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英国和爱尔兰牙科医院的手术安全检查表及对严重可避免事件的认知

Surgical safety checklists and understanding of Never Events, in UK and Irish dental hospitals.

作者信息

Pemberton M N

机构信息

Association of Dental Hospitals, University Dental Hospital of Manchester, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, M15 6FH.

出版信息

Br Dent J. 2016 Jun 10;220(11):585-9. doi: 10.1038/sj.bdj.2016.414.

Abstract

Aim To identify the procedures in dental hospitals where a surgical safety checklist is used and in addition, in England, to identify the understanding of hospitals regarding patient safety incidents requiring reporting as Never Events to NHS England.Method A self-completed questionnaire survey asking about the use of checklists was distributed to 16 dental hospitals associated with undergraduate dental schools in the UK and Ireland in the summer of 2015. For hospitals in England (10), additional questions regarding their understanding of incidents to be reported as Never Events were asked.Results Thirteen hospitals replied (8 in England). All use a surgical safety checklist in an operating theatre setting. Ten use a surgical safety checklist in an outpatient setting for the extraction of teeth. There is variable use of checklists for other procedures. The majority of English hospitals thought that the reporting of a 'Never Event' was required following wrong tooth extraction in whatever setting it occurred, including general dental practice.Conclusion Surgical safety checklists are increasingly used in dental hospitals, especially for oral surgery procedures. Beyond 'wrong tooth extraction', English dental hospitals have different understandings of what other oral and dental procedures require reporting as Never Events to NHS England.

摘要

目的 确定使用手术安全检查表的牙科医院的相关流程,此外,在英格兰,确定医院对需要作为“绝不姑息事件”向英格兰国民医疗服务体系报告的患者安全事件的理解。方法 2015年夏天,向英国和爱尔兰与本科牙科院校相关的16家牙科医院发放了一份关于检查表使用情况的自填式问卷调查。对于英格兰的医院(10家),还询问了有关其对作为“绝不姑息事件”报告的事件的理解的其他问题。结果 13家医院回复(8家在英格兰)。所有医院在手术室环境中都使用手术安全检查表。10家医院在门诊拔牙时使用手术安全检查表。其他流程中检查表的使用情况各不相同。大多数英格兰医院认为,无论在何种环境下发生误拔牙齿事件,包括在普通牙科诊所,都需要报告“绝不姑息事件”。结论 手术安全检查表在牙科医院的使用越来越普遍,尤其是在口腔外科手术中。除了“误拔牙齿”之外,英格兰的牙科医院对其他哪些口腔和牙科手术需要作为“绝不姑息事件”向英格兰国民医疗服务体系报告存在不同理解。

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