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Research Letters | Nov 2012

Impact of Bar-Code Labeling of Clinical Photographs on Patient Care and Practice Workflow

Anthony R. Cukras, MD, PhD; Robert S. Stern, MD

Arch Dermatol. 2012;148(11):1327-1329. doi:10.1001/archdermatol.2012.2901.

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Dermatologists rely on clinical photographs to observe lesions over time and to identify surgical sites. Studies have shown that without photographs at the time of surgery, patients could not identify 17% to 29% of biopsy sites, and surgeons could not identify 5% to 12% of biopsy sites. With photographs, all biopsy sites were identified.¹^- 2

Accurate labeling and secure storage of clinical photographs is a universal problem within dermatology. From 2008 through 2011, our department used prints of clinical photographs stored in the patients' physical medical charts. Photographs were sometimes missing or unavailable at the various clinic sites, so we stored digital images on a secure server. Authorized users could access and print images at any site (2011). These methods were time intensive, error prone, and had less security than our online medical record.

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Figure. Clinical photograph workflow. EHR indicates electronic health record; PCP, primary care physician; SD, secure digital.

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Cukras AR, Stern RS. Impact of Bar-Code Labeling of Clinical Photographs on Patient Care and Practice Workflow. Arch Dermatol. 2012;148(11):1327-1329. doi:10.1001/archdermatol.2012.2901.

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