Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.01024
Revista de Odontologia da UNESP
Original Article

Assessment of adverse events and patient safety culture in dental practice: cross-sectional study

Eventos adversos e cultura de segurança do paciente na prática odontológica: estudo transversal

Fabrícia Paola Fernandes Ribeiro DOS SANTOS; Débora Dupas Gonçalves DO NASCIMENTO; Inara Pereira da CUNHA

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Abstract

Introduction: Adverse events (AE) are injuries or harm not related to the natural progression of the disease but that result in harm to patients. In healthcare institutions, the adoption of a patient safety culture can reduce the occurrence of AE.

Objective: To identify the frequency of AE reported by dentists in primary dental care and analyze the dimensions of patient safety culture (PSC) associated with this outcome.

Material and method: This cross-sectional study was conducted in two Brazilian states in 2021. A total of 350 dentists working in primary dental care participated in the study. The outcome (AE) was measured using a semi-structured questionnaire, which was tested through a pilot study. Independent variables were collected through sociodemographic questionnaires and the validated Medical Office Survey on Patient Safety Culture instrument, which measures dimensions of PSC. Poisson regression analysis was used.

Result: The most reported event was: "The patient required an urgent return visit due to pain, swelling, or other reasons" after a clinical intervention (60.6%). The dimensions of PSC related to AE were "Overall perception of patient safety and quality" (PR: 0.86, 95% CI: 0.76-0.89), "Work processes and standardization" (PR: 0.86, 95% CI: 0.78-0.92), and "Teamwork" (PR: 1.11, 95% CI: 1.03-1.73).

Conclusion: Adverse events are frequent in primary dental care practice and are associated with dimensions of patient safety culture. This reinforces the need to expand knowledge about this topic and implement barriers to prevent harm to patients during dental care at this level of health care.

Keywords

Near Miss; Patient safety; Primary Health Care; Dentistry

Resumo

Introdução: Eventos adversos (EA) são lesões ou danos não associados à evolução natural da doença, mas que resultam em prejuízos aos pacientes. Em instituições de saúde, a adoção de uma cultura de segurança do paciente pode reduzir a ocorrência de EA.

Objetivo: Analisar a associação entre a ocorrência de EA percebidos pelos cirurgiões-dentistas com as dimensões da cultura de segurança do paciente (CSP).

Material e método: Trata-se de um estudo transversal, conduzido no estado do Mato Grosso do Sul e no Distrito Federal, no ano de 2021. O desfecho (EA) foi mensurado por meio de um questionário autoaplicável, on-line, para 350 cirurgiões-dentistas, inseridos na Atenção Primária à Saúde (APS). As variáveis independentes foram coletadas via questionário sociodemográficas e pelo instrumento Medical Office Survey on Patient Safety Culture, validado no Brasil que mensura as dimensões da CSP. Utilizou-se análise de regressão de Poisson.

Resultado: O evento mais relatado foi: “O paciente necessitou de retorno para atendimento de urgência seja por dor e/ou edema ou outro motivo”, após uma intervenção clínica (60,6%). A “Percepção geral da segurança do paciente e qualidade” (PR: 0,86; IC:95%: 0,76-0,89), o “Processo de trabalho e padronização” (PR: 0,86; IC95%: 0,78-0,92) e o “Trabalho em equipe” (PT:1,11; IC95%: 1,03-1,73), foram as dimensões da CSP relacionadas ao EA.

Conclusão: São frequentes os EA na prática odontológica da APS, sendo associados às dimensões da CSP. Isso reforça a necessidade de ampliar o conhecimento sobre esta temática, e interpor barreiras que evitem danos aos pacientes durante o cuidado odontológica neste nível de atenção à saúde.

Palavras-chave

Incidente de Segurança do Paciente; Segurança do paciente; Atenção Primária à Saúde; Odontologia

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Submitted date:
06/04/2024

Accepted date:
08/27/2024

6724d733a9539525ce47dc03 rou Articles
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