Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients
JAMA Sep 27, 2019
Cooper WO, Spain DA, Guillamondegui O, et al. - Among 13,653 patients that took part in the National Surgical Quality Improvement Program, in this cohort study who underwent surgery done by 202 surgeons, researchers examined the hypothesis that patients of surgeons with higher numbers of reports from coworkers about unprofessional behaviors were at higher risk for postoperative complications in comparison with patients whose surgeons generate fewer coworker reports. Complications, comprising 825 surgical and 1,070 medical was experienced by a total of 1,583 patients. Patients whose surgeons had more coworker reports were notably more inclined to experience any complication, any surgical complication, or any medical complication. For patients whose surgeons had 1 to 3 reports the adjusted complication rate was 14.3% higher and 11.9% higher for individuals whose surgeons had 4 or more reports in comparison with individuals whose surgeons had no coworker reports. Thus, patients whose surgeons had higher numbers of coworker records about unprofessional behavior in the 36 months prior to the patient’s operation seemed to be at progressed risk of surgical and medical complications. These findings intimate that organizations involved in making sure optimal patient outcomes should focus on petitioning surgeons whose behavior toward other medical professionals may enhance patients’ risk for adverse outcomes.
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