Journal of the American Dental Association最新文献_第3页

An analysis of dental adverse events in the Veterans Health Administration 退伍军人健康管理局牙齿不良事件分析

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.07.017

Erica Lo DMD, MA, Peter D. Mills PhD, MS, Edward E. Yackel DNP, FNP-C

{"title":"An analysis of dental adverse events in the Veterans Health Administration","authors":"Erica Lo DMD, MA, Peter D. Mills PhD, MS, Edward E. Yackel DNP, FNP-C","doi":"10.1016/j.adaj.2025.07.017","DOIUrl":"10.1016/j.adaj.2025.07.017","url":null,"abstract":"<div><h3>Background</h3><div>Information on patient safety in dentistry is limited. Few dentists work in a place with incident reporting, thus, studying safety events is a challenge. The authors analyzed dental adverse events that rose to the level of root cause analyses that occurred in the Veterans Health Administration (VHA). The authors aimed to identify the most common adverse events, their causes, and recommended actions.</div></div><div><h3>Methods</h3><div>The authors searched the VHA national database for reports of dental adverse events from January 1, 2021, through November 18, 2024. Reports were included if they occurred in the dental clinic, operating room, or care facility and were related to a procedure or dental prosthesis. There were 42 eligible reports. The authors developed a codebook to qualitatively analyze the root cause analyses according to the event types that emerged thematically.</div></div><div><h3>Results</h3><div>The most frequently occurring safety incident was wrong-site surgery (40.48%), followed by ingestion (19.05%) and the use of inadequately sterilized equipment (7.14%). Lack of policy was the most common cause of adverse events and the action most recommended was to develop or review a protocol.</div></div><div><h3>Conclusions</h3><div>An analysis in the VHA revealed the most frequent adverse event was wrong-site surgery. Additional studies in the general public are recommended to compare findings.</div></div><div><h3>Practical Implications</h3><div>The authors provide insight into the nature of adverse events, although there are limitations to this study because reporting remains voluntary. The findings should encourage discourse on how dental offices can seek to improve patient safety and safety culture.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 851-861.e2"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What are the ethical considerations when selling dental products in the office? 在办公室销售牙科产品时，有哪些道德考虑？

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.06.006

Karen D. Foster DDS

引用次数: 0

Testing for Diabetes Safely 检测糖尿病的安全性

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.06.016

Thomas R. Osborn DDS

引用次数: 0

Convenience vs Conservation 方便与环保

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.05.019

Steven A. Saxe DDS, Daniel L. Orr II DDS, MS, PhD, JD, MD

引用次数: 0

Obstructive Sleep Apnea Education 阻塞性睡眠呼吸暂停教育

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.06.013

Kevin Postol DDS, Michelle Cantwell DMD, Paul Jacobs DDS, Mitchell Levine DMD, MS

引用次数: 0

Association Directory 协会目录

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/S0002-8177(25)00506-9

引用次数: 0

Intimate partner violence 亲密伴侣暴力：现在是提高牙科保健提供者意识和实施广泛筛查的时候了。

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.07.003

Margaret Elizabeth Junkin BS, Katherine France DMD, MBE

引用次数: 0

Authors’ Response 作者的回应

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.06.014

Isabel Moreno-Hay DDS, PhD, Steven Bender DDS, Aurelio Alonso DDS, PhD, Larry Lockerman DDS, Sherwin Arman DMD, MPH, Mariona Mulet Pradera DDS, MS

引用次数: 0

Comparative analysis of dental screening programs for patients awaiting head and neck radiation therapy 等待头颈部放射治疗患者牙科筛查方案的比较分析。

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.07.009

Aya Erquizi BS, Noah Kalman MD, MBA, Anshul Saxena BDS, PhD, Alessandro Villa DDS, PhD, MPH

{"title":"Comparative analysis of dental screening programs for patients awaiting head and neck radiation therapy","authors":"Aya Erquizi BS, Noah Kalman MD, MBA, Anshul Saxena BDS, PhD, Alessandro Villa DDS, PhD, MPH","doi":"10.1016/j.adaj.2025.07.009","DOIUrl":"10.1016/j.adaj.2025.07.009","url":null,"abstract":"<div><h3>Background</h3><div>It is recommended that patients awaiting radiation therapy (RT) for head and neck cancer (HNC) undergo a dental evaluation and receive dental clearance to minimize complications. The authors aimed to compare the time from RT consultation to dental clearance across 3 dental screening programs to inform protocol improvements for patients awaiting RT for HNC.</div></div><div><h3>Methods</h3><div>This retrospective study included patients with HNC awaiting RT who participated in 1 of 3 dental screening programs: (1) in-house dental, (2) community-based (CB) (outside) dental, or (3) mixed (outside dentist with records reviewed by an in-house oral medicine specialist). Data collected included demographic characteristics, dental screenings, interventions, and time to clearance. Descriptive statistics summarized demographic and clinical characteristics. Wilcoxon rank-sum tests and Pearson correlation coefficients evaluated clearance time differences.</div></div><div><h3>Results</h3><div>Among 281 patients, 62 participated in the in-house dental program, 124 in the CB dental program, and 95 in the mixed program. Mean travel distance was greatest for the CB dental program (43.8 miles), followed by the mixed (40.3 miles) and in-house dental (30.9 miles) programs (<em>P</em> = .61). Mean times to clearance were 28.6 days for the in-house dental program, 22.6 days for the CB dental program, and 21.4 days for the mixed program (<em>P</em> = .1959).</div></div><div><h3>Conclusions</h3><div>The mixed program, incorporating an oral medicine review of outside evaluations, had the shortest time to clearance, despite greater travel distances, highlighting the value of hybrid models.</div></div><div><h3>Practical Implications</h3><div>Timely dental screenings before RT for HNC are critical to initiate cancer treatment promptly and minimize the risk of developing secondary oral complications. Integrating oral medicine into the HNC care team ensures rapid, specialized dental treatment, optimizing patient outcomes.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 786-791.e1"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstructive Sleep Apnea Therapy 阻塞性睡眠呼吸暂停治疗

IF 3.5 2区医学

Journal of the American Dental Association Pub Date : 2025-10-01 DOI: 10.1016/j.adaj.2025.06.015

Pouria Farahani DDS, Mohamad Rezaei DDS

引用次数: 0