White M M, Gupta M, Utman S A K, Dhillon B
Princess Alexandra Eye Pavilion, Chalmers Street, Edinburgh.
Surgeon. 2009 Apr;7(2):82-5. doi: 10.1016/s1479-666x(09)80021-8.
In 2003 the National Patient Safety Agency (NPSA) advised side marking for avoiding errors and reducing incorrect side surgery. This survey aimed to ascertain whether or not, these 'best practice' guidelines are currently being implemented by ophthalmic surgeons in Scotland and, if not, the reasons for this, and also to ascertain surgeons' attitudes towards marking.
Semi-structured interviews with ophthalmic surgeons throughout Scotland, either face to face or by telephone, on their current practices and attitudes relating to preventing wrong side surgery.
Non-compliance with side marking was described by 48% of the surgeons, which includes both consultants and specialist registrars. This survey reveals incomplete implementation of this policy in ophthalmic surgery for a number of reasons. The most common was bypassing the established multi-step process of checks, which risks an increased likelihood of surgical errors.
Guidelines are not consistently being implemented in their entirety by eye surgeons in Scotland. In order to improve compliance and improve patient safety, we suggest a risk-stratified approach in side marking based on individual patient factors that may encourage wider acceptance, without compromising patient safety.
2003年，国家患者安全机构（NPSA）建议进行术侧标记以避免错误并减少手术部位错误。本次调查旨在确定苏格兰的眼科外科医生目前是否正在实施这些“最佳实践”指南，如果没有实施，原因是什么，同时确定外科医生对标记的态度。
通过面对面或电话方式，对苏格兰各地的眼科外科医生就其目前与预防手术部位错误相关的做法和态度进行半结构化访谈。
48%的外科医生（包括顾问医生和专科住院医生）表示未遵守术侧标记规定。本次调查揭示了由于多种原因，该政策在眼科手术中未得到完全实施。最常见的原因是绕过既定的多步骤检查流程，这增加了手术失误的可能性。
苏格兰的眼科医生并未始终如一地全面实施指南。为了提高依从性并改善患者安全，我们建议基于个体患者因素采用风险分层的术侧标记方法，这可能会鼓励更广泛的接受，同时不损害患者安全。
