Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Rajiv I NijhawanKishwer S Nehal

Abstract

Determining the biopsy site location of a skin cancer before treatment is often challenging. To study the implementation and effectiveness of biopsy site selfies as a quality improvement measure for correct surgical site identification. In the first phase, the ability of dermatologic surgeon and patient to definitively identify the biopsy site and whether photography was needed to ensure site agreement were recorded. In the second phase, patients were requested to take biopsy site selfies, and after implementation, similar data were collected including whether a biopsy site selfie was helpful for definitive site identification. In the first phase, the physician and patient were unable to identify the biopsy site 17.6% (49/278) and 25.5% (71/278) of cases, respectively. A photograph was needed in 22.7% of cases (63/278). After implementation of biopsy site selfies, the physician and patient were unable to identify the biopsy site 17.4% (23/132) and 15.2% (20/132) of cases, respectively. Biopsy site selfies were available for 64.1% of cases for which no internal image was available and critical for site identification in 21.4% of these cases. Biopsy site selfies has proven to be helpful for correct surgical site identification by...Continue Reading

References

Jan 6, 2006·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Clifford S PerlisRaymond G Dufresne
Dec 31, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Jamie Lynn McGinness, Glenn Goldstein
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Jul 19, 2011·Journal of the American Academy of Dermatology·John Starling, Brett M Coldiron
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Citations

Feb 9, 2016·Journal of the American Academy of Dermatology·Junqian ZhangJeremy R Etzkorn
Jan 17, 2016·Clinics in Dermatology·Abel TorresEmily de Golian
Aug 10, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·C Navarrete-DechentA C Halpern
Jan 27, 2021·Journal of the American Academy of Dermatology·Allen G StricklerDésirée Ratner
Mar 31, 2020·Journal of the American Academy of Dermatology·Dmitriy TimermanJesse M Lewin

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