scholarly journals A History of Wrong Site Surgery in Rhode Island

2008 ◽  
Vol 94 (4) ◽  
pp. 6-10
Author(s):  
Robert S. Crausman ◽  
Bruce McIntyre
Keyword(s):  
Patient Safety ◽  
Rhode Island ◽  
Critical Role ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
History Of ◽  
The Individual ◽  
Safety Systems ◽  
Wrong Site

ABSTRACT Wrong site, side and patient surgeries continue to occur with alarming frequency. Increasing attention to the critical role of patient safety systems and a culture of safety are important. However, the individual professionals and the boards that regulate them are also important. As the patient safety movement has evolved so has our state medical board's response to wrong site, side and patient surgeries. Between 1998 and 2008 the Rhode Island Board of Medical Licensure and Discipline investigated reports of 10 wrong side, site and patient surgeries or procedures. Four were neurosurgeries, two orthopedic and one each gynecologic, ENT, ophthalmologic and vascular.

scholarly journals Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities

2020 ◽  
pp. 24-39
Author(s):  
Robert Yonash ◽  
Matthew Taylor
Keyword(s):  
Patient Safety ◽  
Body Part ◽  
Body Region ◽  
Error Type ◽  
Near Misses ◽  
Healthcare Facilities ◽  
Safety Reporting ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Wrong Site

Wrong-site surgery (WSS) is a well-known type of medical error that may cause a high degree of patient harm. In Pennsylvania, healthcare facilities are mandated to report WSS events, among other patient safety concerns, to the Pennsylvania Patient Safety Reporting System (PA-PSRS) database. In the study we identified instances of WSS events (not including near misses) that occurred during 2015–2019 and were reported to PA-PSRS. During the five-year period, we found that 178 healthcare facilities reported a total of 368 WSS events, which was an average of 1.42 WSS events per week in Pennsylvania. Also, we revealed that 76% (278 of 368) of the WSS events contributed to or resulted in temporary harm or permanent harm to the patient. Overall, the study shows that the frequency of WSS varied according to a range of variables, including error type (e.g., wrong side, wrong site, wrong procedure, wrong patient); year; facility type; hospital bed size; hospital procedure location; procedure; body region; body part; and clinician specialty. Our findings are aligned with some of the previous research on WSS; however, the current study also addresses many gaps in the literature. We encourage readers to use the visuals in the manuscript and appendices to gain new insight into the relation among the variables associated with WSS. Ultimately, the findings reported in the current study help to convey a more complete account of the variables associated with WSS, which can be used to assist staff in making informed decisions about allocating resources to mitigate risk.

Queering Gender Identity Work: A Life History of a Black Transgender Woman

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Esethu Monakali
Keyword(s):  
Life History ◽  
Gender Identity ◽  
Public Spaces ◽  
Identity Work ◽  
Social Identities ◽  
Gender And Sexuality ◽  
Ongoing Effort ◽  
History Of ◽  
The Individual

This article offers an analysis of the identity work of a black transgender woman through life history research. Identity work pertains to the ongoing effort of authoring oneself and positions the individual as the agent; not a passive recipient of identity scripts. The findings draw from three life history interviews. Using thematic analysis, the following themes emerge: institutionalisation of gender norms; gender and sexuality unintelligibility; transitioning and passing; and lastly, gender expression and public spaces. The discussion follows from a poststructuralist conception of identity, which frames identity as fluid and as being continually established. The study contends that identity work is a complex and fragmented process, which is shaped by other social identities. To that end, the study also acknowledges the role of collective agency in shaping gender identity.

scholarly journals Analysis and outcomes of wrong site thyroid surgery

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gianlorenzo Dionigi ◽  
Marco Raffaelli ◽  
Rocco Bellantone ◽  
Carmela De Crea ◽  
Carlo Enrico Ambrosini ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Rare Event ◽  
Lymph Node Excision ◽  
Legal Action ◽  
Preventive Strategies ◽  
Case Presentation ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Low Volume ◽  
Wrong Site

Abstract Background In thyroid surgery, wrong-site surgery (WSS) is considered a rare event and seldom reported in the literature. Case presentation This report presents 5 WSS cases following thyroid surgery in a 20-year period. We stratified the subtypes of WSS in wrong target, wrong side, wrong procedure and wrong patient. Only planned and elective thyroid surgeries present WSS cases. The interventions were performed in low-volume hospitals, and subsequently, the patients were referred to our centres. Four cases of wrong-target procedures (thymectomies [n = 3] and lymph node excision [n = 1] performed instead of thyroidectomies) and one case of wrong-side procedure were observed in this study. Two wrong target cases resulting additionally in wrong procedure were noted. Wrong patient cases were not detected in the review. Patients experienced benign, malignant, or suspicious pathology and underwent traditional surgery (no endoscopic or robotic surgery). 40% of WSS led to legal action against the surgeon or a monetary settlement. Conclusion WSS is also observed in thyroid surgery. Considering that reports regarding the serious complications of WSS are not yet available, these complications should be discussed with the surgical community. Etiologic causes, outcomes, preventive strategies of WSS and expert opinion are presented.

