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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew

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Correct site surgery — are we up to standard?

1Sheffield Children’s Hospital, Western Bank, Sheffield, South Yorkshire, UK

© 2010 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. (CC BY-NC-ND 3.0)

Citation Information: Open Medicine. Volume 5, Issue 4, Pages 407–410, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-010-0026-5, May 2010

Publication History

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To examine the impact made on safe surgical practice by the introduction of correct site surgery documentation in a children’s hospital containing a surgical unit in South Yorkshire. A retrospective audit of randomly selected case notes of children attending the hospital for an ENT/Plastic surgery/Orthopaedic/General surgical procedure during a period in 2006 or 2008. Outcome measures included the total, correct and legible completion of correct site surgery documentation pre-operatively. Significant improvement was noted between the 2006 and 2008 audits in the amount of patients being correctly marked (33% vs. 91%), however there were no forms in either study that were fully and correctly completed. Legibility of the forms also improved markedly between the studies (33% vs. 98%). The completion of correct site surgery forms improved with greater publicisation of the forms, however the practicality of the numbers of people required to complete the forms needs to be reviewed. The international introduction of such forms will generate valuable data as to the future utility of these checklists.

Keywords: Correct site surgery; Errors; Theatre check lists

  • [1] Kwaan MR, Studdert D, Zinner M et al. Incidence patterns and prevention of wrong site surgery. Arch Surg 2006;141:353–358 http://dx.doi.org/10.1001/archsurg.141.4.353 [Crossref]

  • [2] Giles S, Rhodes P, Clements G et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care 2006;15:363–368 http://dx.doi.org/10.1136/qshc.2006.018333 [Crossref]

  • [3] Patient Safety Agency (NPSA). Patient Safety Alert 06: Correct site surgery. 2 Mar 2005. http://www.npsa.nhs.uk/site/media/documents/883_CSS%20PSA06%20FINAL.pdf

  • [4] Brennan TA, Leape LL, Laird NM et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991. Qual Saf Health Care 2004;13(2):145–52 http://dx.doi.org/10.1136/qshc.2002.003822 [Crossref]

  • [5] Department of Health. An organisation with a memory. London, UK: Crown 2000. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4065083

  • [6] http://news.bbc.co.uk/2/hi/health/5401942.stm

  • [7] NHS Litigation Authority — Factsheet 3: information on claims. NHSLA Nov 2008. http://www.nhsla.com/NR/rdonlyres/C1B3F310-E13D-4C71-B248-C5384438E603/0/NHSLAFactsheetclaimsinformation200708.doc

  • [8] World Health Organisation website. www.WHO.int/entity/patientsafety/safesurgery/knowledge_base/sssl_brochure_finaljun08

  • [9] Haynes AB, Weiser TG et al, for the Safe Surgery Saves Lives study Group. A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. NEJM 2009; 360(5):491–499 http://dx.doi.org/10.1056/NEJMsa0810119 [Crossref]

  • [10] Foster M. Safety first, second and third. BMA news Sat May 9th 2009:9

  • [11] Ballal MS, Shah N, Ballal M et al. The Risk of Cross-Infection when Marking Surgical Patients Prior to Surgery — Review of Two Types of Marking Pens. Ann R Coll Surg Engl. 2007;89(3):226–228 http://dx.doi.org/10.1308/003588407X168406 [Web of Science] [Crossref]

  • [12] Catalier M. Patient safety task force addresses wrong site surgery. Arizona Nurse 2003: http://findarticles.com/p/articles/mi_qa3928/is_200311/ai_n9303404/pg_2/?tag=content;col1

  • [13] ’dd’. Surgical errors surprisingly common. GoingLegal.com 29th June 2007. http://www.goinglegal.com/article_178385_101.html

  • [14] Lyons R, Payne C, McCabe M, Fielder C. Information in practice — Legibility of doctors’ handwriting: a quantitative comparative study. BMJ 1998;317:863–864

  • [15] Berwick DM, Winickoff DE. The truth about doctors’ handwriting: a prospective study. BMJ 1996;313: 1657–1658

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