A 49-year-old female presented to a general surgeon for a colonoscopy. During the colonoscopy the general surgeon documented a 25mm polyp in the patient’s descending colon. Due to its size, the general surgeon was only able to partially resect the polyp. He placed a hemostatic clip to prevent bleeding and tattooed the area.
The patient was subsequently referred to the general surgeon for surgical resection of the left colon.
On 7/15/2015, the patient presented to the general surgeon for a preoperative history and physical. On 7/15/2015, the general surgeon documented that a doctor incompletely resected a polyp in the patient’s colon, and identified the planned procedure as a right colectomy.
On 7/20/2016, the patient presented to the general surgeon at a community hospital. On 7/20/2016, the general surgeon performed a right colectomy of the patient’s ascending colon.
The Board judged that the general surgeon’s conduct to be below the minimum standard of competence given that he performed a wrong-site procedure when he performed a right colectomy of the patient’s ascending colon instead of a left colectomy of her descending colon.
The Board ordered the general surgeon to pay a fine of $4,015.23. The general surgeon was ordered to complete five hours of continuing medical education in “Risk Management.” Also, the Board ordered that the general surgeon present a one hour lecture/seminar on wrong site and/or wrong procedures to medical staff at an approved medical facility.
Date: December 2017
Specialty: General Surgery
Diagnosis: Gastrointestinal Disease
Medical Error: Wrong site procedure
Significant Outcome: N/A
Case Rating: 2
Link to Original Case File: Download PDF
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