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

V40N3: Ethics, Palliative Care, Patient Safety & Business

Biffl WL, Spain DA, Reitsma AM, et al. Responsible development and application of surgical innovations: a position statement of the Society of University Surgeons. J Am Coll Surg. 2008;206(3):1204-1209.

Biffl and coauthors present a position statement prepared by an expert panel assembled by the Society of University Surgeons. The panel describes ethical issues related to the study and introduction of surgical innovations and offers advice on the appropriate management of issues such as informed consent.

Delisle DR. Big things come in bundled packages: implications of bundled payment systems in health care reimbursement reform. Am J Med Qual. 2013;28(4):339-344.

This article discusses the introduction of bundled payment systems into the practice of health care.

Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67.

This article describes the current status of the contributions of human factors engineering to our understanding of the causes of and remedies for medical errors.

Healy G, Barker J, Madonna G. Error reduction through team leadership: applying aviations CRM model in the OR. Bull Am Coll Surg. 2006 Oct;91(2):10-15. Free full text.

Crew resource management has contributed significantly to the improvement of aviation safety. This article discusses potential application of these concepts to prevention of medical errors.

James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128.

James updates data on the frequency of harm due to medical errors. The data were originally reported in the Institute of Medicine report To Err is Human, 2001. The error frequency estimates are significantly larger than originally reported.

Johnson J, Rogers W. Innovative surgery: the ethical challenges. J Med Ethics. 2012;38(1):9-12.

This article describes the ethical challenges associated with the introduction of surgical innovations.

Lee TH, Bothe A, Steele GD. How Geisinger structures its physicians' compensation to support improvements in quality, efficiency, and volume. Health Aff (Millwood). 2012;31(9):2068-2073.

This article describes an approach to designing physician compensation plans that provides maximum support for joint progress. The plan strives to optimize the environment so that the goals of health care professionals and the health care organization can both be achieved.

Luginbuhl RD, Kodner IJ, Keune JD. Conflicts of interest concerning the use of implants in the operating room. Surgery. 2010;147(5):738-741.

This article describes several scenarios of ethical issues in the use of surgical implants. Advice on the solutions to these problems is offered.

Porter ME, Lee TH. The strategy that will fix health care. Providers must lead the way in making value the overarching goal. Harvard Business Review. October 2013;3-19. 

Porter describes methods for controlling costs of health care in the United States.

Spencer FC. Human error in hospitals and industrial accidents: current concepts. J Am Coll Surg. 2000;191(4):410-418.

Spencer describes the similarities and differences between medical error and errors that cause industrial accidents.

Strasberg SM, Ludbrook PA. Who oversees innovative practice? Is there a structure that meets the monitoring needs of new techniques? J Am Coll Surg. 2003;196(6):938-948.

Strasberg makes the case for better oversight when introducing surgical innovations.