Comments on: “Distracted Doctoring” – updating your Facebook status in the O.R. https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/ Marketing Ethics for the Easily Swayed Fri, 26 Aug 2016 00:40:50 +0000 hourly 1 http://wordpress.com/ By: Razwell https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-28504 Mon, 27 Feb 2012 15:19:20 +0000 http://ethicalnag.org/?p=8033#comment-28504 This is HORRIBLE. You would think doctors would not do this. But they are human too.

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By: Bev https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-24598 Mon, 02 Jan 2012 22:03:04 +0000 http://ethicalnag.org/?p=8033#comment-24598 I’m trying to figure out a way to express my concerns to my orthopedist prior to my upcoming surgery without putting him on the defensive (for the OR staff). It’s not his own staff, though; it’s the staff of the institution, so maybe it wouldn’t offend him.

Still, anyone have non-threatening words to express to him how nervous I am that anyone, (including him, though I wouldn’t tell him that), might be “distracted” by answering a phone call or text from a someone? I’ve thought of saying something like “I’m really glad I have you for a surgeon. You strike me as the kind of person who wouldn’t be afraid to tell anyone in the room to put their phone down. Maybe you could say something before the surgery. What do you think?” But I can just hear him saying, “Oh, that’s nothing to worry about. It’s a great place and you’ll be just fine.” Actually, even if he laid down the law, how can he keep track of what everyone else is doing and focus on my surgery at the same time?

Suggestions?

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By: Carolyn Thomas https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-24567 Mon, 02 Jan 2012 16:43:39 +0000 http://ethicalnag.org/?p=8033#comment-24567 Thanks for sharing these two links, Cave. The Australian study was particularly telling:
“Each interruption was associated with a 12.1% increase in procedural failures and a 12.7% increase in clinical errors…”

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By: cave76 https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-24560 Mon, 02 Jan 2012 15:48:52 +0000 http://ethicalnag.org/?p=8033#comment-24560 The AMA found this subject worthy of comment:

“Doctors have to manage smartphone distractions
As the use of mobile devices grows among physicians, so does concern about how to minimize interruptions that could endanger patients.”

excerpt:
“A case described in the December 2011 issue of the online patient safety journal AHRQ WebM&M highlights the concern. While rounding on a 56-year-old man hospitalized to have his percutaneous endoscopic gastrostomy tube replaced, the attending physician at an unidentified academic medical center said the patient’s Warfarin should be stopped.

“A resident rounding with the attending physician started entering the drug stop order using her smartphone, which could access the hospital’s computerized physician order entry system. She was interrupted by an incoming text message from a friend asking about an upcoming party. The resident answered the text message — yes, she would attend the party — but forgot to complete the stop order.

The patient continued receiving Warfarin and two days later developed shortness of breath, a rapid heart rate and low blood pressure. He ultimately required open-heart surgery to remove blood that was filling the sac around his heart. The spontaneous bleeding, the medical team believed, was due to the extra doses of Warfarin the patient got because the drug order was not stopped.”

There are many journal articles addressing this growing problem. Just one more is: “Association of Interruptions With an Increased Risk and Severity of Medication Administration Errors”

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By: Carolyn Thomas https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-24551 Mon, 02 Jan 2012 14:39:49 +0000 http://ethicalnag.org/?p=8033#comment-24551 Thanks for sharing your personal perspective, KC. I have trouble, however, buying the premise that, of the perfusionists surveyed who admitted to using their smartphones during open heart procedures (over 50%), they were somehow all doing so because of an emergency that came up. If this were true, why do you think physicians in the O.R. are decrying this practice because of “significant safety issues” or “the potential to be disastrous” or because “lives are in danger”?

Also, can you clarify the questions here about those public signs restricting cellphone use by patients in hospital because they might interfere with certain medical equipment?

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By: KC https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-24437 Sun, 01 Jan 2012 03:40:08 +0000 http://ethicalnag.org/?p=8033#comment-24437 As a participant in Smith’s study, I feel that it is taken a bit out of context. For instance, there are times during an operation when one must contact another member of your staff for an emergency that occurs in your OR or department. At times it could be deemed safer and quicker to shoot off a quick text or call from behind the bypass machine then perhaps turn your back on your equipment and the patient to use a wall-mounted phone as opposed to a hand-held device. It is also not uncommon to have to call for additional equipment, supplies, bio-medical engineering, etc during a proceedure. Would you rather the tech that needs to contact someone outside of the OR for a legitimate reason pertaining to the proceedure walk away from the pump to use a wall mounted phone as has been the practice in the past or use a handheld device?

Also, a quick text can be less distracting to the rest of the OR team than a voice phone call that everyone probably is trying to listen to instead of focusing on their individual part of the proceedure.

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By: Carolyn Thomas https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-23777 Sat, 24 Dec 2011 04:10:14 +0000 http://ethicalnag.org/?p=8033#comment-23777 But why do you think patients are restricted in their use of mobile devices (as Margi points out in her Australian experience) but hospital staff can bring (unsterilized) mobile devices into the O.R. with impunity? Yikes.

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By: Dr. Pranab https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-23584 Thu, 22 Dec 2011 04:45:13 +0000 http://ethicalnag.org/?p=8033#comment-23584 I have always been under the impression that using mobile phones around monitors etc was a risky practice as there might be feedback issues, or at least that was what I was told when I was working in a high intensity Critical Care Unit…🙂 The problem does not seem to be THAT bad in the set up where I have been working!

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By: Carolyn Thomas https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-23573 Thu, 22 Dec 2011 02:19:39 +0000 http://ethicalnag.org/?p=8033#comment-23573 Hi Margi – yes, those ‘no cell phone’ signs are ironic (and clearly meant to be one-sided, right?)

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By: Carolyn Thomas https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-23572 Thu, 22 Dec 2011 02:15:44 +0000 http://ethicalnag.org/?p=8033#comment-23572 “GACK” is right!!!

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By: Carolyn Thomas https://ethicalnag.org/2011/12/20/distracted-doctoring-updating-your-facebook-status-in-the-o-r/comment-page-1/#comment-23570 Thu, 22 Dec 2011 02:10:50 +0000 http://ethicalnag.org/?p=8033#comment-23570 Hello Bev – why not print off this article (or the original New York Times piece) and hand it to the O.R. staff when you arrive and ask them to read it before your procedure? Good luck with your surgery!
cheers,
C.

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