Liew J, Beech A N
Oral and Maxillofacial Surgery Department, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, United Kingdom.
Br J Oral Maxillofac Surg. 2020 May;58(4):421-426. doi: 10.1016/j.bjoms.2020.01.024. Epub 2020 Feb 25.
The importance of patient safety in medicine and dentistry cannot be understated. Wrong tooth extractions account for approximately 25% of wrong-site surgery, and the implications for the patient, the team, and the institution can be profound. The development of national safety standards for invasive procedures (NatSSIPs) has led to the introduction of specialty-specific local safety standards for invasive procedures (LocSSIPs), with the aim of improving safety further. The implementation of outpatient LocSSIPs is recommended in clinical dentistry when surgical interventions regularly take place. We have implemented an outpatient LocSSIPs checklist for all procedures done under local anaesthesia in the oral and maxillofacial surgical unit of a large district general hospital. Feedback from a staff survey six months after its introduction was positive from both clinicians and nursing staff. Since its implementation 18 months ago no serious incidents have been reported and staff think that safety has improved. The reporting of incidents, for example, missing clinical notes and faulty equipment, has become more common (showing better awareness) and the development of a team-led approach has improved the running of the department.
患者安全在医学和牙科领域的重要性怎么强调都不为过。错误拔牙约占手术部位错误手术的25%，对患者、团队和机构的影响可能是深远的。国家侵入性操作安全标准（NatSSIPs）的制定促使引入了特定专业的侵入性操作地方安全标准（LocSSIPs），目的是进一步提高安全性。在临床牙科中，当经常进行手术干预时，建议实施门诊LocSSIPs。我们已经为一家大型地区综合医院口腔颌面外科单元在局部麻醉下进行的所有操作实施了门诊LocSSIPs检查表。引入该检查表六个月后的员工调查反馈显示，临床医生和护理人员的反馈都是积极的。自18个月前实施以来，没有报告过严重事件，员工们认为安全性有所提高。事件报告，例如丢失临床记录和设备故障，变得更加普遍（表明意识提高），团队主导方法的发展改善了科室的运作。
