Dermatology 2013

Journal: Dermatol Ther (Heidelb)

Volume: 3

Issue: 2

Pages: 115-6

Date: Dec

Short Title: Dermatology: future therapeutic perspectives

Alternate Journal: Dermatology and therapy

ISSN: 2193-8210 (Print)

DOI: 10.1007/s13555-013-0037-7

PMCID: 3889300

Accession Number: 24297646

Notes: Warren, Richard B

Menter, Alan

eng

Switzerland

2013/12/04 06:00

Dermatol Ther (Heidelb). 2013 Dec;3(2):115-6. doi: 10.1007/s13555-013-0037-7. Epub 2013 Dec 3.

URL: http://www.ncbi.nlm.nih.gov/pubmed/24297646

Author Address: The Dermatology Centre, Salford Royal NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, M6 8HD, UK, richard.warren@manchester.ac.uk.

 

 

Reference Type:  Journal Article

Record Number: 4521Author: Watson, A. J., Redbord, K., Taylor, J. S., Shippy, A., Kostecki, J. and Swerlick, R.

Year: 2013

Title: Medical error in dermatology practice: development of a classification system to drive priority setting in patient safety efforts

Journal: J Am Acad Dermatol

Volume: 68

Issue: 5

Pages: 729-37

Date: May

Short Title: Medical error in dermatology practice: development of a classification system to drive priority setting in patient safety efforts

Alternate Journal: Journal of the American Academy of Dermatology

ISSN: 1097-6787 (Electronic)

0190-9622 (Linking)

DOI: 10.1016/j.jaad.2012.10.058

Accession Number: 23360864

Keywords: Adult

Biopsy/standards/statistics & numerical data

Dermatology/*standards/*statistics & numerical data

Female

*Health Care Surveys

Humans

Male

Medical Errors/*classification/*statistics & numerical data

Medication Errors/classification/statistics & numerical data

Middle Aged

Patient Safety

Practice Guidelines as Topic

*Quality of Health Care

Abstract: BACKGROUND: To date, no study to our knowledge has examined the nature and scope of medical error in dermatology practice. OBJECTIVE: We sought to collect and categorize physician-reported errors in dermatology practice. METHODS: A survey regarding most recent and most serious errors was developed and distributed to dermatologists attending US meetings. A total of 150 responses were received outlining 152 most recent errors and 130 most serious errors. Survey responses, along with classification systems for other specialties, were used to develop a classification system for medical error in dermatology. RESULTS: The respondents’ demographics reflected the specialty: 63% were male, 60% were older than 50 years, and 60% were in solo or group private practice. Of the most recent errors reported, 85% happened once a year or less, and 86% did not result in harm to patients. The most common categories of both most recent and most serious errors were related to assessment (41% and 31%, respectively) and interventions (44% and 52%, respectively). Assessment errors were primarily related to investigations, and commonly involved the biopsy pathway. Intervention errors in the most recent and most serious errors were split between those related to medication (54% and 27%) and those related to procedures (46% and 73%). Of note, 5 and 21 wrong-site surgeries were reported in the most recent and most serious errors groups, respectively. LIMITATIONS: Our findings are subject to respondent and recall bias and our classification system, although an important first step, is likely incomplete. CONCLUSION: Our findings highlight several key areas of patient care in need of safety initiatives, namely the biopsy pathway, medication management, and prevention of wrong-site surgery.

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