Patient safety in dermatologic surgery

Hansen, Timothy J.; Lolis, Margarita S.; Goldberg, David J.; MacFarlane, Deborah F.

doi:10.1016/j.jaad.2014.10.047

Cited by 23 publications

(4 citation statements)

References 63 publications

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“…Cutaneous surgery is a safe procedure with a low complication rate . In 2013, Alam et al published a large 23-center study summarizing the adverse events associated with Mohs surgery.…”

Section: Resultsmentioning

confidence: 99%

Addressing Practice Gaps in Cutaneous Surgery

Kreicher

Bordeaux

2017

JAMA Facial Plast Surg

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utaneous surgery (CS) is performed by otolaryngologists, plastic surgeons, oculoplastic surgeons, dermatologic surgeons, and some primary care physicians. Practice gaps and differences exist among cutaneous surgeons for how preoperative, intraoperative, and postoperative decision-making is approached. The purpose of this review is to present the best and most recent evidence to help guide cutaneous surgeons in these decisions. MethodsA literature search was performed using PubMed/MEDLINE

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“…Cutaneous surgery is a safe procedure with a low complication rate . In 2013, Alam et al published a large 23-center study summarizing the adverse events associated with Mohs surgery.…”

Section: Resultsmentioning

confidence: 99%

Addressing Practice Gaps in Cutaneous Surgery

Kreicher

Bordeaux

2017

JAMA Facial Plast Surg

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“…Previously, Mohs micrographic surgery has been shown to be an exceedingly safe procedure, with an overall risk of adverse events of less than 1% and a risk of surgery-associated wound infection of 0.44% . Use of chlorhexidine has been found to be inversely associated with infection risk .…”

Section: Discussionmentioning

confidence: 99%

Association of Different Surgical Sterile Prep Solutions With Infection Risk After Cutaneous Surgery of the Head and Neck

et al. 2017

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Factors to be considered when selecting an optimal sterile prep solution prior to cutaneous surgery include the underlying health status of the patient, the expected extent of the surgery, the anatomic location of the tumor to be removed or planned reconstruction, and the inherent effectiveness of the prep solution. Recently, it has been suggested that different prep solutions may pose varying risks to patients. For instance, 83% of surgical dermatologists use chlorhexidine on the face. 1 On the one hand, it has been suggested that chlorhexidine use may contribute to the very low incidence of infection seen in coldsteel skin surgery and in minimally invasive cosmetic procedures such as filler injections. On the other hand, the ocular risks of chlorhexidine may outweigh the benefits. The purpose of this analysis was to compare the safety and effectiveness of prep solutions for skin surgery of the head and neck.

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“…19 Verbal confirmation of the site at this point has been found to reduce the risk of WSS. 20,21 Implementing a pre-incision check in paediatric surgery also resulted in numerous ‘good catches’ preventing WSS in approximately 10% of cases. 22 The ‘surgical pause’ was introduced and features on our adapted WHO checklist, as does a verbal intraoperative specimen check and a postoperative checklist.…”

Section: Report: Five Steps To Safer Skin Surgerymentioning

confidence: 99%

A five-step approach to safer skin surgery

Smith,

Bhutani,

Mitra

et al. 2023

Journal of Patient Safety and Risk Management

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Background: Wrong site skin surgery is a never event with implications for patient well-being, in addition to potential medicolegal ramifications. There is no standardised approach to wrong site surgery (WSS) prevention in the United Kingdom. However, the World Health Organisation surgical checklist and NHS England's safety standards for invasive procedures (NatSSIP) have been useful in guiding the direction of change. Our experience: We describe our experience over the past decade, detailing five cases of WSS including three wrong site biopsies and two re-excisions of the wrong scar. Each provided a learning opportunity, identifying vulnerabilities in the skin surgery pathway. Our five-step approach to safer skin surgery: By reflecting on our experience, we created a simple five-step approach to safer skin surgery which could easily be adopted by other dermatology departments. This includes, developing a Standard operating procedure, requesting a surgical procedure, medical photography, in theatre, and education/governance. Our approach provides a step in the right direction for national standardisation of the skin surgery pathway.

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Patient safety in dermatologic surgery

Cited by 23 publications

References 63 publications

Addressing Practice Gaps in Cutaneous Surgery

Addressing Practice Gaps in Cutaneous Surgery

Association of Different Surgical Sterile Prep Solutions With Infection Risk After Cutaneous Surgery of the Head and Neck

A five-step approach to safer skin surgery

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