Health Care Insurance

health care safety and quality


More Questions for Safe Surgery


Recently we’ve looked at some of the questions you should ask a surgeon if they recommend surgery or an operation. We have seen that asking questions of your doctors and medical professionals can really improve the quality and safety of your healthcare.

Here we look a some questions your should ask if your doctor refers you to a specialist that you may not know. Its ok to ask what their qualifications are. You will want to know that your surgeon is experienced and qualified to perform the operation. Many surgeons have taken special training and passed exams given by a national board of surgeons. Ask if your surgeon is “board certified” in surgery. Some surgeons also have the letters F.A.C.S. after their name. This means they are Fellows of the American College of Surgeons and have passed another review by surgeons of their surgical skills.

Also ask how much experience the surgeon has doing your operation? It’s a way to reduce the risks of surgery by choosing a surgeon who has been well trained to do the surgery and has plenty of experience doing it.

You can ask your surgeon about his or her recent record of successes and complications with this surgery. If it is easier for you, you can discuss the surgeon’s qualifications with your primary care doctor.

It’s important to know at which hospital will the operation be done. Most surgeons work at one or two local hospitals. Find out where your surgery will be done and how often the same operation is done there.


Research shows that patients often do better when they have surgery in hospitals with more experience in the operation. Ask your doctor about the success rate at the hospitals you can choose between. The success rate is the number of patients who improve divided by all patients having that operation at a hospital. If your surgeon suggests using a hospital with a lower success rate for your surgery, find out why.


Source: http://www.ahrq.gov/consumer/surgery/surgery.htm





Questions for your Doctor before Surgery


Recently we published some information on improving the quality and safety of your family’s health care by asking questions. Today we expand on that theme and share with you some information about asking questions if you are considering surgery.

 
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Your first question should be “Why Do I Need an Operation?”

There are many reasons to have surgery and some operations can relieve and prevent pain. Others can reduce a symptom of a problem or improve some body function. Some surgeries can also be done to find a problem. Your doctor will tell you the exact purpose of the planned procedure.

Keep asking questions until you understand how the proposed operation will help your medical issue. For example, if something is going to be repaired or removed, find out why it needs to be done.

Your next question should be “What Operation Are You Recommending?”

Ask your surgeon to explain the surgery and how it is done. Your surgeon can draw a picture or a diagram and explain the steps in the surgery.

Also ask if there is more than one way of doing the operation? One way may require more extensive surgery than another. Some operations that were once quite invasive can now be done using much smaller incisions (for example, laparoscopic surgery).

With some surgeries you are requird to stay in the hospital for 1 or more days. Others let you come in and go home on the same day. Ask why your surgeon wants to do the operation one way over another.

Next you should ask it there “Are Alternatives To Surgery?”

Sometimes, surgery is not the only answer to a medical problem. Medicines or treatments other than surgery, such as a change in diet or special exercises, might help you just as well-or more. Ask your surgeon or primary care doctor about the benefits and risks of these other choices. You need to know as much as possible about these benefits and risks to make the best decision.

One alternative to surgery may be watchful waiting. During a watchful wait, your doctor and you check to see if your problem gets better or worse over time. If it gets worse, you may need surgery right away. If it gets better, you may be able to wait to have surgery or not have it at all.

Source: http://www.ahrq.gov/consumer/surgery/surgery.htm