Deaths, errors and second victims in surgery: an underestimated problem

Revenge lawsuit is a puzzle piece of the global crisis of Italian healthcare system

“…We read with interest the letter by Maria Michela Chiarello and colleagues [1] on "revenge lawsuit" as a subtle attempt by corrupted and anachronistic groups to neutralize proactive doctors who are aiming to improve the local healthcare system in Italy, especially in low-income areas. Furthermore, the concept of "second victim" aiming to support healthcare workers involved in adverse events, lawsuit or errors [2] is systematically ignored and this increases further the sense of frustration and isolation of the people involved. The reduction in accountability and effectiveness of public hospitals may benefit publicfunded private clinics, directly or indirectly linked to economic and political lobbying, to induce promising healthcare workers to leave their jobs.…”

Unexpected operative death from hemorrhage: a review of six cases and recommendations

“…Less is known about death from hemorrhage during elective surgery. Professional consequences relating to credentialing and professional standing can follow an operating-room death 7–10. Professional liability claims are common following death from an elective procedure, and most are resolved in favor of the patient’s family 4…”

“…Professional consequences relating to credentialing and professional standing can follow an operating-room death. [7][8][9][10] Professional liability claims are common following death from an elective procedure, and most are resolved in favor of the patient's family. 4 Little is known about the emotional effects on the surgeon and staff.…”

“…A range of emotions is possible, and the secondvictim syndrome is well recognized. 7,[9][10][11] The surgeon may feel guilty and negligent. Alternatively, surgeons may feel they are victims of a fatal conspiracy.…”

Uncovering the Veils of Maya on defensive medicine, litigation risk and second victims in surgery: care for the carers to protect the patients

“…These figures are worrisome for several reasons. Apart from the distress caused by the error or the harm suffered by the patient [2,3], a potential subsequent lawsuit can also contribute to affect the surgeon's practice and social life to such an extent that a “clinical–judicial syndrome” has been described [4]. This is a chronic and irreversible situation and occurs as a result of the legal proceedings in which he or she is involved [4,5].…”