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Optimization and Prevention of Error in Surgical Site Identification
Shane P McTighe1, Lynsey Elaine Young2, Joshua E Lane2,3,4,5
1Martin Army Community Hospital, Department of Dermatology, Fort Benning, Georgia.
Summary
Wrong-site surgery (WSS) is a serious concern in dermatologic surgery. Multimodal strategies, including documentation, photography, and team protocols, are essential for preventing WSS.
Area of Science:
- Dermatologic Surgery
- Surgical Safety
- Patient Safety
Background:
- Wrong-site surgery (WSS) poses a significant risk in dermatologic and Mohs micrographic surgery.
- High patient volume, prior biopsy sites, and multiple providers increase WSS risk.
Purpose of the Study:
- To systematically review and assess methods for reducing WSS risk in dermatologic surgery.
- Evaluate common modalities used in WSS prevention.
Main Methods:
- Comprehensive literature search (PubMed, Google Scholar) for studies from 2014-2025.
- Included studies focused on site verification, documentation, photography, technology, and team protocols.
Main Results:
- Multimodal strategies are effective in reducing WSS.
- Key interventions include standardized documentation, prebiopsy/patient photography, coordinate measurements, UV imaging, smartphone apps, and team verification.
- Layered safeguards and patient engagement are crucial.
Conclusions:
- Wrong-site surgery is a preventable issue in dermatologic surgery.
- A systematic, multimodal approach combining technical, procedural, and team-based safeguards enhances surgical safety.
