PMID- 35771964
OWN - NLM
STAT- MEDLINE
DCOM- 20220823
LR  - 20230928
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Print)
IS  - 1549-8417 (Linking)
VI  - 18
IP  - 6
DP  - 2022 Sep 1
TI  - Development of an Inventory of Dental Harms: Methods and Rationale.
PG  - 559-564
LID - 10.1097/PTS.0000000000001033 [doi]
AB  - OBJECTIVES: While adverse events (AEs) are all too prevalent, their underlying 
      causes are difficult to assess because they are often multifactorial. 
      Standardizing the language of dental AEs is an important first step toward 
      increasing patient safety for the dental patient. METHODS: We followed a 
      multimodal approach building a dental AE inventory, which included a literature 
      review; review of the MAUDE database; a cross-sectional, self-administered 
      patient survey; focus groups; interviews with providers and domain experts; and 
      chart reviews. RESULTS: One hundred eight unique allergy/toxicity/foreign body 
      response, 70 aspiration/ingestion of foreign body, 70 infection, 52 wrong 
      site/wrong patient/wrong procedure, 23 bleeding, 48 pain, 149 hard tissue injury, 
      127 soft tissue injury, 91 nerve injury, 171 other systemic complication, and 177 
      other orofacial complication were identified. Subtype AEs within the categories 
      revealed that allergic reaction, aspiration, pain, and wrong procedure were the 
      most common AEs identified among known (i.e., chart reviews) and hypothetical 
      (i.e., interviews) sources. CONCLUSIONS: Using a multimodal approach, a broad 
      list of dental AEs was developed, in which the AEs were classed into 12 
      categories. Hard tissue injury was noted frequently during interviews and in 
      actuality. Pain was the unexpected AE that was consistently identified with every 
      modality used. PRACTICAL IMPLICATIONS: Most AEs result in temporary harm with 
      hard tissue injury being a common AE identified through interviews and in 
      actuality through chart reviews. Acknowledging that AEs happen is an important 
      step toward mitigating them and assuring quality of care for our patients.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Kalenderian, Elsbeth
AU  - Kalenderian E
FAU - Lee, Joo Hyun
AU  - Lee JH
AD  - From the University of California, San Francisco, School of Dentistry, San 
      Francisco, California.
FAU - Obadan-Udoh, Enihomo M
AU  - Obadan-Udoh EM
AD  - From the University of California, San Francisco, School of Dentistry, San 
      Francisco, California.
FAU - Yansane, Alfa
AU  - Yansane A
AD  - From the University of California, San Francisco, School of Dentistry, San 
      Francisco, California.
FAU - White, Joel M
AU  - White JM
AD  - From the University of California, San Francisco, School of Dentistry, San 
      Francisco, California.
FAU - Walji, Muhammad F
AU  - Walji MF
AD  - University of Texas Health Science Center, School of Dentistry at Houston, 
      Houston, Texas.
LA  - eng
GR  - R01 DE022628/DE/NIDCR NIH HHS/United States
GR  - R01 HS024406/HS/AHRQ HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, P.H.S.
PT  - Review
DEP - 20220630
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Cross-Sectional Studies
MH  - Focus Groups
MH  - *Foreign Bodies
MH  - Humans
MH  - Pain
MH  - *Patient Safety
PMC - PMC9391256
MID - NIHMS1799972
COIS- The authors disclose no conflict of interest.
EDAT- 2022/07/01 06:00
MHDA- 2022/08/24 06:00
PMCR- 2023/09/01
CRDT- 2022/06/30 14:32
PHST- 2022/07/01 06:00 [pubmed]
PHST- 2022/08/24 06:00 [medline]
PHST- 2022/06/30 14:32 [entrez]
PHST- 2023/09/01 00:00 [pmc-release]
AID - 01209203-202209000-00008 [pii]
AID - 10.1097/PTS.0000000000001033 [doi]
PST - ppublish
SO  - J Patient Saf. 2022 Sep 1;18(6):559-564. doi: 10.1097/PTS.0000000000001033. Epub 
      2022 Jun 30.