American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

V42N2: Ethics, Patient Safety & the Business of Medicine

Recommended Reading

Classen DC, Resar R, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30(4):581-589. Free Full Text

Data reported in this article suggests that chart review by qualified professionals identifies many more adverse patient events than are found by sentinel event reviews and discharge diagnosis analyzes.

Emanuel E, Tanden N, Altman S, et al. A systemic approach to containing health care spending. N Engl J Med. 2012;367(10):949-954. Free Full Text

Emanuel and coauthors offer insights into ways that healthcare costs can be contained while preserving or improving population health.

Grady C. Enduring and emerging challenges of informed consent. N Engl J Med. 2015;372(9):855-862.

This is a valuable article reviewing important features of the informed consent process.

Hartzband P, Groopman J. Money and the changing culture of medicine. N Engl J Med. 2009;360(2):101-103.

In this editorial the authors present opinions on the effects of economic downturns on funding of health care.

Haugen AS, Softeland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Ann Surg. 2015;261(5):821-828.

This cluster-randomized trial provides strong evidence for the beneficial effects of the WHO checklist on rates of postoperative complications.

Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491-499. Free Full Text

This observational study conducted in eight hospitals provided data on an association between use of the WHO checklist and reductions in surgical mortality rates.

Hu YY, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;256(2):203-210. Free Full Text

The authors used video recordings of operations to determine the frequency and causes of intraoperative patient safety events. The data provide interesting insights that could lead to improved patient safety in the operating room.

Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac Surg. 2014;98(2):396-401.

This article reviews the pros and cons relevant to problems encountered in disclosure of information to patients.

Pellegrino ED. Professionalism, profession and the virtues of the good physician. Mt Sinai J Med. 2002;69(6):378-384.

This opinion piece provides valuable insight into the elements of professionalism that are important in medical practice.

Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-2033. Free Full Text

Studdert and coauthors provide data that refute the notion that the majority of malpractice claims are frivolous.

Suri M, McKneally M, Devon K. Tragic knowledge: truth telling and the maintenance of hope in surgery. World J Surg. 2014;38(7):1626-1630.

Valuable insights into the nature and the disclosure of medical “truth” are presented in this article.

Wightman SC, Angelos P. An organized approach to complex ethical cases on a surgical service. World J Surg. 2014;38(7):1664-1667.

The authors describe a useful approach to management of challenges in surgical ethics.