"Surgeons and nurses are taught to have a can-do attitude, to do the best
they can for patients with what they have," says F. Jacob Seagull, PhD, an
assistant professor of medical education at the University of Michigan
Medical School in Ann Arbor. "Instead of changing the system within
which they work, they try to adapt themselves to function within it. It's an
old school way of thinking, and one that's hopefully starting to change."
When injuries do occur, do they reveal them? Dr. Foley says less than
half of healthcare professionals report injuries — with surgeons the most
likely to remain silent — for a variety of reasons that include perceived
time constraints and worries about repercussions from peers and admin-
istration.
Human factors are also at work. Surgeons and staff might enter the OR
with a naive sense of invincibility — more than half of our respondents
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