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Hindsight Biases01:12

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Related Experiment Video

Updated: May 11, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Contemplating complications: living the experience, learning the lessons.

Ravi Ramakantan1

  • 1Department of Radiology, Seven Hills Hospital, Marol, Andheri (East), Mumbai 400 059 INDIA.

Indian Journal of Medical Ethics
|May 24, 2013
PubMed
Summary
This summary is machine-generated.

New medical procedures carry risks. This case study details a rare complication from bronchial artery embolization, leading to protocol changes that enhance patient safety and physician support.

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Last Updated: May 11, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Area of Science:

  • Interventional Radiology
  • Patient Safety
  • Medical Ethics

Background:

  • Innovation in medical diagnostics and therapeutics introduces inherent risks.
  • Informed consent is crucial before employing novel procedures.
  • Adverse events can have profound impacts on patients, families, and physicians.

Observation:

  • A case of irreversible paraplegia occurred due to non-target embolization of the anterior spinal artery.
  • The complication arose during bronchial artery embolization for hemoptysis in a young woman.
  • The treating physician experienced significant emotional distress, including guilt and sadness.

Findings:

  • Scientific analysis identified non-target embolization as the cause of the adverse event.
  • Protocol modifications were implemented to improve the safety of bronchial artery embolization.
  • Consultation with colleagues and institutional review boards aided in managing the complication and physician well-being.

Implications:

  • Sharing adverse events in open forums promotes physician unburdening and education.
  • Effective management of complications by medical educators serves as a vital learning opportunity for trainees.
  • Institutional support systems are essential for physicians facing complications from innovative procedures.