In an interview this week, Makary told me that financial arguments hospitals and doctors make in opposition to OR videography "don't make sense" because "over 80% of patients say they want this, and 60% are willing to pay extra for it out of their own pockets."
Concerns about privacy violations or litigation discovery can be shielded because these videos are being kept for peer review, or under patient service organization protections, Makary and Greenberg say.
Hospitals and surgeons know this day is coming, Greenberg believes.
"But it's going to take a culture change. People have a fear of big brother, and that recordings will be used for some sort of performance assessment, or they'll not know they're being videotaped. I've spent an enormous amount of time talking with lawyers and malpractice insurers about these concepts, and most people think the benefits to the healthcare system far outweigh risks.
"They think that if these videos were brought into a legal case, it's much more likely the video will actually demonstrate that standard of care was provided, and be an asset."
Greenberg believes that the nation's hospitals "are on the verge of an expansion of the use of video in the OR, and in other healthcare settings," to improve quality and safety. But alas, she says, "there are still many challenges that we face before widespread use."