Transgression confession: ethics of medical error disclosure.

Abstract:

:Complications of medicine are like the sand traps in golf courses. They are regrettable, cannot be completely avoided even by the best, and the real skill lies in solving the problems they present. Dr Al Mighty told a resident to ignore a barely elevated temperature in a postoperative patient. "It is nothing worthy of your concern," the Al Mighty said. But, the surgical resident remembered a break in operative sterile technique had occurred, about which she remained concerned. When an area felt mildly edematous, the wound was probed, and pus exuded. The patient asked how this had happened. The resident should respond: Keep her mouth shut.B.Tell the patient that wound infections just happen.C.Tell the patient that a break in sterile technique was responsible.D.Refer the matter to the chief resident for advice.E.Tell the patient to ask the attending surgeon.

journal_name

J Vasc Surg

authors

Jones JW,McCullough LB

doi

10.1016/j.jvs.2013.10.068

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1697-9

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(13)01935-6

journal_volume

58

pub_type

社论
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    abstract:OBJECTIVE:Varicose vein recurrence after surgery occurs in up to 60% of patients. A variety of technical factors have been implicated, but biological factors such as neovascularization have more recently been proposed. The objective of this study was to characterize the relative contribution of technical and biological...

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    doi:10.1016/j.jvs.2006.08.017

    authors: Egan B,Donnelly M,Bresnihan M,Tierney S,Feeley M

    更新日期:2006-12-01 00:00:00

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    abstract::Ninety-two patients underwent surgical treatment for 59 prosthetic graft infections and 33 secondary aortoenteric fistulas. Definitive treatment was accomplished with a low perioperative mortality rate (14%). Long-term follow-up confirmed that most patients were cured of their infection or fistula, and 88% of the pati...

    journal_title:Journal of vascular surgery

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    doi:

    authors: Reilly LM,Altman H,Lusby RJ,Kersh RA,Ehrenfeld WK,Stoney RJ

    更新日期:1984-01-01 00:00:00

  • RETRACTED: Late-onset spinal cord ischemia after an elephant trunk procedure with subsequent thoracic endovascular aneurysm repair.

    abstract::This article has been retracted: please see Elsevier Policy on Article Withdrawal (http://www.elsevier.com/locate/withdrawalpolicy. ...

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    authors: Johnson LS,Goetcheus A,Corso PJ,O'Donnell SD

    更新日期:2010-07-10 00:00:00

  • National trends in utilization and postprocedure outcomes for carotid artery revascularization 2005 to 2007.

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    authors: Eslami MH,McPhee JT,Simons JP,Schanzer A,Messina LM

    更新日期:2011-02-01 00:00:00

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    abstract::The Budd-Chiari syndrome is an unusual form of portal hypertension caused by hepatic vein occlusion, which results in centrilobular congestion and necrosis. Its overall mortality rate exceeds 50% at 2 years, and optimal treatment remains controversial. To determine optimal therapy on the basis of clinical and angiogra...

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    doi:

    authors: Ahn SS,Yellin A,Sheng FC,Colonna JO,Goldstein LI,Busuttil RW

    更新日期:1987-01-01 00:00:00

  • Aminoterminal propeptide of type III procollagen in the follow-up of patients with abdominal aortic aneurysms.

    abstract:PURPOSE:We evaluate here whether serial changes in the concentration of the aminoterminal propeptide of type III procollagen (PIIINP) in serum bear any relationship to the rate of abdominal aortic aneurysm (AAA) expansion and whether serum PIIINP has any predictive value with respect to the rupture event. METHODS:One ...

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    doi:10.1016/s0741-5214(97)70222-2

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    abstract:PURPOSE:The purpose of this study was to assess functional status, well-being, and symptom relief of patients after infrainguinal revascularization for severe peripheral vascular disease. METHODS:Two questionnaires were used to assess symptoms, functional status, and well-being before operation and 6 months after oper...

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    authors: Gibbons GW,Burgess AM,Guadagnoli E,Pomposelli FB Jr,Freeman DV,Campbell DR,Miller A,Marcaccio EJ Jr,Nordberg P,LoGerfo FW

    更新日期:1995-01-01 00:00:00

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    authors: Olsson C,Hillebrant CG,Liska J,Lockowandt U,Eriksson P,Franco-Cereceda A

    更新日期:2013-08-01 00:00:00

  • Neutrophil-lymphocyte ratio as a prognostic marker of outcome in infrapopliteal percutaneous interventions for critical limb ischemia.

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    doi:10.1016/j.jvs.2014.03.277

    authors: Chan C,Puckridge P,Ullah S,Delaney C,Spark JI

    更新日期:2014-09-01 00:00:00

  • Aortic customize: a new alternative endovascular approach to aortic aneurysm repair using injectable biocompatible elastomer. An in vitro study.

    abstract:PURPOSE:Aortic Customize is a new concept for endovascular aortic aneurysm repair in which a non polymerized elastomer is injected to fill the aneurysm sac around a balloon catheter. The aim of this in vitro study was to investigate the extent of aneurysm wall stress reduction by the presence of a noncompliant elastome...

