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Surgical Site Infection as a Surrogate Marker of Physician Impairment

Published online by Cambridge University Press:  02 January 2015

Robert J. Sherertz  and
Tobi B. Karchmer
Robert J. Sherertz*
Affiliation:
Department of Infection Control, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina
Tobi B. Karchmer
Affiliation:
Department of Infection Control, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina
*
Section on Infectious Diseases, Department of Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1042 (sherertz@wfubmc.edu)
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Abstract

Our report details an implant-associated outbreak of surgical site infections related to the adverse effects of treatment for hepatitis C virus infection administered to surgeon X. During the 12-month period of this outbreak, 14 (9.5%) of 148 of surgeon X's patients developed a surgical site infection, a rate of SSI that was 8-fold higher than the rate during the 14-month baseline period or the 14-month follow-up period (P = .001), and higher than the rate among peer surgeons (P = .02).

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 11 , November 2009 , pp. 1120 - 1122
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Hickson, GB, Federspiel, CF, Pichert, JW, Miller, CS, Gauld-Jaeger, J, Bost, P. Patient complaints and malpractice risk. JAMA 2002;287:2951–2957.Google Scholar
2.Murff, HJ, France, DJ, Blackford, J, et al.Relationship between patient complaints and surgical complications. Qual Saf Health Care 2006;15:13–16.CrossRefGoogle ScholarPubMed
3.Papadakis, MA, Teherani, A, Banach, MA, et al.Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med 2005;353:2673–2682.CrossRefGoogle ScholarPubMed
4.Leape, LL, Fromson, JA. Problem doctors: is there a system-level solution? Ann Intern Med 2006;144:107–115.Google Scholar
5.Morrison, J, Wickersham, P. Physicians disciplined by a state medical board. JAMA 1998;279:1889.CrossRefGoogle ScholarPubMed
6.Peisah, C, Wilhelm, K. Physician don't heal thyself: a descriptive study of impaired older doctors. Int Psychogeriatr 2007;19:974–984.CrossRefGoogle ScholarPubMed
7.American Medical Association (AMA). Code of medical ethics. Opinion 9.031—reporting impaired, incompetent, or unethical colleagues. Available at: http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion9031.shtml. Accessed September 22, 2009.Google Scholar
8.Dieperink, E, Willenbring, M, Ho, SB. Neuropsychiatric symptoms associated with hepatitis C and interferon alpha: a review. Am J Psychiatry 2000;157:867–876.CrossRefGoogle ScholarPubMed
9.Baldisseri, MR. Impaired healthcare professional. Crit Care Med 2007;35(2 Suppl):S106–S116.CrossRefGoogle ScholarPubMed
10.Brennan, TA. Physicians' professional responsibility to improve the quality of care. Acad Med 2002;77:973–980.Google Scholar