I recently read a New York Times article titled “losing My Leg to a Medical Error“. The author, Frederick Southwick, a physician and professor in a Florida medical school, describes how, seventeen years ago, he had a routine surgery on his left Achilles’ tendon. To prevent bleeding during the procedure, a pressurized cuff was placed above his left knee. Apparently, the cuff was left on too long, and, unbeknownst to him, damaged his arteries. He didn’t find this out until just last summer when he experienced a sudden and total blockage of blood flow to his lower leg leading to amputation. Turns out the arteries, damaged by that cuff 17 years earlier, had slowly scarred, hardened and calcified, leading to the belated sudden blockage of blood flow.
Rare event? Probably. But medical malpractice is not.
Ironically, Dr. Southwick has, for the past two decades, been studying how to prevent errors in health care. In his case, he knows how the error could have been prevented; they could have used either (1) an alarm to remind the surgeon how long the cuff had been in place or (2) a cuff that automatically deflates after the prescribed time.