Disclosing Surgical Error: Vignettes for Discussion (DVD)
This educational DVD (Windows and Mac platforms) provides teaching tools to
stimulate dialogue regarding strategies for communicating effectively about
surgical errors and adverse outcomes with patients and their families. The
vignettes on the DVD involve a surgeon who encountered major arterial bleeding
after inserting a Veress needle to insufflate the patient’s abdomen during a
routine laparoscopic cholecystectomy. The scenes depict the surgeon discussing
the error and current status of the patient with the family, and may be used as
the basis of discussion regarding the disclosure of errors and adverse events,
as well as effective and ineffective approaches to disclosure.
The DVD vignettes—the first of which illustrates an interaction in which the disclosure could be improved significantly, while the second vignette demonstrates strategies for breaking bad news more effectively—may be used as freestanding trigger tapes for small group discussions with surgeons, surgical residents, or medical students, or may be incorporated into a comprehensive course.
The content does not
provide legal advice, nor does it establish the standard of care on disclosing
surgical error. This project was supported by the Agency for Health Care
Research and Quality Grant U18 HS12021 and is free of charge. Developed by the
ACS Division of Education.