About this project
The problem we solve:
Focused on surgical safety, we have been working on an application to improve site of surgery accuracy using pictorial markers and visual patient consent. Every year wrong site surgeries continue to occur despite precautions, checklists, numerous protocols, and education programs. Approximately 1 in 100,000 surgical cases will result in this never event. Numerous slip errors occur with charting, at time of scheduling, in pre-op intake, and during operative preparation.
About our solution:
To prevent many of these errors, we have developed an iOS App called Site of Surgery Assistant. It creates a pictorial marker which is printed on a secure wristband and chart stickers. It is also created at the time of the surgical decision between patient and surgeon. Pictorial processing is faster and more accurate than text or verbal communication. A pictorial marker on a wristband, representing the anatomical surgical site, is used to graphically mark the area of surgery. This would be done at the time of surgical decision making between patient and doctor, so that no other errors can be introduced. Both would sign to confirm agreement. This App improves system design by minimizing human error, provides redundancy to checklists and chart review, provides constraints to force desired functions, provides an easily accepted standardized technique, and simplifies the process. It is fast to create, intuitive to use, effective, and inexpensive. Progress to date:
This App is available for free download from the Apple App store and will run on iPhone and iPad. It was just approved for publishing in the App store and is now being used in an outpatient surgery center. It is proving to be helpful, receiving praise from physicians, OR techs, pre-op nurses, and patients. This App would be of benefit to any patient undergoing a surgery or procedure. We would like to see additional utilization of this App, as it has the potential to further reduce surgical site errors.
About Our Team
Srin Dutt, MD
Ophthalmology , Practicing Physician
University of Michigan Bio:
Practicing physician. While working on another project I had an idea of using pictorial information to more efficiently mark a surgical site at the time a decision is made about surgery