PMID- 19968691
OWN - NLM
STAT- MEDLINE
DCOM- 20100420
LR  - 20191210
IS  - 1524-4725 (Electronic)
IS  - 1076-0512 (Linking)
VI  - 36
IP  - 1
DP  - 2010
TI  - Detecting adverse events in dermatologic surgery.
PG  - 8-14
LID - 10.1111/j.1524-4725.2009.01378.x [doi]
AB  - BACKGROUND: Despite increasing awareness of and public attention to patient 
      safety, little is documented about how adverse events (AEs) can or should be 
      monitored in dermatologic surgery. Data to address this shortcoming are needed, 
      although well-defined methodologies have yet to be implemented. OBJECTIVE To 
      summarize current strategies in detecting adverse outcomes of dermatologic 
      surgical procedures. MATERIALS AND METHODS: A Medline literature search was 
      conducted using the terms "adverse event,""detection,""reporting,""monitoring," 
      and "surgery." Articles selected addressed the efficacy of one or more AE 
      reporting techniques in surgical patients. RESULTS: Prospective and retrospective 
      reporting methods were identified, with morbidity and mortality conference being 
      the most commonly used method of AE reporting. Retrospective medical record 
      review, the retrospective trigger tool approach, and an anonymous electronic 
      reporting system were more sensitive approaches. The Surgical Quality Improvement 
      Program, a program that has successfully translated AE data into lower 
      postoperative morbidity and mortality, was analyzed. CONCLUSIONS: Although 
      generally considered safe, dermatologic surgery has no current standard for AE 
      reporting. Standard definitions and high-quality data regarding AEs" currently 
      limit this analysis. Pilot studies are needed to develop feasible measures, with 
      the goal of increasing the sensitivity of AE detection and ultimately improving 
      patient outcomes.
FAU - Pinney, Daniel
AU  - Pinney D
AD  - Department of Dermatology, Center for Dermatology Research, School of Medicine, 
      Wake Forest University, Winston-Salem, North Carolina, USA. sfeldman@wfubmc.edu
FAU - Pearce, Daniel J
AU  - Pearce DJ
FAU - Feldman, Steven R
AU  - Feldman SR
LA  - eng
PT  - Journal Article
DEP - 20091124
PL  - United States
TA  - Dermatol Surg
JT  - Dermatologic surgery : official publication for American Society for Dermatologic 
      Surgery [et al.]
JID - 9504371
SB  - IM
MH  - *Dermatologic Surgical Procedures
MH  - Dermatology/*standards
MH  - Humans
MH  - Medical Audit
MH  - Outcome Assessment, Health Care
MH  - *Quality Assurance, Health Care
MH  - Research Design
MH  - Safety Management
MH  - Surgical Procedures, Operative/*adverse effects
EDAT- 2009/12/09 06:00
MHDA- 2010/04/21 06:00
CRDT- 2009/12/09 06:00
PHST- 2009/12/09 06:00 [entrez]
PHST- 2009/12/09 06:00 [pubmed]
PHST- 2010/04/21 06:00 [medline]
AID - DSU1378 [pii]
AID - 10.1111/j.1524-4725.2009.01378.x [doi]
PST - ppublish
SO  - Dermatol Surg. 2010;36(1):8-14. doi: 10.1111/j.1524-4725.2009.01378.x. Epub 2009 
      Nov 24.