PMID- 27269376
OWN - NLM
STAT- MEDLINE
DCOM- 20180306
LR  - 20210820
IS  - 1943-4723 (Electronic)
IS  - 0002-8177 (Print)
IS  - 0002-8177 (Linking)
VI  - 147
IP  - 10
DP  - 2016 Oct
TI  - How dental team members describe adverse events.
PG  - 803-11
LID - S0002-8177(16)30371-3 [pii]
LID - 10.1016/j.adaj.2016.04.015 [doi]
AB  - 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.
CI  - Copyright (c) 2016 American Dental Association. Published by Elsevier Inc. All 
      rights reserved.
FAU - Maramaldi, Peter
AU  - Maramaldi P
FAU - Walji, Muhammad F
AU  - Walji MF
FAU - White, Joel
AU  - White J
FAU - Etolue, Jini
AU  - Etolue J
FAU - Kahn, Maria
AU  - Kahn M
FAU - Vaderhobli, Ram
AU  - Vaderhobli R
FAU - Kwatra, Japneet
AU  - Kwatra J
FAU - Delattre, Veronique F
AU  - Delattre VF
FAU - Hebballi, Nutan B
AU  - Hebballi NB
FAU - Stewart, Denice
AU  - Stewart D
FAU - Kent, Karla
AU  - Kent K
FAU - Yansane, Alfa
AU  - Yansane A
FAU - Ramoni, Rachel B
AU  - Ramoni RB
FAU - Kalenderian, Elsbeth
AU  - Kalenderian E
LA  - eng
GR  - R01 DE022628/DE/NIDCR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20160603
PL  - England
TA  - J Am Dent Assoc
JT  - Journal of the American Dental Association (1939)
JID - 7503060
SB  - IM
MH  - Dental Care/*adverse effects/psychology
MH  - *Dental Staff/psychology
MH  - *Dentists/psychology
MH  - Focus Groups
MH  - Humans
MH  - Interviews as Topic
MH  - *Medical Errors/psychology
PMC - PMC5045777
MID - NIHMS783071
OTO - NOTNLM
OT  - Adverse event
OT  - cause
OT  - classification
OT  - dentistry
OT  - never event
COIS- None of the authors declare any conflict of interest, financial or other.
EDAT- 2016/06/09 06:00
MHDA- 2018/03/07 06:00
PMCR- 2017/10/01
CRDT- 2016/06/09 06:00
PHST- 2015/11/02 00:00 [received]
PHST- 2016/04/13 00:00 [revised]
PHST- 2016/04/18 00:00 [accepted]
PHST- 2016/06/09 06:00 [entrez]
PHST- 2016/06/09 06:00 [pubmed]
PHST- 2018/03/07 06:00 [medline]
PHST- 2017/10/01 00:00 [pmc-release]
AID - S0002-8177(16)30371-3 [pii]
AID - 10.1016/j.adaj.2016.04.015 [doi]
PST - ppublish
SO  - J Am Dent Assoc. 2016 Oct;147(10):803-11. doi: 10.1016/j.adaj.2016.04.015. Epub 
      2016 Jun 3.