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Current practice on preoperative correct site surgical marking.

Dhalia Masud1, Alice Moore, Farouk Massouh

  • 1Frimley Park Hospital, Camberley, GU16 7UJ. Dhalia.masud@doctors.org.uk

Journal of Perioperative Practice
|July 1, 2010
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Summary
This summary is machine-generated.

Surgical site marking visibility is crucial for patient safety. This audit found only 59% of markings were visible in theatre, highlighting a need for improved practices in correct site surgery.

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Area of Science:

  • Patient Safety
  • Surgical Procedures
  • Medical Auditing

Background:

  • Incorrect site surgery carries severe consequences.
  • National Patient Safety Agency and Royal College of Surgeons England recommend surgical markings for correct site surgery.
  • Limited data exists on current surgical site marking practices among surgeons.

Purpose of the Study:

  • To prospectively audit surgical site marking practices.
  • To assess the visibility and adequacy of surgical markings in a diverse range of procedures.
  • To identify areas for improvement in surgical site marking to enhance patient safety.

Main Methods:

  • Prospective audit of 500 surgical procedures.
  • Inclusion of various procedures: inguinal hernias, umbilical hernias, varicose veins, toenail removals, skin lesion excisions, femoral artery procedures, and breast procedures.
  • Evaluation of marking visibility post-sterile draping and adherence to recommendations (e.g., arrow, indelible marker).

Main Results:

  • Only 59% of surgical markings were visible in the theatre after sterile draping.
  • A significant 40.4% of markings were not visible, and 0.6% of sites were unmarked.
  • Arrows were the most common mark (64%), and appropriate marker pens were used in 88% of cases.

Conclusions:

  • Current surgical site marking visibility is suboptimal, posing a risk to correct site surgery.
  • Standardization and universal understanding of markings across specialties and grades are needed.
  • A universal marking system may be beneficial to improve correct site surgery and patient safety.