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The Economics of Prefilled Syringes - August 2017 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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patient care, we have to be concerned with certain significant medicolegal implications. Preferred Physicians Medical, a medical lia- bility firm that has defended multiple lawsuits involving allegations related to distractions, says the mere suggestion that an anesthesia provider was distracted makes the case harder to win, regardless of the evidence. In cases where something goes wrong, plaintiff attorneys can sub- poena cell phone records and retain information technology experts to try to cement the idea that distractions are to blame. Metadata experts can determine the exact time a webpage was visited, a text message was sent or a phone call was made. Be present, be professional So is the hand wringing warranted, or are a few extreme cases — like the Dallas case — causing knee-jerk reactions? Based on everything we know, including evidence that properly managed distractions can actually enhance vigilance, I believe the key is to exercise good judgment and common sense, something that was lacking in the Dallas case. Yes, we absolutely must avoid all distractions during induction, emergence or stressful/intense times during cases. But at other times, we simply need to be present and professional. How can we ensure we don't fall below that standard? The If-this-were-my-mother-on- the-table litmus test should provide an excellent guide. OSM Mr. MacKinnon (mmackinnon123@gmail.com) is a partner in a CRNA- only practice in Show Low, Ariz. He lectures nationally on airway manage- ment and the business of anesthesia. A U G U S T 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 3 7

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