Huertas María F, Gonzalez Juliana, Camacho Sandra, Sarralde Ana L, Rodríguez Adriana
Pontificia Universidad Javeriana, Facultad de Odontología, Centro de Investigaciones Odontológicas, Bogotá, Colombia.
Acta Odontol Latinoam. 2017 Apr;30(1):19-25.
Dentistry is interested in identifying and controlling adverse events, understood as involuntary injuries to the patient during dental care. The aim of this study was to analyze the adverse events reported to the Office of the Clinical Director at the School of Dentistry at Pontificia Universidad Javeriana (Colombia) during 2011-2012. It was an observational, descriptive study that evaluated 227 dental clinical records of patients who filed a complaint with the Office of the Clinical Director. Of these, 43 were adverse events and were used as the basis for this study. Of the 16,060 patients who received care during 2011 - 2012, 0.26% (43) filed a complaint involving an adverse event, of which 97.7 % were considered preventable. Most of these (76.18%, n= 32) occurred during clinical management of treatments in different specialties, 9.5% (4) were the result of deficient external dental laboratory quality, and 14.32% (6) were due to failure in document management, soft tissue injury, misdiagnosis and swallowing foreign objects. Of the patients involved, 65.2% (28) received care from postgraduate students, with the highest number of cases in the Oral Rehabilitation speciality. The occurrence of adverse events during dental care, indicates the need for information about their origin in order to establish protection barriers and prevent their incidence, particularly in the educational area under the student dental clinic service model.
牙科学关注识别和控制不良事件，不良事件被理解为在牙科护理过程中对患者的意外伤害。本研究的目的是分析2011年至2012年期间向哥伦比亚波哥大哈韦里亚纳教皇大学牙科学院临床主任办公室报告的不良事件。这是一项观察性描述性研究，评估了向临床主任办公室投诉的227份患者牙科临床记录。其中，43份为不良事件，并作为本研究的基础。在2011年至2012年期间接受治疗的16060名患者中，0.26%（43名）提出了涉及不良事件的投诉，其中97.7%被认为是可预防的。其中大多数（76.18%，n = 32）发生在不同专科治疗的临床管理过程中，9.5%（4例）是由于外部牙科实验室质量不足导致的，14.32%（6例）是由于文件管理失误、软组织损伤、误诊和吞食异物导致的。在涉及的患者中，65.2%（28名）接受了研究生的治疗，其中口腔修复专业的病例数最多。牙科护理过程中不良事件的发生表明，需要了解其起源信息，以便建立保护屏障并预防其发生，特别是在学生牙科诊所服务模式下的教育领域。
