How dental team members describe adverse events
| Autor: | Joel M. White, Japneet Kwatra, Ram Vaderhobli, Rachel B. Ramoni, Nutan B. Hebballi, Jini Etolue, Maria Kahn, Alfa Yansane, Muhammad F. Walji, Elsbeth Kalenderian, Karla S. Kent, Denice C.L. Stewart, Peter Maramaldi, Veronique F. Delattre |
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| Rok vydání: | 2016 |
| Předmět: |
Adverse event
Dentists Dentistry Article cause Interviews as Topic 03 medical and health sciences Patient safety 0302 clinical medicine Dental Staff SAFER Medicine Humans 030212 general & internal medicine Dental/Oral and Craniofacial Disease Adverse effect Dental Care General Dentistry Practical implications Medical Errors dentistry never event business.industry 030206 dentistry Focus Groups medicine.disease Focus group stomatognathic diseases Inter-rater reliability Harm classification Medical emergency Patient Safety business |
| Zdroj: | Journal of the American Dental Association (1939), vol 147, iss 10 |
| Popis: | Background Although some patients experience adverse events (AEs) resulting in harm caused by treatments in dentistry, few published reports have detailed how dental providers describe these events. Understanding how dental treatment professionals view AEs is essential to building a safer environment in dental practice. Methods The authors interviewed dental professionals and domain experts through focus groups and in-depth interviews and asked them to identify the types of AEs that may occur in dental settings. Results The initial interview and focus group findings yielded 1,514 items that included both causes and AEs. In total, 632 causes were coded into 1 of the 8 categories of the Eindhoven classification, and 882 AEs were coded into 12 categories of a newly developed dental AE classification. Interrater reliability was moderate among coders. The list was reanalyzed, and duplicate items were removed leaving a total of 747 unique AEs and 540 causes. The most frequently identified AE types were "aspiration and ingestion" at 14% (n = 142), "wrong-site, wrong-procedure, wrong-patient errors" at 13%, "hard-tissue damage" at 13%, and "soft-tissue damage" at 12%. Conclusions Dental providers identified a large and diverse list of AEs. These events ranged from "death due to cardiac arrest" to "jaw fatigue from lengthy procedures." Practical Implications Identifying threats to patient safety is a key element of improving dental patient safety. An inventory of dental AEs underpins efforts to track, prevent, and mitigate these events. |
| Databáze: | OpenAIRE |
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