Patient safety in dermatologic surgery : Part I. Safety related to surgical procedures - 17/06/15

Doi : 10.1016/j.jaad.2014.10.047

Timothy J. Hansen, MD ^a,^⁎ , Margarita Lolis, MD ^b, David J. Goldberg, MD, JD ^b,^c,^d,^e,^f, Deborah F. MacFarlane, MD, MPH ^g,^h
^a McFarland Clinic, Ames, Iowa
^b Skin Laser and Surgery Specialists of New York and New Jersey, New York, New York
^c Department of Dermatology, Hackensack University Medical Center, Hackensack, New Jersey
^d Department of Dermatology, Mount Sinai School of Medicine, New York, New York
^e Department of Dermatology, Rutgers New Jersey Medical School, Newark, New Jersey
^f Fordham Law School, New York, New York
^g Department of Dermatology, MD Anderson Cancer Center, Houston, Texas
^h Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas

^∗Reprint requests: Timothy J. Hansen, MD, McFarland Clinic, 3600 W Lincoln Way, PO Box 3014, Ames, IA 50014.

Abstract

Surgical procedures involve unique elements related to patient safety. One must be aware of potential complications and safety issues within the practice of dermatologic surgery. Developing a high level of competence in skin surgery will address some safety issues, while implementing protocols and redundancies provides systems-based correction for other safety issues. We provide an in-depth review of patient safety in dermatologic surgery. In particular, we highlight the most common safety issues and methods for reducing error.

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Key words : dermatologic surgery, electrosurgery, Mohs micrographic surgery, office-based surgery, patient safety, skin cancer, wrong-site surgery

Abbreviations used : ADE, EMI, ICD, JCAHO, MMS, WSS