Common general surgical never events: analysis of NHS England never event data

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Islam Omar ◽  
Rishi Singhal ◽  
Michael Wilson ◽  
Chetan Parmar ◽  
Omar Khan ◽  
...  
Keyword(s):  
Breast Implants ◽  
Skin Condition ◽  
Chest Drain ◽  
Event Data ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Retained Foreign Body ◽  
Never Events ◽  
Never Event ◽  
Wrong Site

Abstract Background There is little available data on common general surgical never events (NEs). Lack of this information may have affected our attempts to reduce the incidence of these potentially serious clinical incidents. Objectives The purpose of this study was to identify common general surgical NEs from the data held by the National Health Service (NHS) England. Methods We analysed the NHS England NE data from April 2012 to February 2020 to identify common general surgical NEs. Results There was a total of 797 general surgical NEs identified under three main categories such as wrong-site surgery (n = 427; 53.58%), retained items post-procedure (n = 355; 44.54%) and wrong implant/prosthesis (n = 15; 1.88%). We identified a total of 56 common general surgical themes—25 each in the wrong-site surgery and retained foreign body categories and six in wrong implants category. Wrong skin condition surgery was the commonest wrong-site surgery (n = 117; 27.4%). There were 18 wrong-side chest drains (4.2%) and 18 (4.2%) wrong-side angioplasty/angiograms. There were seven (1.6%) instances of confusion in pilonidal/perianal/perineal surgeries and six (1.4%) instances of biopsy of the cervix rather than the colon or rectum. Retained surgical swabs were the most common retained items (n = 165; 46.5%). There were 28 (7.9%) laparoscopic retrieval bags with or without the specimen, 26 (7.3%) chest drain guide wires, 26 (7.3%) surgical needles and 9 (2.5%) surgical drains. Wrong stents were the most common (n = 9; 60%) wrong implants followed by wrong breast implants (n = 2; 13.3%). Conclusion This study found 56 common general surgical NEs. This information is not available to surgeons around the world. Increased awareness of these common themes of NEs may allow for the adoption of more effective and specific safeguards and ultimately help reduce their incidence.

Friends of Rose Canyon

2018 ◽  
Vol 95 (3) ◽  
pp. 2-20 ◽  
Author(s):  
Andrew Wiese
Keyword(s):  
Open Space ◽  
Critical Role ◽  
First Century ◽  
Grassroots Politics ◽  
History Of ◽  
University City ◽  
Participant Observer ◽  
The Rose

Place-based activism has played a critical role in the history of urban and environmental politics in California. This article explores the continuing significance of environmental place making to grassroots politics through a case study of Friends of Rose Canyon, an environmental group in San Diego. Based in the fast-growing University City neighborhood, Friends of Rose Canyon waged a long, successful campaign between 2002 and 2018 to prevent construction of a bridge in the Rose Canyon Open Space Park in their community. Using historical and participant observer methodologies, this study reveals how twenty-first-century California urbanites claimed and created meaningful local places and mobilized effective politics around them. It illuminates the critical role of individual activists; suggests practical, replicable strategies for community mobilization; and demonstrates the significant impact of local activism at the urban and metropolitan scales.

scholarly journals CHEK2∗1100delC Mutation and Risk of Prostate Cancer

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Victoria Hale ◽  
Maren Weischer ◽  
Jong Y. Park
Keyword(s):  
Prostate Cancer ◽  
Current Knowledge ◽  
Prostate Cancer Screening ◽  
Critical Role ◽  
Prostate Cancer Risk ◽  
Conclusive Evidence ◽  
Increased Risk ◽  
History Of ◽  
Cancer Studies

Although the causes of prostate cancer are largely unknown, previous studies support the role of genetic factors in the development of prostate cancer.CHEK2plays a critical role in DNA replication by responding to double-stranded breaks. In this review, we provide an overview of the current knowledge of the role of a genetic variant, 1100delC, ofCHEK2on prostate cancer risk and discuss the implication for potential translation of this knowledge into clinical practice. Currently, twelve articles that discussedCHEK2∗1100delC and its association with prostate cancer were identified. Of the twelve prostate cancer studies, five studies had independent data to draw conclusive evidence from. The pooled results of OR and 95% CI were 1.98 (1.23–3.18) for unselected cases and 3.39 (1.78–6.47) for familial cases, indicating thatCHEK2∗1100delC mutation is associated with increased risk of prostate cancer. Screening for CHEK2∗1100delC should be considered in men with a familial history of prostate cancer.

scholarly journals The role of the emotions of guilt and shame in methodology of research on social emotions

2021 ◽  
pp. 11-25
Author(s):  
Alexandra Shiller
Keyword(s):  
Cultural Psychology ◽  
Cross Cultural ◽  
Social Emotions ◽  
History Of Research ◽  
Current State ◽  
History Of ◽  
Methodological Problems ◽  
The Individual ◽  
Methodology Of Science

