S. Rajendran BDS Lon MBChB MRCS Eng, A. Rawlins BDS Wales MFDS Glas, L. White MbChD MFDS Eire MbChBFRCS Ed
{"title":"Do we consent to change? An evaluation of oral and maxillofacial outpatient department dentoalveolar consent forms","authors":"S. Rajendran BDS Lon MBChB MRCS Eng, A. Rawlins BDS Wales MFDS Glas, L. White MbChD MFDS Eire MbChBFRCS Ed","doi":"10.1016/j.bjoms.2024.08.010","DOIUrl":"10.1016/j.bjoms.2024.08.010","url":null,"abstract":"<div><div>Obtaining informed consent before performing any dentoalveolar procedure is a professional, ethical, and legal obligation. Prior to this work, in this oral and maxillofacial department, no standardised consent process existed for dentoalveolar procedures. A targeted literature review established localised gold standards for dentoalveolar procedures, and retrospective data from 56 dentoalveolar consent forms over a four-week period assessed baseline compliance with these standards. Data analysis identified that risks of dry socket and trismus were documented in only 7% of cases, and maxillary tuberosity fracture was never documented. Thirty-three per cent of lower third molar cases did not include consent for inferior alveolar nerve injury. Findings were discussed in a departmental audit meeting, and a root cause analysis identified memory failure, repetition fatigue, and varying clinician knowledge and experience, as key drivers. The evidence base and localised gold standards were discussed. A standardised, bilingual, triple-copy dentoalveolar consent form was developed, including predefined indications, additional procedures, and risks, in a tick-box format. This form was presented to the Department of Patient Safety and Quality and gained local approval. Cases completed with the new form will now be evaluated against the localised gold standards, with a mixed-methods feedback survey investigating staff and patient opinions. Local processes for obtaining and documenting valid consent for dentoalveolar treatment were found to be inconsistent and frequently inadequate. Fifteen localised gold standards were set, and a new standardised consent form developed, which will be evaluated for effectiveness and acceptability.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"62 10","pages":"Pages 924-928"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beth O’Brien, Beth O’Brien, Christian Surwald, James Padgett
{"title":"EP029 Spontaneous remission of metastatic squamous cell carcinoma of the parotid- a case report","authors":"Beth O’Brien, Beth O’Brien, Christian Surwald, James Padgett","doi":"10.1016/j.bjoms.2024.10.027","DOIUrl":"10.1016/j.bjoms.2024.10.027","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"62 10","pages":"Page e11"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143099488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nadine Amin, Nadine Amin, Balint Viktor Lovasz, Richard M. Graham
{"title":"EP083 Revolutionising patient care: Nurse-led feedback sparks vital updates to orbital observations chart for post-surgery monitoring of orbital, zygomatic and maxillary fractures","authors":"Nadine Amin, Nadine Amin, Balint Viktor Lovasz, Richard M. Graham","doi":"10.1016/j.bjoms.2024.10.072","DOIUrl":"10.1016/j.bjoms.2024.10.072","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"62 10","pages":"Pages e30-e31"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143099844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EP085 Dog bites and facial fractures: A systematic review of literature and derivations","authors":"Aysana Dallali, Aysana Dallali, Shadaab Mumtaz","doi":"10.1016/j.bjoms.2024.10.074","DOIUrl":"10.1016/j.bjoms.2024.10.074","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"62 10","pages":"Page e31"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EP074 A case series of Neoveil dressing use in OMFS. A UK experience","authors":"Ioanna Dimasi, Ioanna Dimasi, Michail Tsakalidis, Garg Montey","doi":"10.1016/j.bjoms.2024.10.066","DOIUrl":"10.1016/j.bjoms.2024.10.066","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"62 10","pages":"Page e28"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}