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  • Talk
  • 21/09/2023
  • UK

How to Prevent Being Sued - Don’t Do Poor Surgery

Description

The VTT transcript captures a detailed presentation by a consultant surgeon discussing the challenges and responsibilities involved in foot and ankle surgery, particularly related to medicolegal issues. The speaker begins by establishing their extensive experience, having worked in a major trauma center and participated in medicolegal work since 2000. They highlight the alarming rise in clinical negligence claims against the NHS, with expenses escalating from £0.6 billion in 2007 to £2.6 billion in recent years. Despite the surge in costs, the speaker points out that the number of claims is not increasing at the same rate, which suggests a complex interplay between legal finance and patient outcomes.



Throughout the presentation, the speaker emphasizes the importance of thorough preoperative planning, effective communication with patients, and understanding one's limitations in surgery. They discuss various factors contributing to surgical negligence, including poor decision-making, inadequate planning, and time pressures in the operating room. By presenting examples of decision-making processes and the implications of certain surgical outcomes, the speaker illustrates key learning points for improving practices and minimizing the risk of litigation.



The speaker asserts that the key to avoiding lawsuits is proactive communication, patient consent, and proper documentation throughout the surgical process. They advocate for a multidisciplinary approach, encouraging discussions in X-ray meetings and considering postoperative reviews to better address any complications.



In conclusion, the surgeon underscores the critical nature of collaboration and communication, not only within the surgical team but also with patients, to enhance understanding and trust, which ultimately leads to better patient care outcomes and safeguards against legal repercussions. The presentation ends on a call for reflection and continued learning within the medical community.

DOI: 10.1302/3114-240925

Specialties