Although wrong-site surgeries are rare, the consequences can be very serious. Despite being classified as a never event, wrong site surgery continues to be an issue in otolaryngology (ENT) procedures.

In this study, researchers developed marking procedure for ENT surgery that accomplishes four objectives: (1) clearly marks the correct side, organ and procedure; (2) can be applied to internal organs; (3) clearly marks all procedures and locations, and (4) is simple, highly visible, and durable. The research team developed a list of standardized abbreviations corresponding to specific procedures – as many applicable organs and surgical sites are not visible (e.g., vocal cords), this approach allows for clear understanding of the surgical procedure and intended organ.

The marking procedure was highly accepted by patients, physicians, and clinical staff. Of 248 surveyed patients, three-quarters felt that the markings enhanced perceived safety and half felt that it reduced their fear of the operation.