Corrêa Claudia Dolores Trierweiler Sampaio de Oliveira, Mendes Walter
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Nov 21;33(11):e00053217. doi: 10.1590/0102-311X00053217.
The aim of this study was to propose a trigger tool for research of adverse events in outpatient dentistry in Brazil. The tool was elaborated in two stages: (i) to build a preliminary set of triggers, a literature review was conducted to identify the composition of trigger tools used in other areas of health and the principal adverse events found in dentistry; (ii) to validate the preliminarily constructed triggers a panel of experts was organized using the modified Delphi method. Fourteen triggers were elaborated in a tool with explicit criteria to identify potential adverse events in dental care, essential for retrospective patient chart reviews. Studies on patient safety in dental care are still incipient when compared to other areas of health care. This study intended to contribute to the research in this field. The contribution by the literature and guidance from the expert panel allowed elaborating a set of triggers to detect adverse events in dental care, but additional studies are needed to test the instrument's validity.
本研究的目的是提出一种用于巴西门诊牙科不良事件研究的触发工具。该工具分两个阶段制定：（i）构建初步的触发因素集，通过文献综述确定其他卫生领域使用的触发工具的组成以及牙科中发现的主要不良事件；（ii）使用改进的德尔菲法组织专家小组对初步构建的触发因素进行验证。在一个工具中详细阐述了14个触发因素，并带有明确的标准，以识别牙科护理中的潜在不良事件，这对于回顾性患者病历审查至关重要。与其他卫生保健领域相比，牙科护理中的患者安全研究仍处于起步阶段。本研究旨在为该领域的研究做出贡献。文献贡献和专家小组的指导使得能够详细阐述一套用于检测牙科护理不良事件的触发因素，但还需要进行更多研究来测试该工具的有效性。
