Saksena A, Pemberton M N, Shaw A, Dickson S, Ashley M P
University Dental Hospital of Manchester, Higher Cambridge Street, Manchester, M15 6FH.
Br Dent J. 2014 Oct;217(7):357-362. doi: 10.1038/sj.bdj.2014.860.
Extraction of the wrong tooth or teeth is a serious and avoidable clinical error causing harm to the patient. All NHS Trusts in England are required to use a surgical safety checklist in operating theatres to prevent incorrect site surgery and ensure safe management of patients. However, the majority of patients have dental extractions and other oral surgical procedures undertaken on an outpatient basis and these patients are also at risk of having an incorrect site surgical procedure such as a wrong tooth extraction. We describe our experience in developing, introducing and refining a surgical safety checklist for outpatient oral surgery along with the key strategic actions needed to ensure effective cultural change and optimum patient safety in the outpatient setting.
拔除错误的牙齿是一种严重且可避免的临床失误，会对患者造成伤害。英国所有国民保健服务信托机构都必须在手术室使用手术安全检查表，以防止手术部位错误，并确保对患者进行安全管理。然而，大多数患者是在门诊进行拔牙和其他口腔外科手术，这些患者也有接受错误手术部位操作（如拔除错误牙齿）的风险。我们描述了我们在制定、引入和完善门诊口腔手术手术安全检查表方面的经验，以及在门诊环境中确保有效文化变革和最佳患者安全所需的关键战略行动。
