Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Private Practice, Brighton, UK.
BMC Oral Health. 2024 Jun 18;24(1):702. doi: 10.1186/s12903-024-04375-7.
Knowledge about patient safety in orthodontics is scarce. Lack of standardisation and a common terminology hinders research and limits our understanding of the discipline. This study aims to 1) summarise current knowledge about patient safety incidents (PSI) in orthodontic care by conducting a systematic literature search, 2) propose a new standardisation of PSI terminology and 3) propose a future research agenda on patient safety in the field of orthodontics.
A systematic literature search was performed in the main online sources of PubMed, Web of Science, Scopus and OpenGrey from their inception to 1 July 2023. Inclusion criteria were based on the World Health Organization´s (WHO) research cycle on patient safety. Studies providing information about the cycle's steps related to orthodontics were included. Study selection and data extraction were performed by two of the authors.
A total of 3,923 articles were retrieved. After review of titles and abstracts, 41 articles were selected for full-text review and 25 articles were eligible for inclusion. Seven provided information on the WHO's research cycle step 1 ("measuring harm"), twenty-one on "understanding causes" (step 2) and twelve on "identifying solutions" (step 3). No study provided information on Steps 4 and 5 ("evaluating impact" or "translating evidence into safer care").
Current evidence on patient safety in orthodontics is scarce due to a lack of standardised reporting and probably also under-reporting of PSIs. Current literature on orthodontic patient safety deals primarily with "measuring harms" and "understanding causes of patient safety", whereas less attention has been devoted to initiatives "identifying solutions", "evaluating impact" and "translating evidence into safer care". The present project holds a proposal for a new categorisation, terminology and future research agenda that may serve as a framework to support future research and clinical initiatives to improve patient safety in orthodontic care.
PROSPERO (CRD42022371982).
有关正畸患者安全的知识有限。缺乏标准化和通用术语阻碍了研究，限制了我们对该学科的理解。本研究旨在：1）通过系统文献检索总结正畸护理中患者安全事件（PSI）的现有知识，2）提出 PSI 术语的新标准，3）提出正畸领域患者安全的未来研究议程。
从 PubMed、Web of Science、Scopus 和 OpenGrey 的创建到 2023 年 7 月 1 日，在主要在线来源中进行了系统文献检索。纳入标准基于世界卫生组织（WHO）的患者安全研究周期。纳入了提供有关与正畸相关的周期步骤信息的研究。由两位作者进行研究选择和数据提取。
共检索到 3923 篇文章。在审查标题和摘要后，选择了 41 篇文章进行全文审查，25 篇文章符合纳入标准。其中 7 篇提供了关于 WHO 研究周期步骤 1（“衡量伤害”）的信息，21 篇提供了关于步骤 2（“了解原因”）的信息，12 篇提供了关于步骤 3（“确定解决方案”）的信息。没有研究提供关于步骤 4 和 5（“评估影响”或“将证据转化为更安全的护理”）的信息。
由于缺乏标准化报告，可能还有 PSI 的漏报，目前关于正畸患者安全的证据有限。目前关于正畸患者安全的文献主要涉及“衡量伤害”和“了解患者安全原因”，而对“确定解决方案”、“评估影响”和“将证据转化为更安全的护理”的关注较少。本项目提出了一个新的分类、术语和未来研究议程的建议，可作为支持未来研究和临床举措的框架，以改善正畸护理中的患者安全。
PROSPERO（CRD42022371982）。
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