December 2015

Volume 32, Issue 4

Patient safety in domiciliary dental care for elderly nursing home residents in Sweden

Authors: M. Zimmerman O. Sjöström N. Bäckman P. Sjögren
doi: 10.1922/CDH_3659Sjogren05

Abstract

Objective: To analyse patient safety in domiciliary dental care, with data from a quality registry. Design: Retrospective analysis. Clinical setting: Domiciliary dental care, private caregiver, Sweden, 2012-2014. Methods: All reported events in the quality registry at a provider of domiciliary dental care, (2012-05-01 to 2014-06-30) were categorized into 14 domains, and for severity as ‘minor’, ‘moderate’, or ‘serious’ events. The reported events were also independently assessed by an experienced reviewer for national requirements of reporting patient safety related events. Results: The quality registry covered 724 (0.03%) reported events during 218,586 consecutive treatment sessions in domiciliary dental care, including 628,070 registered dental procedures. Fifty (6.9%) of the reported events were patient safety related, of which 11 (1.5%) events were reportedly of minor severity, 20 (2.8%) as moderate, and 19 (2.6%) as serious. For all degrees of severity, the most frequently reported events were related to problems with patient identity control (3.3%). None of the events required reporting to national authorities. Conclusions: Domiciliary dental care has a low frequency of patient safety related events (0.03% of all treatments). Identity controls need to be emphasised in nursing homes or where individuals are dependent on the care of others. Key words: aged, dentistry, domiciliary care, geriatric dentistry, patient safety, nursing homes, Sweden

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Editorial - Local Dental Networks: Trendy or Transformational? 194-195 Download
The feasibility of using an alcohol screening tool in a UK dental setting to identify patients’ alcohol consumption 196-198 Download
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Is the value of oral health related to culture and environment, or function and aesthetics? 204-208 Download
Time trends and determinants of acute odontogenic maxillofacial infections in Lithuania: a retrospective national 2009-2013 treatment data audit 209-215 Download
Patient safety in domiciliary dental care for elderly nursing home residents in Sweden 216-220 Download
Dental anxiety and oral health in 15-year-olds: a repeated cross-sectional study over 30 years 221-225 Download
Development and evaluation of a Dental Patient Feedback on Consultation skills (DPFC) measure to enhance communication 226-230 Download
Listening to older adults: community consultation on a new dental service 231-236 Download
A retrospective audit of population service access trends for cleft lip and cleft palate patients 237-240 Download
Perceived mental stress in relation to oral health over time in middle-aged Swedish women 241-246 Download
Dental utilization disparities in a Jewish context: reasons and potential solutions 247-251 Download
Caregiver financial distress, depressive symptoms and limited social capital as barriers to children’s dental care in a midwestern county in the United States 252-256 Download

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