TY - JOUR
T1 - A Survey of mohs tissue tracking practices
AU - Dietert, Jessica B.
AU - Macfarlane, Deborah F.
N1 - Publisher Copyright:
© 2018 by the American Society for Dermatologic Surgery, Inc.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - BACKGROUNDThere are little data regarding error within the multistep process of Mohs micrographic surgery (MMS).OBJECTIVEA survey of Mohs surgeons was performed to evaluate variation in tissue handling and processing within the MMS process.METHODS AND MATERIALSA 9-question electronic survey was distributed to members of the American College of Mohs Micrographic Surgery. A total of 97 responses were analyzed.RESULTSMost surgeons personally transport the tissue (71.1%), most frequently in a specimen container (54.6%). Method of tissue identification during transportation varied significantly. Most surgeons personally hand-draw the map (77.1%). A diagram was most commonly used to convey tissue orientation to the histotechnician (65.4%). Only 31.3% of histotechnicians used labeling of blocks to identify tissue within the cryostat. Most respondents (72.2%) are the only surgeon processing tissue in the laboratory at one time; however, 28.9% reported performing 10 or more cases per day.CONCLUSIONMost respondents are responsible for tissue transport and mapping, which likely reduces potential error. However, the method of transport and labeling, as well as identification by the histotechnician, was more variable. Ultimately, having a consistent process and clear communication with personnel will help reduce potential error during Mohs surgery.
AB - BACKGROUNDThere are little data regarding error within the multistep process of Mohs micrographic surgery (MMS).OBJECTIVEA survey of Mohs surgeons was performed to evaluate variation in tissue handling and processing within the MMS process.METHODS AND MATERIALSA 9-question electronic survey was distributed to members of the American College of Mohs Micrographic Surgery. A total of 97 responses were analyzed.RESULTSMost surgeons personally transport the tissue (71.1%), most frequently in a specimen container (54.6%). Method of tissue identification during transportation varied significantly. Most surgeons personally hand-draw the map (77.1%). A diagram was most commonly used to convey tissue orientation to the histotechnician (65.4%). Only 31.3% of histotechnicians used labeling of blocks to identify tissue within the cryostat. Most respondents (72.2%) are the only surgeon processing tissue in the laboratory at one time; however, 28.9% reported performing 10 or more cases per day.CONCLUSIONMost respondents are responsible for tissue transport and mapping, which likely reduces potential error. However, the method of transport and labeling, as well as identification by the histotechnician, was more variable. Ultimately, having a consistent process and clear communication with personnel will help reduce potential error during Mohs surgery.
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U2 - 10.1097/DSS.0000000000001723
DO - 10.1097/DSS.0000000000001723
M3 - Article
C2 - 30550521
AN - SCOPUS:85064239519
SN - 1076-0512
VL - 45
SP - 514
EP - 518
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 4
ER -