Corte-Real A, Caetano C, Dias Pereira A, Rocha S, Alves S, Nuno-Vieira D
Forensic Dentistry Laboratory-Faculty of Medicine-Coimbra University-Portugal.
Faculty of Medicine-Coimbra University-Portugal.
J Forensic Odontostomatol. 2020 May 15;38(1):2-7.
Patient safety and quality of healthcare delivery systems are an objective of WHO. This study aims to present and analyse Portuguese clinical data on risk and malpractice in dental practice. Data from the Forensic Dentistry Laboratory (Faculty of Medicine, University of Coimbra) was analysed, between the years of 2013 to 2018. One hundred and seven technical reports were selected, and seventy nine files were included in the iatrogenic sequelae group. Data included the analysis of the performance of dental professionals. Sequelae were divided in descending order of occurrence:1) mandibular dysfunction (53,2%)[(42)79]; 2) neurological deficit (39,2%)[(31)79]; 3) tooth loss (6,3%)[(5)79]; and 4) opening deficit (1,3%)[(1)79].Three major areas with significant expression in the field of expert evaluations were analysed: 1) orthodontic treatment (51,9%), implant rehabilitation (29,1%), and oral surgery. Given the prevalence of malpractice, the need to assess its causes and recognise standards for its prevention is necessary.
患者安全和医疗保健提供系统的质量是世界卫生组织的一个目标。本研究旨在呈现和分析葡萄牙牙科实践中关于风险和医疗事故的临床数据。对2013年至2018年期间科英布拉大学医学院法医牙科实验室的数据进行了分析。选取了107份技术报告，其中79份档案被纳入医源性后遗症组。数据包括对牙科专业人员表现的分析。后遗症按发生频率从高到低排序为：1）下颌功能障碍（53.2%）[（42）/79]；2）神经功能缺损（39.2%）[（31）/79]；3）牙齿脱落（6.3%）[（5）/79]；4）开口受限（1.3%）[（1）/79]。分析了在专家评估领域有显著表现的三个主要方面：1）正畸治疗（51.9%）、种植修复（29.1%）和口腔外科。鉴于医疗事故的普遍性，有必要评估其原因并确定预防标准。
