revisão integrativa

Publisher Copyright: © 2020 Fundacao Oswaldo Cruz. All rights reserved.Adverse events pose a serious problem for quality of healthcare. Dental practice is eminently invasive and involves close and routine contact with secretions; as such, it is potentially prone to the occurrence of adverse events. Various patient safety studies have been developed in the last two decades, but mostly in the hospital setting due to the organizational complexity, severity of the cases, and diversity and specificity of the procedures. The objective was to identify and explore studies on patient safety in Dentistry. An integrative literature review was performed in MEDLINE via PubMed, Scopus via Portal Capes, and the Regional Portal of the Virtual Health Library, using the terms patient safety and dentistry in English, Spanish, and Portuguese, starting in 2000. The research cycle in patient safety was used, as proposed by the World Health Organization to classify studies. We analyzed 91 articles. The most common adverse events were allergies, infections, diagnostic delay or failure, and technical error. Measures to mitigate the problem highlight the need to improve communications, encourage reporting, and search for tools to assist the management of care. The authors found a lack of studies on implementation and assessment of the impact of proposals for improvement. Dentistry has made progress in patient safety but still needs to transpose the results into practice, where efforts are crucial to prevent adverse events.publishersversionpublishe

Adaptation of an instrument for the evaluation of adverse events in outpatient dentistry in Brazil

Made available in DSpace on 2017-09-27T18:18:26Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) claudia_dolores_correa.pdf: 2248255 bytes, checksum: 892076be28a4ddd86c1c82308d42cee0 (MD5) Previous issue date: 2017Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.A prática odontológica é, em geral, invasiva e eminentemente cirúrgica; isto a torna potencialmente propícia ao evento adverso (EA). O objetivo deste estudo foi adaptar para a pesquisa em odontologia ambulatorial um instrumento de rastreamento de EA (trigger tool) já utilizado na fase explícita do método de revisão retrospectiva de prontuários em outras áreas da saúde. O instrumento foi elaborado em duas etapas: na primeira, por intermédio de uma revisão da literatura, aprofundou-se no tema segurança do paciente em odontologia onde se verificou a necessidade de ampliar os estudos brasileiros sobre o assunto. Optou-se, então, pela adaptação para a odontologia dos rastreadores de EA utilizados em outras áreas de saúde. Para embasar esta proposição, buscou-se identificar a composição das ferramentas de rastreamento utilizadas nas demais áreas da saúde e identificar os principais EA em odontologia. Por fim, construiu-se um conjunto preliminar de rastreadores. Na segunda etapa, empregando o método Delphi modificado, os rastreadores preliminarmente construídos foram aprimorados por um painel de especialistas. A conclusão do estudo ratificou a hipótese inicial de que as ferramentas para rastreamento de EA, já utilizadas em pesquisas no âmbito hospitalar e ambulatorial das diversas áreas da saúde, podem ser adaptadas para o uso específico em pesquisas de EA em odontologia ambulatorial. No entanto, são necessários estudos adicionais para testar a validade do instrumento.The dental practice is, in general, invasive and eminently surgical; this makes it potentially propitious to the adverse events. The objective of this study was to adapt to the research in outpatient dentistry an instrument of tracing of adverse events (trigger tool) already used in the explicit phase of the method of retrospective review of medical records in other health areas. The instrument was elaborated in two stages: in the first one, through a review of the literature, it deepened on the theme patient safety in dentistry, where it was verified the need to expand the Brazilian studies on the subject. Then, the option was made for the adaptation to odontology triggers tools used in other health areas. To support this proposition, it was sought to identify the composition of the triggers tools used in other health areas and to identify the main adverse events in dentistry. Finally, a preliminary trigger tool was constructed. In the second step, using the modified Delphi Technique, the preliminary trigger tool was improved by a group of experts. The conclusion of the study ratified the initial hypothesis that the trigger tool, already used in hospital environment and outpatient researches in different health areas, can be adapted for specific use in researches of adverse events in outpatient dentistry. However, further studies are required to test the validity of the instrument

