Most people in Providence probably aren't overly familiar with the healthcare provider hierarchy. Typically, their main concern is that the most qualified provider in the room at the time of their care is the one who is administering treatment. Providers, on the other hand, are well-versed in the standards of care for those areas in which they practice. Thus, they know exactly who and how many need be present at the time of a patient's procedure in order to be able to respond to sudden changes in the patient's condition. A failure to meet those staffing requirements could be viewed as surgical malpractice.
Surgical mistakes are unfortunately a common occurrence. Providence surgeons work long hours and often under stressful situations. The strain that is placed on their mind and bodies can lead them to perform at subpar levels which will result in seriously negative consequences for their patients. In the news stories abound about medical equipment left inside the victim, failure to properly monitor the patient as well as careless surgeons who acted unprofessionally. However, you don't often hear about a surgeon being so careless that they don't actually perform a surgery while claiming they did.
Any kind of surgery is associated with a certain amount of risk but it is the responsibility of doctors and surgical room staff to minimize those risks. A careless surgeon or negligent staff can result in complications for the patient that include permanent damage. These surgical mistakes can lead to years of pain and anguish for the patient and their families as well as untold hardships. When this occurs, patients can seek reparation through filing a lawsuit.