A 52-year-old surgeon consistently performs procedures without preoperative surgical site marking, despite two informal conversations about the practice gap. The hospital's surgical site infection rate has increased to 3.2% (previously 1.8%). Chart review reveals no documentation of timeout procedures in 8 of 12 recent cases. The surgeon denies substance use and shows no signs of cognitive impairment. Which of the following represents the most appropriate next step to address this patient safety concern?
- A)File a complaint directly with the state medical board
- B)Report the behavior to the department chair or patient safety officerGABARITO
- C)Refuse to participate in any future procedures with this surgeon
- D)Document the observations but take no further action
- E)Continue informal reminders and hope the behavior changes
Explicação
When informal peer-to-peer communication fails to correct a patient safety concern, escalation through the institutional chain of command (department chair, patient safety officer, or chief medical officer) is required. Surgical site marking is a Joint Commiss... Ver explicação completa e trilha adaptativa →