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Learning from regret.

F M Boyle1, J Allen2, T Rey-Conde2

  • 1Institute for Social Science Research, University of Queensland, Brisbane, Queensland, Australia.

The British Journal of Surgery
|February 21, 2020
PubMed
Summary
This summary is machine-generated.

Surgeons

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Area of Science:

  • Surgical outcomes research
  • Medical education and training
  • Patient safety and quality improvement

Background:

  • Patient death after surgery can cause significant emotional distress for surgeons.
  • Reflections on surgical deaths may lead to rumination or facilitate learning.
  • Non-technical aspects of care are explored as areas for improvement.

Purpose of the Study:

  • To analyze surgeons' reflections on patient deaths.
  • To identify potential improvements in non-technical aspects of surgical care.
  • To understand factors influencing surgeons' decision-making and regret.

Main Methods:

  • Qualitative study using framework analysis.
  • Analysis of 1214 surgeons' responses to the Queensland Audit of Surgical Mortality.
  • Focus on surgeons' reflections on what could have been done differently.

Main Results:

  • Two main themes emerged: dilemmas/difficult decisions and communication.
  • Surgeons reported uncertainty, complexity, and situational pressures preceding deaths.
  • Improved communication with patients, families, and colleagues was identified as key to reducing regret.

Conclusions:

  • Surgical decision-making is complex and can lead to regret after patient death.
  • Enhancing communication quality can mitigate postdecision regret for surgeons.
  • Comprehensive patient assessment and peer communication are vital.