Outcome of 6 years of protocol use for preventing wrong site office surgery - 14/09/11
Reprint requests: John Starling III, MD, Skin Cancer Center, 3024 Burnet Ave, Cincinnati, OH 45213.Abstract |
Background |
Patient safety is emerging as an integral part of the overall strategy to improve health care in the United States. Wrong site surgery is correctly noted to be a sentinel event and great efforts must be made to avoid it.
Objective |
We sought to determine the incidence of wrong site surgery after implementation of a preoperative protocol in patients presenting for treatment of skin cancer at a high-volume, Joint Commission–accredited, tertiary referral center for dermatologic surgery.
Methods |
A retrospective chart review was performed of 7983 cases performed on patients presenting for treatment of skin cancer in the office setting.
Results |
There were no cases of wrong site surgery. There were, however, 18 cases of failure to identify the original biopsy site (cancer site).
Limitations |
This was a retrospective study done at one cancer center.
Conclusion |
Integration of a correct surgery site protocol into a daily patient care model is a useful step in preventing occurrences of wrong site dermatologic surgery.
Le texte complet de cet article est disponible en PDF.Key words : adverse event reporting, patient safety, wrong site surgery
Plan
| Funding sources: None. |
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| Conflicts of interest: None declared. |
Vol 65 - N° 4
P. 807-810 - octobre 2011 Retour au numéro
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