Perceptions of Patient Safety Culture of Dentistry Students and Dentists in a Faculty of Dentistry

Yıl 2023, Cilt: 8 Sayı: 1, 1 - 16, 24.03.2023

Ayşe Kübra Demir Hatice Ulusoy

Öz

Aim: Recently, the importance of patient safety culture in dentistry has been discussed. This study aims to evaluate the perceptions of dentists and dentistry students about patient safety culture.
Methods: The population of this cross-sectional study consisted of senior lecturers and research assistants (N=109) and 4th and 5th year dentistry students (N=197) at the Faculty of Dentistry Hospital. 107 dentists and 177 students, agreed to voluntarily participate in the study. Data were collected by using Turkish version of the “Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture”. SPSS 22 program was used to evaluate the data.
Results:The mean of the total score of the Scale was found as "moderate" (X=2.81). Overall, "teamwork within units" had the highest average (X=3.16), "frequency of event reported " had the lowest score (X=2.41). Dentists had a higher average than students in all dimensions except for "teamwork across hospital units," "hospital handoffs and transitions," and "staff." 72.1% of dentists and 66.7% of students have not received any courses or training on patient safety issues. Overall, 83.7% of dentists and 92% of students have not reported any medical errors so far. Conclusion:Participants' perceptions of the patient safety culture were “moderate”, that is, the average score of the participants means neither high nor low. It is suggested that hospital managers should establish a more positive patient safety culture.

Anahtar Kelimeler

patient safety culture, dentist, dental students, AHRQ, patient safety culture hospital questionnaire

