PMID- 29206706
OWN - NLM
STAT- MEDLINE
DCOM- 20220217
LR  - 20240316
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Print)
IS  - 1549-8417 (Linking)
VI  - 17
IP  - 8
DP  - 2021 Dec 1
TI  - Quantifying Dental Office-Originating Adverse Events: The Dental Practice Study 
      Methods.
PG  - e1080-e1087
LID - 10.1097/PTS.0000000000000444 [doi]
AB  - BACKGROUND: Preventable medical errors in hospital settings are the third leading 
      cause of deaths in the United States. However, less is known about harm that 
      occurs in patients in outpatient settings, where the majority of care is 
      delivered. We do not know the likelihood that a patient sitting in a dentist 
      chair will experience harm. Additionally, we do not know if patients of certain 
      race, age, sex, or socioeconomic status disproportionately experience iatrogenic 
      harm. METHODS: We initiated the Dental Practice Study (DPS) with the aim of 
      determining the frequency and types of adverse events (AEs) that occur in 
      dentistry on the basis of retrospective chart audit. This article discusses the 
      6-month pilot phase of the DPS during which we explored the feasibility and 
      efficiency of our multistaged review process to detect AEs. RESULTS: At sites 1, 
      2, and 3, respectively, 2 reviewers abstracted 21, 11, and 23 probable AEs, 
      respectively, from the 100 patient charts audited per site. At site 2, a third 
      reviewer audited the same 100 charts and found only 1 additional probable AE. Of 
      the total 56 probable AEs (from 300 charts), the expert panel confirmed 9 AE 
      cases. This equals 3 AEs per 100 patients per year. Patients who experienced an 
      AE tended to be male and older and to have undergone more procedures within the 
      study year. CONCLUSIONS: This article presents an overview of the DPS. It 
      describes the methods used and summarizes the results of its pilot phase. To 
      minimize threats to dental patient safety, a starting point is to understand 
      their basic epidemiology, both in terms of their frequency and the extent to 
      which they affect different populations.
CI  - Copyright (c) 2017 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Tokede, Oluwabunmi
AU  - Tokede O
AD  - From the Department of Oral Health Policy and Epidemiology, Harvard School of 
      Dental Medicine, Boston Massachusetts.
FAU - Walji, Muhammad
AU  - Walji M
AD  - School of Dentistry, University of Texas at Houston, Health Science Center, 
      Houston, Texas.
FAU - Ramoni, Rachel
AU  - Ramoni R
AD  - Office of Research & Development, US Department of Veterans Affairs, Washington, 
      District of Columbia.
FAU - Rindal, Donald B
AU  - Rindal DB
AD  - HealthPartners Dental Group, Bloomington, Minnesota.
FAU - Worley, Donald
AU  - Worley D
AD  - HealthPartners Dental Group, Bloomington, Minnesota.
FAU - Hebballi, Nutan
AU  - Hebballi N
AD  - From the Department of Oral Health Policy and Epidemiology, Harvard School of 
      Dental Medicine, Boston Massachusetts.
FAU - Kumar, Krishna
AU  - Kumar K
AD  - School of Dentistry, University of Texas at Houston, Health Science Center, 
      Houston, Texas.
FAU - van Strien, Claire
AU  - van Strien C
AD  - From the Department of Oral Health Policy and Epidemiology, Harvard School of 
      Dental Medicine, Boston Massachusetts.
FAU - Chen, Mengxia
AU  - Chen M
AD  - From the Department of Oral Health Policy and Epidemiology, Harvard School of 
      Dental Medicine, Boston Massachusetts.
FAU - Navat-Pelli, Shaked
AU  - Navat-Pelli S
AD  - From the Department of Oral Health Policy and Epidemiology, Harvard School of 
      Dental Medicine, Boston Massachusetts.
FAU - Liu, Hongchun
AU  - Liu H
AD  - From the Department of Oral Health Policy and Epidemiology, Harvard School of 
      Dental Medicine, Boston Massachusetts.
FAU - Etolue, Jini
AU  - Etolue J
AD  - From the Department of Oral Health Policy and Epidemiology, Harvard School of 
      Dental Medicine, Boston Massachusetts.
FAU - Yansane, Alfa
AU  - Yansane A
AD  - Department of Preventive & Restorative Dental Sciences, UCSF School of Dentistry, 
      San Francisco, California.
FAU - Obadan-Udoh, Enihomo
AU  - Obadan-Udoh E
AD  - Department of Preventive & Restorative Dental Sciences, UCSF School of Dentistry, 
      San Francisco, California.
FAU - Easterday, Casey
AU  - Easterday C
FAU - Enstad, Chris
AU  - Enstad C
AD  - HealthPartners Institute for Education and Research, Bloomington, Minnesota.
FAU - Kane, Sheryl
AU  - Kane S
AD  - HealthPartners Institute for Education and Research, Bloomington, Minnesota.
FAU - Rush, William
AU  - Rush W
AD  - HealthPartners Institute for Education and Research, Bloomington, Minnesota.
FAU - Kalenderian, Elsbeth
AU  - Kalenderian E
AD  - Department of Preventive & Restorative Dental Sciences, UCSF School of Dentistry, 
      San Francisco, California.
LA  - eng
GR  - R01 HS024406/HS/AHRQ HHS/United States
PT  - Journal Article
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - *Dental Offices
MH  - Humans
MH  - Male
MH  - *Medical Errors
MH  - Patient Safety
MH  - Retrospective Studies
PMC - PMC10941983
MID - NIHMS1961099
COIS- The authors disclose no conflict of interest.
EDAT- 2017/12/06 06:00
MHDA- 2022/02/19 06:00
PMCR- 2024/03/15
CRDT- 2017/12/06 06:00
PHST- 2017/12/06 06:00 [pubmed]
PHST- 2022/02/19 06:00 [medline]
PHST- 2017/12/06 06:00 [entrez]
PHST- 2024/03/15 00:00 [pmc-release]
AID - 01209203-202112000-00058 [pii]
AID - 10.1097/PTS.0000000000000444 [doi]
PST - ppublish
SO  - J Patient Saf. 2021 Dec 1;17(8):e1080-e1087. doi: 10.1097/PTS.0000000000000444.