Clinical governance in general dental practice

Dehghanian, Danoosh; Heydarpoor, P; Attaran, Nona; Khoshnevisan, Mohammad Hossein

doi:10.4103/jioh.jioh_10_19

Cited by 1 publication

(2 citation statements)

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“…Throughout most healthcare treatment courses, multiple latent risks exist and this makes patient safety multifactorial and complex. When an AE occurs, patient safety does not aim to punish but rather to investigate how and why the protective barriers failed [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Patient safety in orthodontic care: a scoping literature review with proposal for terminology and future research agenda

Ferlias,

Michelotti,

Stoustrup

2024

BMC Oral Health

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Background Knowledge about patient safety in orthodontics is scarce. Lack of standardisation and a common terminology hinders research and limits our understanding of the discipline. This study aims to 1) summarise current knowledge about patient safety incidents (PSI) in orthodontic care by conducting a systematic literature search, 2) propose a new standardisation of PSI terminology and 3) propose a future research agenda on patient safety in the field of orthodontics. Methods A systematic literature search was performed in the main online sources of PubMed, Web of Science, Scopus and OpenGrey from their inception to 1 July 2023. Inclusion criteria were based on the World Health Organization´s (WHO) research cycle on patient safety. Studies providing information about the cycle’s steps related to orthodontics were included. Study selection and data extraction were performed by two of the authors. Results A total of 3,923 articles were retrieved. After review of titles and abstracts, 41 articles were selected for full-text review and 25 articles were eligible for inclusion. Seven provided information on the WHO’s research cycle step 1 (“measuring harm”), twenty-one on “understanding causes” (step 2) and twelve on “identifying solutions” (step 3). No study provided information on Steps 4 and 5 (“evaluating impact” or “translating evidence into safer care”). Conclusion Current evidence on patient safety in orthodontics is scarce due to a lack of standardised reporting and probably also under-reporting of PSIs. Current literature on orthodontic patient safety deals primarily with “measuring harms” and “understanding causes of patient safety”, whereas less attention has been devoted to initiatives “identifying solutions”, “evaluating impact” and “translating evidence into safer care”. The present project holds a proposal for a new categorisation, terminology and future research agenda that may serve as a framework to support future research and clinical initiatives to improve patient safety in orthodontic care. Registration PROSPERO (CRD42022371982).

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Section: Introductionmentioning

confidence: 99%

“…By improving patient safety, dental practitioners increase their quality of care, which is associated with safer and better treatment outcomes [ 8 – 10 ]. In addition, it affords increased legal security by minimising the risk of legal claims [ 6 ].…”

Section: Introductionmentioning

confidence: 99%