Despite various nationwide and global patient safety initiatives over the last decade, adverse event rates for surgical diseases remain unacceptably high, according to recent data. Surgical cases have increased as a result of physical aggression, accidents, and weapon-related injuries. Patient safety is a major concern in health-care systems around the world. Currently, patient safety criteria in surgery are generic rather than tailored to surgical subspecialties and training programs. The surgical environment must be regarded as HRO, which necessitates a high level of standardization and safety protocols, as well as redundant systems, to reduce errors and human errors. Throughout medicine, there are ethical issues that arise as a result of teaching and innovation. Because of the nature of surgery, these ethical issues are especially evident for surgeons. Furthermore, the managed-care environment jeopardizes the surgeon's professional commitment to all-risk coverage, poor-care, and clinical decision-making flexibility.
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