Navigation Links
Rude Surgeons Hurt Patients, Increase Costs
Date:7/20/2011

WEDNESDAY, July 20 (HealthDay News) -- The behavior of surgeons in the operating room affects more than their patients' health, new research indicates.

It also plays a part in determining health-care costs, the number of medical errors and patient satisfaction, according to a commentary in the July issue of The Archives of Surgery. Surgeons who are civil, the report claimed, can more effectively help their patients and reduce costs.

"Often, surgeons get hired on the basis of their knowledge, training and technical accomplishments," lead author Dr. Andrew S. Klein, director of the Cedars-Sinai Comprehensive Transplant Center and the Esther and Mark Schulman Chair in Surgery and Transplantation Medicine, said in a news release from Cedars Sinai. "But operating rooms are social environments where everyone must work together for the patient's benefit. When a surgeon, who is in the position of power, is rude and belittles the rest of the staff, it affects everything."

In writing the report, Klein and his co-author Pier M. Forni, cited numerous studies demonstrating the link between rudeness and adverse effects on patient care. For instance, a study of 300 operations in which surgeons had their behavior ranked showed a connection between civility during surgery and fewer postoperative deaths and complications.

One reason for the more favorable outcomes, the commentary pointed out, may be that 75 percent of hospital pharmacists and nurses say they try to avoid rude or difficult physicians even if they have questions about a patient's medication, according to recent research.

Nurses also play a vital role in how well a surgical patient does in the hospital, the article asserted. As a result, hospitals with high nursing turnover typically have more medical errors and more negative outcomes. The commentary noted however, that high turnover among nurses should be expected when a separate survey revealed more than two-thirds of nurses say physicians verbally abuse them at least once every three months.

The article's authors concluded that during surgery, surgeons must treat their staff in a civil manner. Outside the operating room, they added, surgeons must enable others to lead. Doing so, they said, will allow surgeons to gain respect and create a culture of loyalty.

Stress and anonymity however, are often working against such cultures of loyalty, the researchers noted. For example, if surgeons knew their co-workers better it would help establish a positive culture that would result in improved care, surgical outcomes and job satisfaction.

To address the problem, polite or civil behavior must be nurtured during surgeons' training along with other essential qualities, such as ego strength, confidence, focus, work ethic and dedication.

Hospitals often hire surgeons based solely on surgical volume or grant funding, rather than other key qualities such as interpersonal skills, the article authors added.

"We should place increased emphasis on nontechnical skills such as leadership, communication and situational awareness and teamwork," said Klein. "The temptation to ignore warning signs that a surgeon will not play well in the sandbox with peers and co-workers is seductive when large clinical practices and NIH funding are at stake."

More information

The U.S. Bureau of Labor Statistics provides more information on the work environment of surgeons.

-- Mary Elizabeth Dallas

SOURCE: Cedars-Sinai Medical Center, news release, July 18, 2011.


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. University of Louisville surgeons perform first prosthetic bypass graft with patients stem cells at point-of-care
2. Washington University surgeons successfully use artificial lung in toddler
3. UT Southwestern surgeons examine hypospadias repair efficacy for patients with differing anatomies
4. Ohio State surgeons rebuild pelvis of cancer patient
5. Hungover Surgeons Make More Mistakes: Study
6. Pelvic-repair device developed by UT Southwestern surgeons enables minimally invasive trauma surgery
7. FDA approval of brain aneurysm device gives Jefferson neurosurgeons another life-saving tool
8. New tool helps surgeons predict patients risk of complications after bariatric operations
9. Nations surgeons speak with one voice on Capitol Hill
10. Pressure to Look Young May Be Sending More Men to Plastic Surgeons
11. Surgeons predict the future of nanomedicine in practice
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Rude Surgeons Hurt Patients, Increase Costs
(Date:5/29/2016)... ... 2016 , ... "With 30 unique self-animating web themed intros and complete control ... project," said Christina Austin - CEO of Pixel Film Studios. , ProIntro Web ... in Final Cut Pro X. Pixel Film Studios’ minimalistic titles allow users to add ...
(Date:5/28/2016)... ... May 28, 2016 , ... After a year and a half of planning the ... extraordinary event. The Multiple Pathways of Recovery Conference was held May 2 -4, 2016 ... and the United Kingdom came together to explore the many pathways individuals use to get ...
(Date:5/27/2016)... ... 2016 , ... Two director-level employees of Horizon Blue Cross Blue Shield of ... 2016 honorees. The award recognizes businesswomen who excel in their fields and who ... the MLTSS (Managed Long-Term Services and Supports) Program at Horizon NJ Health and Theresa ...
(Date:5/27/2016)... ... ... This campaign aims to provide a path to improved education and awareness ... change. , As nearly 795,000 Americans suffering from a new or recurrent stoke each ... an estimated 129,000 of these people dying from stroke, it’s become our nation’s fifth-leading ...
(Date:5/27/2016)... ... May 27, 2016 , ... Aimed at nurses ... human interest stories, courtesy of leaders in the nursing and health care industry. ... from leading advocates and associations—namely Jones & Bartlett Learning. , Jones & Bartlett ...
Breaking Medicine News(10 mins):
(Date:5/30/2016)... PUNE, India , May 30, 2016 /PRNewswire/ ... research report "Healthcare Analytical Testing Services Market by ... Monitoring, Bioanalytical Services), by End User (Pharmaceutical Companies, ... published by MarketsandMarkets, The market witnessed healthy growth ... grow at a CAGR of 11.3% between 2016 ...
(Date:5/30/2016)... -- - DCGI grants limited approval to market Stempeucel® ... - Stempeucel® becomes 5th off-the-shelf Stem cell product to be ... - Buerger,s Disease (also known as Thromboangiitis Obliterans) is a major ... - Prevalence of Buerger,s Disease is estimated to be ... persons in the European Community & USA ...
(Date:5/27/2016)... Calif. , May 27, 2016  A new study highlights the necessity of ... by the  Journal of the American College of Radiology , a majority of oncology ... Photo - http://photos.prnewswire.com/prnh/20160527/373022 ... ... Medical Diagnostic Imaging Ampronix ...
Breaking Medicine Technology: