Abomalik Ali M, Alsanea Jamal A, Alkadhi Omar H
Ministry of Health, Riyadh, Saudi Arabia.
Department of Preventive Dentistry, Riyadh Elm University, Saudi Arabia.
J Family Med Prim Care. 2022 Jun;11(6):2729-2734. doi: 10.4103/jfmpc.jfmpc_2250_21. Epub 2022 Jun 30.
Malpractice is one of the most significant hazards to patient safety in healthcare and is considered the second factor associated with the overall quality of the healthcare system.
This study aimed to assess the prevalence of malpractice in dentistry and its possible causes in Riyadh, Saudi Arabia during 2009-2015.
A cross-sectional retrospective analysis of the dental complaints filed by the patients in the general directorate of forensic medicine centers in Riyadh was reviewed, and the data was collected. Descriptive statistics of frequency distribution and percentages were calculated using the collected data. The Chi-square test for categorical variables was performed with a significance level set at < 0.05.
The Riyadh region reported 168 (14.5%) dental malpractice cases during 2009- 2015. The highest number of malpractice cases was reported in 2010 (18.45%), and the least number of cases was reported in 2011 (10.1%). Prosthodontic specialty had the highest number of lawsuits (32.4%), followed by orthodontics (20.2%) and endodontics (15.8%). The Chi-square test showed no association between the different specialties and types of malpractice ( = 0.881) and between compensation and the type of malpractice ( = 0.832). Among the 114 cases, financial compensation was the most common retribution.
Dental malpractice prevalence was high in the private sector, followed by the government and military sectors, with the highest number of cases registered against the prosthodontic specialty. Dental malpractice is a serious concern that can be prevented by fair and honest policies and thorough patient education.
医疗事故是医疗保健中对患者安全的最重大危害之一，被认为是与医疗保健系统整体质量相关的第二个因素。
本研究旨在评估2009年至2015年期间沙特阿拉伯利雅得牙科医疗事故的发生率及其可能原因。
对利雅得法医中心总干事办公室收到的患者牙科投诉进行横断面回顾性分析，并收集数据。使用收集到的数据计算频率分布和百分比的描述性统计量。对分类变量进行卡方检验，显著性水平设定为<0.05。
利雅得地区在2009年至2015年期间报告了168起（14.5%）牙科医疗事故案件。2010年报告的医疗事故案件数量最多（18.45%），2011年报告的案件数量最少（10.1%）。口腔修复专业的诉讼案件数量最多（32.4%），其次是正畸专业（20.2%）和牙髓病专业（15.8%）。卡方检验显示不同专业与医疗事故类型之间无关联（=0.881），赔偿与医疗事故类型之间也无关联（=0.832）。在114起案件中，经济赔偿是最常见的惩处方式。
私营部门的牙科医疗事故发生率较高，其次是政府和军事部门，口腔修复专业的注册案件数量最多。牙科医疗事故是一个严重问题，可以通过公平诚实的政策和全面的患者教育来预防。