Kaynakça

• Abuhan, E. (2014). Malpractice in Dentistry. PhD Thesis, Ege University, Faculty of Medicine, Department of Forensic Medicine 2014. (Diş Hekimliğinde Malpraktis. Uzmanlık Tezi, Ege Üniversitesi, Tıp Fakültesi Adli Tıp Anabilim Dalı), İzmir (In Turkish).
• Al-Mahalawy, H, El-Mahallawy, Y, El Tantawi, M. (2020). Dentists’ practices and patient safety: A cross-sectional study. Eur J Dent Educ. 24: 381– 389. https://doi.org/10.1111/eje.12513
• AlOlayan R, Alahmad A, Buali D, et al. (2021). Patient safety culture amongst dental students and interns in Dammam, Saudi Arabia. European Journal of Dental Education, 25:175–182. https://doi.org/10.1111/eje.12588
• Alomi, YA., Bukhary, FAB., Khoja, TAM., and Alsinan, RA. (2021). Knowledge of Medication Safety among Dentists in Saudi Arabia, International Journal of Pharmacology and Clinical Sciences, 10,1,28-33.
• AHRQ (2004). Hospital Survey Patient Safety Culture 2.0 https://www.ahrq.gov/sops/surveys/hospital/index.html (Accessed: 02.09.2019).
• Al-Surimi, K., AlAyadi, H. & Salam, M. (2018). Female dental students’ perceptions of patient safety culture: a cross sectional study at a middle eastern setting. BMC Med Educ 18, 301 https://doi.org/10.1186/s12909-018-1415-8
• Al Sweleh FS, Al Saedan AM, Al Dayel OA. (2018). Patient safety culture perceptions in the college of dentistry. Medicine (Baltimore), 97(2):e9570. doi: 10.1097/MD.0000000000009570. PMID: 29480849; PMCID: PMC5943864.
• Bailey, E. & Dungarwalla M. (2021). Developing a patient safety culture in primary dental care Prim Dent J., 10(1):89-95
• Bodur, S., Filiz, E. (2010). Validity and Reliability of Turkish Version of “Hospital Survey on Patient Safety Culture” and Perception of Patient Safety in Public Hospitals in Turkey, BMC Health Services Research, 3-8.
• Black I, Bowie P. (2017). Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 26;222(10):782-788. doi: 10.1038/sj.bdj.2017.456. PMID: 28546608.
• Chohan, P., Renton, T., Wong, J. et al. (2022). Patient safety in dentistry - the bigger picture. Br Dent J 232, 460–469 https://doi.org/10.1038/s41415-022-4095-z
• Çakır A, Tütüncü Ö. (2010). Perception of patient safety in Izmir province hospitals. International Congress on Performance and Quality in Health Proceedings (İzmir ili hastanelerinde hasta güvenliği algısı. Uluslararası Sağlıkta Performans ve Kalite Kongresi Bildiri Kitabı) 2, 189-204. Editör: Harun Kırılmaz. Turunç Matbaacılık, Ankara (in Turkish)
• Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, Cresswell K, Bedi R, Sheikh A. (2021). Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. Journal of Patient Safety, 1;17(5):381-391. doi: 10.1097/PTS.0000000000000316. PMID: 27611771.
• Gündoğdu, S., Bahçeçik, N. (2012). Determining Nurses’ Perception of Patient Safety Culture, Anatolian Journal of Nursing and Health Sciences, 15(2): 119-120 (in Turkish)
• Halıcı, N.T. (1990). Application Errors in Dentistry. Hacettepe University, Faculty of Dentistry, III. Scientific Congress (Diş Hekimliğinde Uygulama Hataları. Hacettepe Üniversitesi, Diş Hekimliği Fakültesi, III. Bilimsel Kongresi) Ankara. (in Turkish)
• Kandemir, S., Ergul, N. (1991). Practice Errors in Dentistry, Journal of the Aegean Faculty of Dentistry (Diş Hekimliğinde Uygulama Hataları, Ege Diş Hekimliği Fakültesi Dergisi) 1991; 12, 163-166
• Kohn, L.T., Corrigan, J.M., Donaldson, M.S. (2000). To Err Is Human: Building A Safer Health System. National Academy Press, Washington, D.C.
• NHS England. Never Events List 2015/16. (2015). https://www.england.nhs.uk/wp-content/uploads/2015/03/never-evnts-list-15-16.pdf (accessed June 2022).
• Obadan EM, Ramoni RB, Kalenderian E. (2015). Lessons learned from dental patient safety case reports. J Am Dent Assoc.;146(5):318-26.e2. doi: 10.1016/j.adaj.2015.01.003. PMID: 25925524; PMCID: PMC4418181.
• Perea-Pérez B, Labajo-González E, Acosta-Gío AE, Yamalik N. (2020). Eleven Basic Procedures/Practices for Dental Patient Safety. J Patient Saf. 16(1):36-40. doi: 10.1097/PTS.0000000000000234. PMID: 26273929.
• Pemberton MN. (2014). Developing patient safety in dentistry. Br Dent J., 217(7):335-337. doi: 10.1038/sj.bdj.2014.856. PMID: 25303579.
• Polisena, J., Gagliardi, A., Urbach, D. et al. (2015) Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. Systematic Reviews, 4, 37. https://doi.org/10.1186/s13643-015-0028-0
• Ramoni R, Walji MF, Tavares A, White J, Tokede O, et al. (2014). Open wide: looking into the safety culture of dental school clinics. Journal of Dental Education, 78: 745-756.
• Rizwan, G., Rizwan, Z., Bhatti, U. A., Muhammad, M., Javed, M., & Rana, F. L. (2021). Hospital Survey On Patient Safety Culture in Dental Hospitals in The Twin Cities, Pakistan. Pakistan Journal of Medical & Health Sciences, 15(10); 3185-3189. https://pjmhsonline.com/2021/october/3185.pdf Sağlık Bakanlığı Ministry of Health, Healthcare Accreditation Standards in Oral and Dental
• Health Centers 2015. (Sağlıkta Akreditasyon Standartları Ağız ve Diş Sağlığı Merkezleri Seti (v.1.1) Pozitif Matbaa, Ankara, ISBN: 978-975-590-503-7 http://tuseb.gov.tr/tuska/yuklemeler/yayin-lar/sas-adsm-seti-2018.pdf. (Accessed: 25.08.2020).
• Sağlık Bakanlığı Ministry of Health, Healthcare Accreditation Standards 2017; (SKS ADSH V. 3) Ankara. URL:https://kalite.saglik. gov.tr/TR,19883/saglikta-kalite-standartlari-sks-adsh-versiyon-3-yayinlandi.html (Accessed 19.10.2019). (
• Suuronen, M., Autti, T. & Lehtonen, L. (2022) Patient safety incidents in dentomaxillofacial imaging: reported adverse events from Hospital District Helsinki and Uusimaa and the City of Helsinki during 2012–2017. Oral Radiol https://doi.org/10.1007/s11282-022-00616-z
• Reis CT, Paiva SG, Sousa P. (2018). The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions. Int J Qual Health Care. 1;30(9):660-677. doi: 10.1093/intqhc/mzy080. PMID: 29788273.
• World Health Organization. (2004). World Alliance For Patient Safety Forward Programme 2005.
• World Health Organization. (2011). Patient safety curriculum guide: Multiprofessional edition. https://www.who.int/patientsafety/education/mp_curriculum_guide/ en/. Accessed: 2020.
• Yamalik N, Perea Pérez B. (2012). Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. Int Dent J. 62(4):189-96. doi: 10.1111/j.1875-595X.2012.00119.x. PMID: 23017000.