One or two per week
A dozen per week
Approximately thirty per week
Fifty per week
Wrong site surgeries
Disclosure within 24 hours
Facts about what happened
Whether the event was preventable
Steps taken to treat any subsequent problems
Inform the patient and family that all went well and sometimes open repair is just necessary due to anatomy and other technical considerations.
Inform the patient and family of the rationale (need to control bleeding) behind conversion to open repair.
Inform risk management of the incident as this constitutes a “never event”.
Inform the patient and family that the bleeding and need for open conversion was due to a resident’s lack of experience.
Criminal negligence charges will be filed against the hospital and surgeon by the District Attorney.
The surgeon will be deemed unsafe by the hospital and lose his/her position.
The hospital and surgeon will go to court to counter the malpractice negligence claim for the retained foreign body.
The paid malpractice claim will be reported to the National Practitioner Data Bank.