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    authors: Bosman WM,van der Steenhoven TJ,Hinnen JW,Kaptein BL,de Vries AC,Brom HL,Jacobs MJ,Hamming JF

    更新日期:2010-05-01 00:00:00

  • Distal septic emboli and fatal brachiocephalic artery mycotic pseudoaneurysm as a complication of stenting.

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    doi:10.1067/mva.2002.127340

    authors: Pruitt A,Dodson TF,Najibi S,Thourani V,Sherman A,Cloft H,Caliendo A,Smith RB 3rd

    更新日期:2002-09-01 00:00:00

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    doi:10.1016/j.jvs.2013.02.031

    authors: Carnicelli AP,Stone JJ,Doyle A,Chowdhry AK,Mix D,Ellis J,Gillespie DL,Chandra A

    更新日期:2013-09-01 00:00:00

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    更新日期:2000-05-01 00:00:00

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    doi:

    authors: Kalman PG,Wellwood MR,Weisel RD,Morley-Forster PK,Teasdale SJ,Ivanov J,Johnston KW,McLaughlin PR,Baird RJ,Cain JP

    更新日期:1986-05-01 00:00:00

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    doi:

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  • Intermediate-term outcome of carotid endarterectomy with bovine pericardial patch closure compared with Dacron patch and primary closure.

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    更新日期:2012-03-01 00:00:00

  • Factors determining survival after ruptured aortic aneurysm: the hospital, the surgeon, and the patient.

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    authors: Ouriel K,Geary K,Green RM,Fiore W,Geary JE,DeWeese JA

    更新日期:1990-04-01 00:00:00

  • Management of dialysis access-associated steal syndrome: use of intraoperative duplex ultrasound scanning for optimal flow reduction.

    abstract::Dialysis access-associated steal syndrome (DASS) is an uncommon complication after the creation of an arteriovenous fistula and can cause irreversible ischemic damage in severe cases. Dialysis access-associated steal syndrome has been managed with the surgical reduction of the volume flow in the fistula, but this is a...

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    更新日期:1999-07-01 00:00:00

  • The appropriate length of great saphenous vein stripping should be based on the extent of reflux and not on the intent to avoid saphenous nerve injury.

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    pub_type: 临床试验,杂志文章

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    authors: Nijhuis HH,Müller-Wiefel H

    更新日期:1991-03-01 00:00:00

  • Late patency of reconstructed visceral arteries after open repair of thoracoabdominal aortic aneurysm.

    abstract:BACKGROUND:In the era of rising endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs), the analysis of visceral vessel (VV) patency after open surgical repair is crucial to provide a future benchmark between these different approaches. This study reports the late outcomes of a single-center experience wit...

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    更新日期:2018-04-01 00:00:00

  • Popliteal artery injuries: civilian experience with sixty-three patients during a twenty-four year period (1960 through 1984).

    abstract::Our experience with 63 patients who had popliteal artery injuries sustained in civilian accidents is reported. Blunt injuries occurred in 53 patients and 49 had associated skeletal injuries. Eighteen patients suffered knee dislocation; six of these patients had associated fractures. Fractures of the upper third of the...

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    doi:10.1067/mva.1986.avs0040055

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    更新日期:1986-07-01 00:00:00

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    abstract:PURPOSE:Thrombosis of popliteal artery aneurysms can produce limb-threatening ischemia. In this setting we have found preoperative thrombolytic therapy to be beneficial. METHODS:Thirty-three patients with 54 popliteal artery aneurysms were studied (mean follow-up 62 months). Twenty-one patients (62%) had bilateral pop...

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    doi:10.1016/s0741-5214(94)70121-0

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    更新日期:1994-01-01 00:00:00

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    abstract:BACKGROUND:Peripheral arterial disease (PAD) can be diagnosed noninvasively by segmental blood pressure measurement and calculating an ankle-brachial index (ABI) or toe-brachial index (TBI). The ABI is known to be unreliable in patients with vascular stiffness and fails to detect the early phase of arteriosclerotic dev...

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    更新日期:2013-07-01 00:00:00

  • Symptomatic sac enlargement and rupture due to seroma after open abdominal aortic aneurysm repair with polytetrafluoroethylene graft: Implications for endovascular repair and endotension.

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    doi:10.1016/j.jvs.2004.08.057

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    pub_type: 杂志文章

    doi:10.1067/mva.1987.avs0060609

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    doi:10.1016/s0741-5214(03)01033-4

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    更新日期:2003-11-01 00:00:00

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    doi:10.1067/mva.1990.17918

    authors: Phifer TJ,Mills GM

    更新日期:1990-04-01 00:00:00