通过为期5年的全国性数据库研究,在牙科中学习了关于患者安全的经验教训
Nikolaos Ferlias1, Henrik Nielsen2, Erik Andersen3
1Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, 8000, Aarhus, Denmark. nferlias@gmail.com.
Scientific reports
|May 19, 2024
概括
丹麦牙科的患者安全事件,特别是根管治疗和手术,导致严重的伤害和财务成本. 诊断的延迟也会对患者造成伤害,突出了直接治疗错误之外的系统性问题.
科学领域:
- 牙科公共卫生 公共卫生
- 患者安全流行病学
- 卫生经济学 卫生经济学
背景情况:
- 安全的牙科护理提供至关重要,但关于患者安全事件的流行病学数据仍然有限.
- 了解牙科中伤害的范围和成本对于改善护理质量至关重要.
研究的目的:
- 在丹麦初级牙科护理 (2016-2020年) 中对患者安全事件进行分类.
- 确定与神经损伤和牙损失相关的牙科治疗类别.
- 评估患者伤害索赔的财务负担.
主要方法:
- 来自丹麦牙科赔偿法 (DDCA) 数据库 (2016-2020) 的索赔数据分析.
- 根据赔偿原因,治疗事件,损害类型和财务成本对索赔进行分类.
- 统计分析了9069个被追回的索赔,其中5079个被认为有资格获得赔偿.
主要成果:
- 根管治疗 (48%),延迟诊断 (18%) 和手术 (17%) 是最常见的补偿原因.
- 牙根损伤 (54.36%) 和神经损伤 (16.81%) 是显著的结果.
- 总的赔偿费用超过1630万欧元,其中手术和内牙治疗是最昂贵的.
结论:
- 患者伤害在所有牙科专业中普遍存在,内科医生和外科手术是特别高风险的领域.
- 诊断延迟和忽视在很大程度上导致了患者的伤害,这表明问题超出了直接的程序错误.
- 牙科治疗的危害给社会带来了相当大的成本,需要有针对性的干预措施来提高患者的安全.
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
01:21Types of Reports II: Incident or Occurrence Report
823
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
823
01:14Torts I
1.2K
Torts in nursing are wrongful acts that can harm patients and potentially lead to civil liability for the involved nurse. These wrongful acts range from unintentional errors to deliberate actions. Depending on the nature and severity of the tort, a nurse found liable may face financial penalties or disciplinary actions. Understanding the distinctions between intentional, quasi-intentional, and unintentional torts is crucial for nurses to mitigate risks and provide safe patient care.
Intentional...
Intentional...
1.2K
01:25Ethical Standards I
793
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
793
01:08The Availability Heuristic
6.0K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.0K