Introduction:

In the process of a surgical intervention, a multidisciplinary team acts, each of these members performs their corresponding functions, and they are interdependent, but they complement each other. Patient safety does not consist in creating a complex and very expensive device or in an excellent professional, but in applying the best possible knowledge to our daily work and habitual practice. Clinical risk management is based on the identification, analysis and correction of the causes that cause or could cause secondary damage to the patient after the procedure or the administration of care, with iatrogenesis being one of the analysis and control factors.

Clinical case:

A 15-year-old patient who, after undergoing surgery for right testicular torsion, presented an electric scalpel burn on the inner side of the thigh, produced iatrogenically during the surgical procedure. The cause of the burn was the lack of control of the security plate of the electronic scalpel used in the intervention.

Action plan:

A humid environment cure was performed with an Ag alginate dressing fixed with a silicone foam dressing with a border. The setback and stagnation of the evolution required systemic antibiotic therapy, after culture and antibiogram, which led to the resolution of the case until the total healing of the wound.

Discussion and conclusions:

Humid environment cure becomes an effective alternative to this type of injury. The comprehensive and multidisciplinary approach to the patient and the subsequent planning of actions have been shown to be effective in solving the problems detected in the initial assessment, entailing certain advantages. as well as the analysis and evaluation of the patient safety process.

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