Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability

Stahl, Jonathan; Mack, K. F.; Cebula, Susan; Gillingham, Bruce L.

doi:10.1093/milmed/usz154

Cited by 5 publications

(6 citation statements)

References 28 publications

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“…The goal of medical and dental services is to deliver high-quality safe care. Although both share basic principles, yet dental care has its specific issues [18]. The present study tried to investigate the degree of knowledge of the rules that would avoid the risk of professional diseases and work accidents in a sample of outpatient clinics, Faculty of Dentistry, Cairo University.…”

Section: Discussionmentioning

confidence: 99%

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Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

Abdelnaby

Kamel

Elguindy

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: Health-care safety focuses on improving patient’s and worker’s safety in a safe working clinics’ environment and prevent infection transmission including droplet infections as seasonal influenza and novel coronavirus (COVID-19). Dental health-care personnel (DHCP) are the target of safety measures and are themselves responsible for elimination of preventable harm. Dental schools are expected to demonstrate the model for quality safe care. AIM: This study aims to achieve high-quality safe dental care at dental clinics, Faculty of Dentistry, Cairo University. METHODS: A cross-sectional survey study was conducted at two Dental Outpatient Clinics, Cairo University. Disk review of policies, observation checklists for practices and awareness questionnaires of DHCP were used. RESULTS: DHCP showed good awareness for most of infection control (IC) and X-ray safety items. However, there are no policies or procedures to control droplet infections in the clinics. The clinics were closed in the current COVID-19 pandemic. There were poor patient safety practices, hand hygiene compliance, and personal protective equipment (PPE) use except for protecting clothes and disposable gloves. Students showed better compliance for patient safety guidelines. Other safety policies were poorly communicated. CONCLUSION: There should be preparedness plan to deal with any droplet infection outbreak, epidemic or pandemic as COVID-19 in all dental settings. There is a need to initiate dental safety unit in dental schools to implement, communicate, train, and supervise all dental safety practices including infection control.

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Section: Discussionmentioning

confidence: 99%

“…Questionnaires and checklists were prepared from validated tools [5], [13], [14], [15], [16], [17], [18].…”

Section: Checklistsmentioning

confidence: 99%

Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

Abdelnaby

Kamel

Elguindy

et al. 2020

Open Access Maced J Med Sci

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“…The average procedure time was 41-61% shorter in the clinic versus in the OR. The authors had limited data on total actual office appointment time (57 of 235 cases) whereas they had the entire data for the OR cases (45). On average, 11% (26 of 235) of patients in the clinic could not complete the procedure.…”

Section: Gynecologymentioning

confidence: 99%

Safety considerations with the current ambulatory trends: more complicated procedures and more complicated patients

Young

Osman

Shapiro³

2023

Korean J Anesthesiol

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In the last quarter of a century, the backdrop of appropriate ambulatory and office-based surgeries has changed dramatically. Procedures that were traditionally were done in hospitals or patients being admitted after surgery are migrating to the outpatient setting and being discharged on the same day, respectively, at a remarkable rate. In the face of this exponential growth, anesthesiologists are constantly being challenged to maintain patient safety by understanding the appropriate patient selection, procedure, and surgical location. Recently published literature supports the trend of higher more medically complex patients and more complicated procedures shifting towards the outpatient arena. Several reasons that may account for this include cost incentives, advancement in anesthesia techniques, enhanced recovery after surgery protocols, and increased patient satisfaction. Anesthesiologists must understand that there is a lack of standardized state regulations regarding ambulatory surgery centers and office-based surgery sites.Current and recently graduated anesthesiologists, should be aware of the safety concerns related to the various non-hospital-based locations, the sustained growth and demand for anesthesia in the office, and the expansion of mobile anesthesia practices around the US in order to keep up and practice safely with the professional trends. Continuing procedural ambulatory shifts will require ongoing outcomes research, likely prospective in nature, on these novel outpatient procedures, in order to develop risk stratification and prediction models for the selection of the proper patient, procedure, and surgery location.

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“…While the first studies in patient safety aimed to measure the incidence or prevalence of AE to know the problem's magnitude 6 , the initial studies in Dentistry, besides measuring their frequency, aimed to understand their causes, sparking reflection on the inherent challenges in the specificities of dental practice. From the perspective of measuring the incidence/prevalence of harms, the studies 12,21,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43 produced findings that ranges from the complications of local anesthesia/sedation; lesions to the tongue and lips; and loss of teeth from switched tooth extractions, ocular lesions and even death. Incidents involved allergies, infections, diagnostic delay or failure, and failure in the procedure, among others.…”

Section: The Problem's Size and Understanding Its Causesmentioning

confidence: 99%

“…The contributing factors to unsafe care featured diagnostic and/or planning errors, ineffective communication, failure in the performance of procedures, low adherence to protocol, and insufficient history-taking 25,33,39,43,47,48 . These factors were described in turn as either latent or active.…”

Section: The Problem's Size and Understanding Its Causesmentioning

confidence: 99%

Segurança do paciente no cuidado odontológico: revisão integrativa

2020

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Resumo: Eventos adversos constituem grave problema relacionado à qualidade do cuidado de saúde. A prática odontológica, por ser eminentemente invasiva e implicar contato íntimo e rotineiro com secreções, é potencialmente propícia à ocorrência desses eventos. Diversos estudos em segurança do paciente foram desenvolvidos nas duas últimas décadas, entretanto, em maior número no ambiente hospitalar, em função de sua complexidade organizacional, gravidade de casos, diversidade e especificidade de procedimentos. O objetivo foi identificar e explorar os estudos voltados à segurança do paciente odontológico. Foi realizada revisão integrativa da literatura com consulta ao MEDLINE via PubMed, Scopus via Portal Capes e ao Portal Regional da Biblioteca Virtual de Saúde, utilizando-se os termos segurança do paciente e odontologia nos idiomas inglês, espanhol e português a partir de 2000. Utilizou-se o ciclo de pesquisa em segurança do paciente, proposto pela Organização Mundial da Saúde para classificar os estudos incluídos. Foram analisados 91 artigos. Os eventos adversos mais comuns foram relacionados às alergias, às infecções, ao atraso ou falha de diagnóstico e ao erro da técnica. Medidas para mitigar o problema apontaram para a necessidade de melhoria da comunicação, incentivo à notificação e procura por instrumentos para auxiliar a gestão do cuidado. Constatou-se carência de estudos de implementação e avaliação de impacto das propostas de melhoria. A Odontologia evoluiu no campo da segurança do paciente, mas ainda está aquém de transpor resultados para a prática, sendo importante envidar esforços para prevenir os eventos adversos nesta área.

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Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability

Cited by 5 publications

References 28 publications

Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

Safety considerations with the current ambulatory trends: more complicated procedures and more complicated patients

Segurança do paciente no cuidado odontológico: revisão integrativa

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