Book Review: Surgical Care of the Painful Degenerative Lumbar Spine: Evaluation, Decision-Making, Techniques

2019 ◽  
Vol 17 (2) ◽  
pp. E81-E82
Author(s):  
Perry A Ball
Keyword(s):  
Decision Making ◽  
Lumbar Spine ◽  
Surgical Care ◽  
Degenerative Lumbar Spine ◽  
Evaluation Decision

scholarly journals Intraoperative injuries from abdominopelvic surgery: an analysis of national medicolegal data

2021 ◽  
Vol 64 (2) ◽  
Author(s):  
Guylaine Lefebvre ◽  
Kirsten A. Devenny ◽  
Diane L. Héroux ◽  
Cara L. Bowman ◽  
Heather K. Neilson ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Evaluation ◽  
Regulatory Authority ◽  
Descriptive Analysis ◽  
Surgical Care ◽  
Population Based ◽  
Contributing Factors ◽  
Legal Cases ◽  
National Body ◽  
Evaluation Decision

Background: Intraoperative injuries during abdominopelvic surgery can be associated with substantial patient harm. The objective of this study was to describe abdominopelvic intraoperative injuries and their contributing factors among medicolegal cases. Methods: This study was a descriptive analysis of medicolegal matters reported to a national body, with subgroup analyses by type of surgery. We reviewed medicolegal matters involving a population-based sample of physicians who were subject to a civil legal action or complaint to a regulatory authority that was closed between 2013 and 2017 in Canada. Results: Our analysis included 181 civil legal cases and 88 complaints to a regulatory authority. Among legal cases, 155 patients (85.6%) (median age 47 yr) underwent elective procedures. The most common injury site was the bowel (53 cases [29.3%]). Injuries frequently occurred during dissection (79 [43.6%]) and ligation (38 [21.0%]), were identified postoperatively (138 [76.2%]) and necessitated further surgery (139 [76.8%]). Many patients experienced severe harm (55 [30.4%]) or died (25 [13.8%]). Peer experts in nongynecologic cases were more likely than those in gynecologic cases to include criticisms of a provider in a harmful incident (79 [71.2%] v. 30 [42.9%], p < 0.01). Peer expert criticisms often related to clinical evaluation, decision-making and misidentification of anatomy. Criticisms of nontechnical skills identified documentation and communication deficiencies. Conclusion: This study confirms the importance of provider and team training to improve clinical evaluation and decision-making, documentation and communication. Effective protocols may help support clinicians in providing safer surgical care.

Book Review: A Guide to Decision Making in Student Affairs: A Case Study Approach

NASPA Journal ◽  
2000 ◽  
Vol 38 (1) ◽  
Author(s):  
Tracy Davis
Keyword(s):  
Decision Making ◽  
Student Affairs ◽  
Student Affairs Professionals ◽  
Expert Advice ◽  
Background Information ◽  
Case Study Approach ◽  
New Professionals ◽  
Study Approach

Stanley Levy and Charles Kozoll capture much of the complexity of decisionmaking and offer an important contribution to our understanding of this perplexing topic. The publication of A Guide to Decision Making in Student Affairs: A Case Study Approach, furthermore, is timely due to what Stage (1993) recognizes as an increasing expectation that "new professionals, even at the lowest levels, have the ability to work independently and solve complex issues knowledgeably and with skill and integrity" (p. iii). The case study approach combined with the expert advice of 15 seasoned student affairs deans (called informants) provides a valuable resource for learning about a central task in our profession. The book offers students as well as experienced professionals background information critical to decisionmaking in higher education, exploration of fundamental issues that influence the process, carefully constructed and relevant case studies, and a reservoir of advice from some of the most well respected senior-level practitioners in our field. This book is particularly valuable to faculty members facilitating learning with new professionals, but it is a resource most student affairs professionals would find well worth owning.

scholarly journals Book Review: Cohn, S.L. (Ed.). Decision Making in Perioperative Medicine: Clinical Pearls. (New York: McGraw-Hill), 2021. ISBN: 978-1-260-46810-6

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 687
Author(s):  
Richard H. Parrish II
Keyword(s):  
Decision Making ◽  
New York ◽  
Perioperative Care ◽  
Medical Management ◽  
Perioperative Medicine

Cohn’s work fills a void in the perioperative care literature by providing a concise, comprehensive, practical, and authoritative guide to the medical management of common periprocedural issues and scenarios [...]

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