Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery

Katherine Latimer, Courtney Pendleton, Alessandro Olivi, Aaron A. Cohen-Gadol, Henry Brem, Alfredo Quiñones-Hinojosa

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

The recognition of surgical mishaps and their correction in subsequent cases was critical in the evolution of the discipline of neurosurgery during its infancy. The Johns Hopkins Hospital surgical records from 1896 to 1912 were reviewed, and 30 cases documenting the self-reported surgical errors of Harvey Cushing, MD, were selected for further analysis. We demonstrate that alongside pioneering profound advancements in medical care, Cushing openly acknowledged and described significant instances of human error, mistakes in judgment and technique, and equipment and supply oversights, regardless of whether these events affected patient outcome. Mistakes were analyzed and recorded to be drawn on as lessons to improve future care. This review defines the attitude toward documenting and reporting medical errors present at the founding of the field of neurosurgery as one of forthright acknowledgment in the pursuit of innovation.

Original languageEnglish (US)
Pages (from-to)226-232
Number of pages7
JournalArchives of Surgery
Volume146
Issue number2
DOIs
StatePublished - Feb 1 2011

Fingerprint

Medical Errors
Neurosurgery
Documentation
Nervous System
Hospital Records
Equipment and Supplies
Recognition (Psychology)

ASJC Scopus subject areas

  • Surgery

Cite this

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. / Latimer, Katherine; Pendleton, Courtney; Olivi, Alessandro; Cohen-Gadol, Aaron A.; Brem, Henry; Quiñones-Hinojosa, Alfredo.

In: Archives of Surgery, Vol. 146, No. 2, 01.02.2011, p. 226-232.

Research output: Contribution to journalReview article

Latimer, Katherine ; Pendleton, Courtney ; Olivi, Alessandro ; Cohen-Gadol, Aaron A. ; Brem, Henry ; Quiñones-Hinojosa, Alfredo. / Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. In: Archives of Surgery. 2011 ; Vol. 146, No. 2. pp. 226-232.
@article{535d0b2d16204d57a83696836f9e6162,
title = "Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery",
abstract = "The recognition of surgical mishaps and their correction in subsequent cases was critical in the evolution of the discipline of neurosurgery during its infancy. The Johns Hopkins Hospital surgical records from 1896 to 1912 were reviewed, and 30 cases documenting the self-reported surgical errors of Harvey Cushing, MD, were selected for further analysis. We demonstrate that alongside pioneering profound advancements in medical care, Cushing openly acknowledged and described significant instances of human error, mistakes in judgment and technique, and equipment and supply oversights, regardless of whether these events affected patient outcome. Mistakes were analyzed and recorded to be drawn on as lessons to improve future care. This review defines the attitude toward documenting and reporting medical errors present at the founding of the field of neurosurgery as one of forthright acknowledgment in the pursuit of innovation.",
author = "Katherine Latimer and Courtney Pendleton and Alessandro Olivi and Cohen-Gadol, {Aaron A.} and Henry Brem and Alfredo Qui{\~n}ones-Hinojosa",
year = "2011",
month = "2",
day = "1",
doi = "10.1001/archsurg.2010.319",
language = "English (US)",
volume = "146",
pages = "226--232",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "2",

}

TY - JOUR

T1 - Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery

AU - Latimer, Katherine

AU - Pendleton, Courtney

AU - Olivi, Alessandro

AU - Cohen-Gadol, Aaron A.

AU - Brem, Henry

AU - Quiñones-Hinojosa, Alfredo

PY - 2011/2/1

Y1 - 2011/2/1

N2 - The recognition of surgical mishaps and their correction in subsequent cases was critical in the evolution of the discipline of neurosurgery during its infancy. The Johns Hopkins Hospital surgical records from 1896 to 1912 were reviewed, and 30 cases documenting the self-reported surgical errors of Harvey Cushing, MD, were selected for further analysis. We demonstrate that alongside pioneering profound advancements in medical care, Cushing openly acknowledged and described significant instances of human error, mistakes in judgment and technique, and equipment and supply oversights, regardless of whether these events affected patient outcome. Mistakes were analyzed and recorded to be drawn on as lessons to improve future care. This review defines the attitude toward documenting and reporting medical errors present at the founding of the field of neurosurgery as one of forthright acknowledgment in the pursuit of innovation.

AB - The recognition of surgical mishaps and their correction in subsequent cases was critical in the evolution of the discipline of neurosurgery during its infancy. The Johns Hopkins Hospital surgical records from 1896 to 1912 were reviewed, and 30 cases documenting the self-reported surgical errors of Harvey Cushing, MD, were selected for further analysis. We demonstrate that alongside pioneering profound advancements in medical care, Cushing openly acknowledged and described significant instances of human error, mistakes in judgment and technique, and equipment and supply oversights, regardless of whether these events affected patient outcome. Mistakes were analyzed and recorded to be drawn on as lessons to improve future care. This review defines the attitude toward documenting and reporting medical errors present at the founding of the field of neurosurgery as one of forthright acknowledgment in the pursuit of innovation.

UR - http://www.scopus.com/inward/record.url?scp=79951891332&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79951891332&partnerID=8YFLogxK

U2 - 10.1001/archsurg.2010.319

DO - 10.1001/archsurg.2010.319

M3 - Review article

C2 - 21339437

AN - SCOPUS:79951891332

VL - 146

SP - 226

EP - 232

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 2

ER -