预防手术部位错误的方案使用 6 年的结果。
Outcome of 6 years of protocol use for preventing wrong site office surgery.
机构信息
Skin Cancer Center, Cincinnati, Ohio.
Skin Cancer Center, Cincinnati, Ohio; Department of Dermatology, University of Cincinnati, Cincinnati, Ohio.
出版信息
J Am Acad Dermatol. 2011 Oct;65(4):807-810. doi: 10.1016/j.jaad.2011.05.011. Epub 2011 Jul 20.
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.
背景
患者安全已成为改善美国医疗保健整体策略不可或缺的一部分。术中错误部位手术被正确地视为一个警戒事件，必须大力避免。
目的
我们旨在确定在高容量、联合委员会认证的皮肤病学手术三级转诊中心对皮肤癌患者实施术前方案后，错误部位手术的发生率。
方法
对在办公室就诊的 7983 例皮肤癌患者进行了回顾性图表审查。
结果
没有错误部位手术的病例。然而，有 18 例未能识别原始活检部位（癌症部位）。
局限性
这是在一个癌症中心进行的回顾性研究。
结论
将正确的手术部位方案纳入日常患者护理模式是预防皮肤科手术错误部位发生的有用步骤。
Zotero 插件