Outcome of 6 years of protocol use for preventing wrong site office surgery.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 21764169.
- Also identified by DOI 10.1016/j.jaad.2011.05.011.
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Abstract
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. 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. A retrospective chart review was performed of 7983 cases performed on patients presenting for treatment of skin cancer in the office setting. There were no cases of wrong site surgery. There were, however, 18 cases of failure to identify the original biopsy site (cancer site). This was a retrospective study done at one cancer center. 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.
Medical subject headings
- Ambulatory Surgical Procedures
- Medical Errors
- Mohs Surgery
- Quality Assurance, Health Care
- Safety Management
- Skin Neoplasms