Five Common Causes of Surgical Errors and How to Avoid Them

While surgical errors are rare, they’re still something to be aware of. Most surgeries go as planned, but when things do go wrong, the results can be anything from delayed recovery to serious long-term complications. That’s why it’s important for everyone—patients, surgeons, and medical staff—to stay focused and on the same page. The good news is that by knowing the most common causes of surgical errors, patients can take simple steps to lower the chances of problems arising.

In this article, we’ll take a look at five of the most common causes of surgical mistakes, explain why they happen, and offer tips on how you can help ensure your surgery goes smoothly.

1. Communication Problems

Clear communication is critical in the operating room. If the surgical team isn’t all on the same page, serious mistakes can happen—like operating on the wrong body part or performing the wrong procedure. Common issues include:

• Missing key details in medical records: If the team doesn’t review your medical history carefully, they might overlook important information.
• Handover problems: Surgeons and nurses often change shifts, and when critical information isn’t passed along properly, things can fall through the cracks.
• Not confirming the procedure or surgical site: Sometimes the team forgets to double-check exactly where and what they’re operating on, which can lead to serious mistakes.

How to avoid these issues:

• Ask questions: Make sure your surgeon explains everything to you beforehand, especially which part of your body will be operated on.
• Confirm the “Surgical Time Out”: This is a step where the team double-checks your identity, the procedure, and the surgical site before starting. It’s a simple but important safety measure.
• Speak up if something doesn’t feel right: If anything feels off or unclear, don’t hesitate to ask for clarification. It’s always better to be sure.

2. Lack of Proper Preparation

Sometimes surgeries don’t go as planned because the team hasn’t properly prepared. This could mean not fully reviewing your medical history, skipping necessary tests, or rushing through the planning process. Surgeons need to be thoroughly prepared before performing any procedure.

How to avoid preparation mistakes:

• Make sure your medical history is complete: Ensure your surgeon knows everything about your health—previous surgeries, allergies, and any conditions that might affect the surgery.
• Get a second opinion if needed: If you’re uncertain about the surgery or your surgeon’s approach, getting a second opinion can provide peace of mind.
• Follow through with all pre-surgery instructions: Stick to any instructions your surgeon gives you, like getting lab work or imaging done. Having the most accurate and up-to-date information is key.

3. Fatigue and Human Error

Fatigue is a major factor in surgical errors. Surgeons and medical staff often work long hours or handle multiple surgeries in a day, which can make it harder to stay alert and focused. When people are tired, they’re more likely to miss small but important details.

How to reduce the risk of fatigue-related issues:

• Choose a good time for your surgery: If possible, try to schedule your procedure at a time when your surgeon isn’t already worn out from a long shift.
• Support reasonable work hours for healthcare workers: While you can’t control this, encouraging adequate rest for medical staff can help improve their performance.
• Ask about your surgeon’s schedule: If you’re concerned about how many surgeries your surgeon has in one day, it’s okay to ask. They should have enough time and focus to take care of each patient.

4. Skipping Safety Protocols

There are strict safety protocols in place for every surgery. If any of these steps are skipped—whether due to oversight, lack of training, or negligence—it can lead to serious issues. For example, failing to properly sterilize equipment or not positioning you correctly on the operating table can cause problems down the road.

How to make sure safety protocols are followed:

• Ask about safety procedures: Before your surgery, ask the medical team about their safety protocols, especially for things like infection control and anesthesia.
• Be proactive about your safety: Don’t hesitate to remind the team to double-check important things, like sterilizing the equipment and confirming the surgical site.
• Choose a reputable hospital or surgery center: Do some research on where you’re having your surgery. It’s worth it to choose a place known for its commitment to patient safety.

5. Equipment Failures

Surgeries often rely on specialized equipment, and if something goes wrong with the tools, it can cause major problems. Whether it’s robotic surgery equipment malfunctioning or monitoring devices failing, issues with the equipment can lead to complications during surgery.

How to prevent equipment failures:

• Confirm equipment readiness: Ask how often the hospital inspects and maintains its surgical tools. They should have a regular schedule to make sure everything is working as it should.
• Ensure your surgeon is familiar with the equipment: If your surgery involves high-tech equipment, like robotic surgery, make sure your surgeon is experienced with it and performs those types of procedures regularly.
• Monitor the equipment throughout surgery: The team should be watching the equipment closely to make sure everything is functioning properly during the procedure.

Conclusion

While surgical errors are rare, they can happen. But by understanding the common causes—like communication issues, lack of preparation, fatigue, safety oversights, and equipment problems—you can take steps to reduce the chances of things going wrong. By being proactive, asking the right questions, and choosing an experienced surgeon and reputable hospital or surgery center, you can make a big difference in your surgery’s outcome.

If you or someone you know has experienced a surgical error, it might be a good idea to talk to a lawyer who specializes in medical malpractice. Lehigh Valley Medical Malpractice Lawyers P.C. can help guide you through your options and support you in seeking compensation for any harm caused by a surgical mistake.