Abstract

Patients with biopsy-proven skin cancers require definitive treatment. As a result of healing, the temporal delay between the time of biopsy and treatment, and lack of standardized information sharing if the patient is referred to another provider, there is a risk that the biopsy site may be incorrectly identified. Other challenges include multiple lesions in an anatomic area, location in a place not visible to the patient, and proximity to other scars. In 1 study of 150 dermatologists who self-reported medical errors, wrong-site surgery was the most common “serious error.”1 In another study of 333 consecutive patients undergoing Mohs surgery, 9% were unable to identify their biopsy site.

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