This article is dedicated to examination of the role of guilt and shame, namely to prevalence one of these emotions in a particular culture as the leading mechanism of social control. The prevalence of guilt or shame as a cultural “dimension” has become one of the first criteria for the division of cultures into Western and Eastern, and was used by the researchers as a basic postulate for cross-cultural r. Over time, the perception of emotions as the criterion for the division of cultures has been revised. The article traces the history of research on emotions in general, namely the emotions of guilt and shame as social emotions, as well as describes guilt and shame as collective and individual experiences. Analysis is conducted on the role of guilt and shame in methodology of research on social emotions, cross-cultural studies. The author outlines certain methodological problems and contradictions, and assesses the current state of scientific research dedicated to social emotions. The conclusion is made that the research on collective sense of guilt and shame is more advanced from the perspective of cross-cultural psychology and philosophy, as well as the overall methodology of science; it allows shifting from the study of the role of individual emotions in interpersonal (conditioned by collective ties), intergroup and intragroup communication towards the integrated study of emotions associated with interaction of the individual and society, i.e. social experiences.

Potential Role of Darvyadi Kwatha in the Management of Diabetes

The Healer ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 80-86
Author(s):  
Shankar Gautam ◽  
Abhishek Upadhyay ◽  
Rashmi Mutha ◽  
BINOD KUMAR SINGH ◽  
Ram Kishor Joshi
Keyword(s):  
Causes Of Death ◽  
Potential Role ◽  
Critical Role ◽  
Animal Experiments ◽  
Safety Evaluation ◽  
New Drugs ◽  
Effective Management ◽  
The Individual ◽  
Glucose 6 Phosphate Dehydrogenase

Diabetes is a clinical condition characterized by a spike in blood glucose in plasma. It is one of the 21st century's greatest public health crises and is among the top 10 causes of death worldwide. Although new drugs and therapeutics are emerging for its management but the prevalence is increasing at an alarming pace; thus, every system must contribute for effective management. An effort is made to review the efficacy and safety evaluation of the individual herbs of Darvyadi Kwatha (DK), an Ayurvedic formulation mentioned in Charaka Samhita. The constituents of the DK has some strong efficient antidiabetic/hypoglycaemic chemical principle having insulin-triggering and insulin-like behaviors which increases the activity of glucose-6-phosphate dehydrogenase (G6PD) and glucokinase and decreases glucose-6-phosphatase activity, reduce oxidative stress and prevention of glutathione reductase, superoxide dismutase, and catalase activity play a critical role in glucose homeostasis. DK also improve biochemical parameters such as SGPT, SGOT, cholesterol and triglycerides and is found to be safe in animal experiments. The various evidences clearly indicates that DK has definite hypoglycemic potential as well as anti-diabetic activity.

Natalizumab for the treatment of highly active MS: risks and benefits

2019 ◽  
Vol 1 (8) ◽  
pp. 382-387
Author(s):  
Nicola Daykin
Keyword(s):  
Multiple Sclerosis ◽  
Monoclonal Antibody ◽  
Patient Safety ◽  
Gold Standard ◽  
Risk Profile ◽  
Risks And Benefits ◽  
Highly Active ◽  
History Of ◽  
The Uk

This article discusses the history of natalizumab (Tysabri), the first monoclonal antibody used to treat multiple sclerosis. It reviews how the drug's difficult beginnings and controversial past has changed the treatment is monitored treatment. The article looks at the role of clinicians in maintaining patient safety, the benefits and risk profile of this treatment, and ways of optimising practice to provide gold standard nationalised natalizumab services throughout the UK.

Attitudes and Behavior

2020 ◽  
Author(s):  
Geoffrey Haddock ◽  
Sapphira Thorne ◽  
Lukas Wolf
Keyword(s):  
Primary Reason ◽  
Controlled Processes ◽  
Social Lives ◽  
History Of Research ◽  
History Of ◽  
Attitude Behavior ◽  
The Individual ◽  
And Behavior ◽  
Attitudes And Behavior

Attitudes refer to overall evaluations of people, groups, ideas, and other objects, reflecting whether individuals like or dislike them. Attitudes have been found to be good predictors of behavior, with generally medium-sized effects. The role of attitudes in guiding behavior may be the primary reason why people’s social lives often revolve around expressing and discussing their attitudes, and why social psychology researchers have spent decades examining attitudes. Two central questions in the study of attitudes concern when and how attitudes predict behavior. The “when” question has been addressed over decades of research that has identified circumstances under which attitudes are more or less likely to predict behavior. That is, attitudes are stronger predictors of behaviors when both constructs are assessed in a corresponding or matching way, when attitudes are stronger, and among certain individuals and in certain situations and domains. The “how” question concerns influential models in the attitudes literature that provide a better understanding of the processes through which attitudes are linked with behaviors. For instance, these models indicate that other constructs need to be taken into account in understanding the attitude-behavior link, including intentions to perform a behavior, whether individuals perceive themselves to be in control of their behavior, and what they believe others around them think the individual should do (i.e., norms). The models also describe whether attitudes relate to behavior through relatively deliberative and controlled processes or relatively automatic and spontaneous processes. Overall, the long history of research on attitude-behavior links has provided a clearer prediction of when attitudes are linked with behaviors and a better understanding of the processes underlying this link.

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