PATIENT SAFETY IN MELANOMA SURGERY

  • João Borges-Costa Assistente Hospitalar de Dermatovenerologia, Serviço de Dermatologia, CHLN / Consultant of Dermatology, Dermatology Department, CHLN, Lisboa; Professor Auxiliar Convidado de Dermatologia da FML / Professor of Dermatology and Venereology
  • Luís Soares de Almeida Assistente Hospitalar Graduado de Dermatovenerologia, Serviço de Dermatologia, CHLN / Graduated Consultant of Dermatology, Dermatology Department, CHLN, Lisboa; Professor Auxiliar Convidado de Dermatologia da FML / Professor of Dermatology and Venereology
  • Isabel Fernandes Assistente Hospitalar de Oncologia do CHLN / Consultant of Oncology, CHLN, Lisboa
  • Elias Fortes Engenheiro Informático do Serviço de Sistemas de Informação do CHLN / Informatic Engineer of the Information Systems Department, CHLN, Lisboa
  • Manuel Sacramento Marques Chefe de Serviço de Dermatologia e Venereologia e Diretor do Serviço de Dermatologia e Venereologia do CHLN / Consultant Chief of Dermatology and Venereology and Head of Dermatology Department, CHLN, Lisboa Clínica Universitária de Dermatologia de Lisboa, Serviço de Oncologia e Serviço de Sistemas de Informação, Centro Hospitalar de Lisboa Norte, Hospital de Santa Maria, Lisboa, Portugal

Abstract

Introduction: patient safety is a growing concern in healthcare management. The main objectives of our work were the detection of potentially avoidable errors in the treatment of patients with melanoma and search for solutions to improve patient safety.

Material and methods: FMEA (Failure Mode and Effect Analysis) was used for analysis of the potentially avoidable errors in melanoma surgery.

Results: Failure to attend surgery or post treatment follow up and wrong site surgery were the most potentially dangerous procedural errors found in melanoma treat- ment. An informatic application was used to improve communication between the laboratory and the clinician and to avoid both failures to deliver a positive result to the patient and loss of follow up.

Conclusions: dermatologists, working together with other healthcare workers, must actively search for opportunities to improve patient safety du- ring melanoma treatment.

KEYWORDS – Patient safety; Melanoma; Role of informatics. 

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Published
2013-06-23
How to Cite
Borges-Costa, J., de Almeida, L. S., Fernandes, I., Fortes, E., & Marques, M. S. (2013). PATIENT SAFETY IN MELANOMA SURGERY. Journal of the Portuguese Society of Dermatology and Venereology, 71(1), 35-40. https://doi.org/10.29021/spdv.71.1.121
Section
Original Articles