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:6/25/2016)... , ... June 25, 2016 , ... "With 30 hand-drawn ... specific project," said Christina Austin - CEO of Pixel Film Studios. , ProHand ... all within Final Cut Pro X . Simply select a ProHand generator and ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a ... area —Johnson is one of the first doctors to perform the treatment. Orthobiologics ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... A ... procedures that most people are unfamiliar with. The article goes on to state that ... but also many of these less common operations such as calf and cheek reduction. ...
(Date:6/24/2016)... ... 2016 , ... Marcy was in a crisis. Her son James, eight, was out of control. ... and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... rocks at my other children and say he was going to kill them. If ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with ... Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Revolutionary technology includes multi-speaker listening to conquer ... in advanced audiology and hearing aid technology, has today ... world,s first internet connected hearing aid that opens up ...      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ) , ... , TwinLink™ - the first dual communication ...
(Date:6/23/2016)... , June 23, 2016 ... "Surgical Procedure Volumes: Global Analysis (United States, China, ... Canada)" report to their offering. ... essential tool for healthcare business planners, provides surgical procedure ... at surgery trends with an in-depth analysis of growth ...
(Date:6/23/2016)...  The National Pharmaceutical Council (NPC) today announced ... research organization as its newest member.  ... president and chief scientific officer, Mallinckrodt Pharmaceuticals, will ... Board of Directors. ... us in support of our efforts to conduct ...
Breaking Medicine Technology: