Eleven Basic Procedures/Practices for Dental Patient Safety

Pérez, Bernardo Perea; Labajo-González, Elena; Acosta-Gío, Enrique; Yamalik, Nermin

doi:10.1097/pts.0000000000000234

Cited by 18 publications

(21 citation statements)

References 9 publications

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“…Importantly, many medication errors occur due to failures that could easily be avoided, including low adherence to protocols and filling out illegible prescriptions 96 . Clinical activities in a university should represent the gold standard for professional performance 97 , and the implementation of educational programs could benefit the necessary development of dentists' prescribing skills 98,99 .…”

Section: The Solutions Identified and Their Contribution To Improvemementioning

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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Section: The Solutions Identified and Their Contribution To Improvemementioning

confidence: 99%

Segurança do paciente no cuidado odontológico: revisão integrativa

2020

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“…Por último, vale trazer o estudo de Perea-Pérez et al (2015), que corrobora algumas medidas já referidas e apresenta outras. Os autores analisaram uma série de danos oriundos do cuidado odontológico e verificaram que grande parte era devido a um pequeno número de circunstâncias.…”

Section: Algumas Intervenções Propostas Para a Melhoria Da Segurança unclassified

A segurança do paciente no cuidado odontológico

Corrêa¹

2019

Segurança Do Paciente: Conhecendo Os Riscos Nas Organizações De Saúde

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“…In the last 50 years, FAEs caused by an infection have (a) increased while respiratory complications and bleeding are steady, and those caused by cardiovascular or related to anesthesia have decreased, (b) significant (12%), (c) mainly associated to dental surgery (implant surgery/placement, extractions (>6 erupted teeth or impacted tooth/teeth), surgical extractions, osseous surgery, sinus lift surgery, bone biopsy, orthognathic surgery), and (d) associated with much longer times until death compared with other causes of death [7]. A study on dental malpractice analyzed 4149 legal claims (both in and out of court) from the years of 2000 to 2010 in Spain [12]. About 2.7% of all AEs resulted in death, and 45% of them were caused by infection.…”

Section: Introductionmentioning

confidence: 99%

“…About 2.7% of all AEs resulted in death, and 45% of them were caused by infection. In the absence of specific information reported in both papers [7,12], we do not exclude the possible involvement or nonrecognition of ARIAs or the failure of proper drug treatment in those FAEs. Recently, in an interview, Davies stated that in 20 years time even minor surgeries could be fatal because of infections [13].…”

Section: Introductionmentioning

confidence: 99%

Infection Control in Dentistry and Drug-Resistant Infectious Agents: A Burning Issue. Part 1

Barenghi¹,

Barenghi²,

Blasio³

2020

Surgical Infections - Some Facts

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Using molecular biological methods and retrospective investigations, some outbreaks in dental settings have been proven to be caused by mainly blood-borne viruses and water-borne bacteria. Nowadays, drug-resistant bacteria seem further hazards taking into account the worldwide overuse of antibiotics in dentistry, the limited awareness on infection prevention guidelines, and the lapses and errors during infection prevention (reported in more detail in Part 2). We chose MRSA and VRE as markers since they are considered prioritized bacteria according antibiotic resistance threats. Antibiotic-resistant bacterial infections inside of dental setting are relevant, and we argue about some hazards in dentistry, including dedicated surgeries. MRSA has a key role for its colonization in patients and dental workers, presence on gloves, resistance (days-months on dry inanimate surfaces), the contamination of different clinical contact surfaces in dental settings, the ability of some strains to produce biofilm, and finally its estimated low infective dose. For better dental patient and healthcare personnel safety, we need evidence-based guidelines to improve education and training initiatives in surgery.

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Eleven Basic Procedures/Practices for Dental Patient Safety

Abstract: Most preventable adverse events during the dental health care are produced by a relatively small number of causes. Therefore, a few basic safety procedures can reduce significantly these preventable adverse events.

Cited by 18 publications

References 9 publications

Segurança do paciente no cuidado odontológico: revisão integrativa

Segurança do paciente no cuidado odontológico: revisão integrativa

A segurança do paciente no cuidado odontológico

Infection Control in Dentistry and Drug-Resistant Infectious Agents: A Burning Issue. Part 1

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