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使用前操作者对高速(气涡轮)手机的评估能力:一项审计

Operator's ability at assessing a high-speed (air turbine) handpiece before use: an audit.

作者信息

Holliday R, Venugopal S, Howell A, Keys W

机构信息

Newcastle Dental Hospital.

Dundee Dental Hospital.

出版信息

Br Dent J. 2015 Jan;218(2):E3. doi: 10.1038/sj.bdj.2015.40.

DOI:10.1038/sj.bdj.2015.40
PMID:25613281
Abstract

BACKGROUND

The 'high-speed' (air turbine) handpiece is used extensively across many dental disciplines and the ability of clinicians to detect faulty handpieces is essential.

AIM

The primary aim of this audit was to determine the proportion of participants who could correctly identify unsafe handpieces. Secondary aims were to determine the proportion that had previous training on the topic and determine whether an educational video could improve scores.

METHOD

Eighty participants completed the first round of audit. They were asked to inspect seven handpieces, five of which were faulty, with three being classed as unsafe. After the intervention (educational sessions and distribution of a video) a second round of audit was completed on 69 participants.

RESULTS

The ability to detect the three unsafe handpieces increased from 10% to 44% over the two rounds of audit. In the second round the highest score obtained was by those who had received the intervention, 77%. The lowest score, 14%, was by those who had not received the intervention. Nine percent of participants in the first round stated they had previously had training on handpiece inspection and none of these participants identified the three unsafe handpieces.

CONCLUSION

This audit has highlighted that there is a knowledge deficiency with regards to air turbine handpiece safety and inspection. We have shown that introduction of a simple education video can have an impact on dentists and students abilities to detect unsafe faults. We have already introduced this into the undergraduate curriculum in our school and we aim to also raise awareness within the dental community.

摘要

背景

“高速”(空气涡轮)手机在许多牙科领域广泛使用,临床医生检测有故障手机的能力至关重要。

目的

本次审核的主要目的是确定能够正确识别不安全手机的参与者比例。次要目的是确定之前接受过该主题培训的比例,并确定教育视频是否能提高分数。

方法

80名参与者完成了第一轮审核。他们被要求检查7部手机,其中5部有故障,3部被归类为不安全。在干预措施(教育课程和视频分发)之后,对69名参与者完成了第二轮审核。

结果

在两轮审核中,检测出3部不安全手机的能力从10%提高到了44%。在第二轮中,得分最高的是接受了干预措施的人,为77%。得分最低的是未接受干预措施的人,为14%。第一轮中有9%的参与者表示他们之前接受过手机检查方面的培训,但这些参与者中没有一人识别出3部不安全手机。

结论

本次审核突出表明,在空气涡轮手机安全和检查方面存在知识欠缺。我们已经表明,引入一个简单的教育视频可以对牙医和学生检测不安全故障的能力产生影响。我们已经将此内容纳入我校的本科课程,并且我们的目标是提高牙科界的认识。

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引用本文的文献

1
Summary of: Operator's ability at assessing a high-speed (air turbine) handpiece before use: an audit.摘要:使用前操作人员对高速(气涡轮)手机的评估能力:一项审计
Br Dent J. 2015 Jan;218(2):76-7. doi: 10.1038/sj.bdj.2015.13.

本文引用的文献

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Adaptation of airline crew resource management principles to dentistry.将航空公司机组资源管理原则应用于牙科。
J Am Dent Assoc. 2010 Aug;141(8):1010-8. doi: 10.14219/jada.archive.2010.0316.
2
Survey of the decontamination and maintenance of dental handpieces in general dental practice.普通牙科诊所中牙科手机的消毒与维护调查
Br Dent J. 2009 Aug 22;207(4):E7; discussion 160-1. doi: 10.1038/sj.bdj.2009.761.
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A surgical safety checklist to reduce morbidity and mortality in a global population.一份用于降低全球人口发病率和死亡率的手术安全核对表。
N Engl J Med. 2009 Jan 29;360(5):491-9. doi: 10.1056/NEJMsa0810119. Epub 2009 Jan 14.
4
The dental handpiece--a history of its development.牙科手机——其发展历程
Aust Dent J. 1986 Jun;31(3):165-80. doi: 10.1111/j.1834-7819.1986.tb01196.x.