Propuesta de un instrumento para evaluar eventos adversos en odontología

Submitted by Regiane Silva ([email protected]) on 2018-08-02T17:09:30Z No. of bitstreams: 1 roposta de um instrumento para avaliar eventos adversos em odontologia.pdf: 659263 bytes, checksum: f06dfbe31dff5cdff9a749ca1db26417 (MD5)Approved for entry into archive by Regiane Silva ([email protected]) on 2018-08-02T17:25:33Z (GMT) No. of bitstreams: 1 roposta de um instrumento para avaliar eventos adversos em odontologia.pdf: 659263 bytes, checksum: f06dfbe31dff5cdff9a749ca1db26417 (MD5)Made available in DSpace on 2018-08-02T17:25:33Z (GMT). No. of bitstreams: 1 roposta de um instrumento para avaliar eventos adversos em odontologia.pdf: 659263 bytes, checksum: f06dfbe31dff5cdff9a749ca1db26417 (MD5) Previous issue date: 2017Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.O objetivo deste estudo foi propor um conjunto de rastreadores para a pesquisa de eventos adversos em odontologia ambulatorial no Brasil. O instrumento foi elaborado em duas etapas: (i) para construir um conjunto preliminar de rastreadores foi realizada uma revisão da literatura, a fim de identificar a composição das ferramentas de rastreamento utilizadas nas demais áreas da saúde e os principais eventos adversos encontrados em odontologia; (ii) para validar os rastreadores preliminarmente construídos foi organizado um painel de especialistas empregando o método Delphi modificado. Foram elaborados quatorze rastreadores para compor um instrumento com critérios explícitos para identificar potenciais eventos adversos no cuidado odontológico, essenciais para os estudos de revisão retrospectiva de prontuários. Pesquisas relacionadas à segurança do paciente em odontologia ainda são bastante incipientes em relação às demais áreas da saúde. Este trabalho pretendeu contribuir para a investigação nesse campo. O aporte da literatura e a ajuda da expertise do painel de especialistas permitiram a elaboração de um conjunto de rastreadores para a detecção de eventos adversos odontológicos, no entanto, são necessários estudos adicionais para testar a validade do instrumento.The aim of this study was to propose a trigger tool for research of adverse events in outpatient dentistry in Brazil. The tool was elaborated in two stages: (i) to build a preliminary set of triggers, a literature review was conducted to identify the composition of trigger tools used in other areas of health and the principal adverse events found in dentistry; (ii) to validate the preliminarily constructed triggers a panel of experts was organized using the modified Delphi method. Fourteen triggers were elaborated in a tool with explicit criteria to identify potential adverse events in dental care, essential for retrospective patient chart reviews. Studies on patient safety in dental care are still incipient when compared to other areas of health care. This study intended to contribute to the research in this field. The contribution by the literature and guidance from the expert panel allowed elaborating a set of triggers to detect adverse events in dental care, but additional studies are needed to test the instrument’s validity.El objetivo de este estudio fue proponer un conjunto de marcadores para la investigación de eventos adversos en odontología ambulatoria en Brasil. El instrumento se elaboró en dos etapas: (i) para construir un conjunto preliminar de marcadores se realizó una revisión de la literatura, a fin de identificar la composición de las herramientas de rastreo utilizadas en las demás áreas de la salud, y los principales eventos adversos encontrados en odontología; (ii) para validar los marcadores preliminarmente construidos se organizó un panel de especialistas, empleando el método Delphi modificado. Se elaboraron catorce marcadores para componer un instrumento con criterios explícitos, con el fin de identificar potenciales eventos adversos en el cuidado odontológico, esenciales para los estudios de revisión retrospectiva de registros médicos. Las investigaciones relacionadas con la seguridad del paciente en odontología todavía son bastante incipientes, en relación con las demás áreas de salud. Este trabajo pretendió contribuir a la investigación en ese campo. El aporte de la literatura y la ayuda de la pericia del panel de especialistas permitieron la elaboración de un conjunto de marcadores para la detección de eventos adversos odontológicos, sin embargo, se necesitan estudios adicionales para probar la validez del instrumento

Proposal of a trigger tool to assess adverse events in dental care

<p></p><p>Abstract: The aim of this study was to propose a trigger tool for research of adverse events in outpatient dentistry in Brazil. The tool was elaborated in two stages: (i) to build a preliminary set of triggers, a literature review was conducted to identify the composition of trigger tools used in other areas of health and the principal adverse events found in dentistry; (ii) to validate the preliminarily constructed triggers a panel of experts was organized using the modified Delphi method. Fourteen triggers were elaborated in a tool with explicit criteria to identify potential adverse events in dental care, essential for retrospective patient chart reviews. Studies on patient safety in dental care are still incipient when compared to other areas of health care. This study intended to contribute to the research in this field. The contribution by the literature and guidance from the expert panel allowed elaborating a set of triggers to detect adverse events in dental care, but additional studies are needed to test the instrument’s validity.</p><p></p