@article{6577, author = {John Starling and Brett M. Coldiron}, title = {Outcome of 6 years of protocol use for preventing wrong site office surgery.}, 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.

}, year = {2011}, journal = {J Am Acad Dermatol}, volume = {65}, pages = {807-810}, month = {10/2011}, issn = {1097-6787}, doi = {10.1016/j.jaad.2011.05.011}, language = {eng}, }