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牙科从业者对患者安全的当代观点。

Contemporary views of dental practitioners' on patient safety.

作者信息

Bailey E

机构信息

University College London Hospitals, Eastman Dental Hospital, 256 Gray's Inn Road, London, WC1X 8LD.

出版信息

Br Dent J. 2015 Dec;219(11):535-9; discussion 540. doi: 10.1038/sj.bdj.2015.920.

Abstract

BACKGROUND

There is little known about general dental practitioners' (GDPs) views on patient safety in dentistry; we believe this to be the first paper describing their opinions and ideas for maintaining or improving safe practices.

METHODS

Focus groups were used to gather the views of 12 GDPs (who also hold university teaching contracts) on the following topics: Defining patient safety, the important issues in patient safety, safeguards and tools for maintaining safe care, never events and research priorities. Thematic analysis was performed on the verbatim transcripts.

RESULTS

Key themes from the practitioners included: Medical history (polypharmacy and co-morbidities), competence and skill level, the use of safeguards and tools to ensure safety, the importance of effective communication (including working with a chaperone) and the role of reflective practice. Suggestions for improvement included: effective sharing of information with other healthcare professionals, easy access to guidelines and educational tools, adoption of practice protocols, team working and the use of universal charting systems to limit ambiguity.

CONCLUSIONS

GDPs are well versed in the concept of patient safety and are keen to implement evidence based tools and/or interventions designed to improve safety for their patients.

摘要

背景

对于全科牙医(GDPs)对牙科患者安全的看法了解甚少;我们认为这是第一篇描述他们对于维持或改善安全操作的意见和想法的论文。

方法

采用焦点小组访谈法,收集了12位全科牙医(他们同时也持有大学教学合同)对于以下主题的看法:定义患者安全、患者安全中的重要问题、维持安全护理的保障措施和工具、不良事件以及研究重点。对逐字记录的访谈内容进行了主题分析。

结果

从业者们提出的关键主题包括:病史(多种药物治疗和合并症)、能力和技能水平、使用保障措施和工具以确保安全、有效沟通的重要性(包括与陪诊人员合作)以及反思性实践的作用。改进建议包括:与其他医疗专业人员有效共享信息、方便获取指南和教育工具、采用实践方案、团队协作以及使用通用图表系统以减少歧义。

结论

全科牙医对患者安全的概念非常熟悉,并热衷于实施旨在提高患者安全的循证工具和/或干预措施。

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