its existence unknown to those most affected: people undergoing surgery. Patients who signed standard consent forms said they were not told their surgeries were double-booked; some said they would never have agreed had they known.

But over the past two years, the issue of overlapping surgery has ignited an impassioned debate in the medical community, attracted scrutiny by the powerful Senate Finance Committee that oversees Medicare and Medicaid, and prompted some hospitals, including the University of Virginia’s, to circumscribe the practice.   Critics of the practice, who include some surgeons and patient-safety advocates, say that double-booking adds unnecessary risk, erodes trust and primarily enriches specialists.

It doesn’t do any good to check out your surgeon if they’re not even going to be in the room,” said Lisa McGiffert, director of Consumers Union’s Safe Patient Project. “We all know about the dangers of multitasking. This adds a layer of danger if you have the most expert person coming in and out.”

Indiana orthopedic surgeon James Rickert regards double-booking as a form of bait-and-switch. “The only reason it has continued is that patients are asleep,” said Rickert, president of the Society for Patient-Centered Orthopedics, a doctor group.

For more information about this controversial practice please see the full article here:  http://khn.org/news/double-booked-when-surgeons-operate-on-two-patients-at-once/

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