Análisis Causa-Raíz Sobre Evento Adverso Producido en la Clínica Odontológica Docente Asistencial, Facultad de Odontología, Universidad de La Frontera, Chile
- Fernando Rivera-Mendoza 1
- Claudia Acevedo-Atala 1
- Bernardo Perea-Pérez 2
- Elena Labajo-González 2
- Gabriel M Fonseca 1
- 1 Universidad de La Frontera Facultad de Odontología Centro Chileno para la Observación y Gestión del Riesgo Sanitario
- 2 Universidad Complutense Facultad de Medicina Escuela de Medicina Legal
ISSN: 0718-381X, 0718-3801
Any de publicació: 2017
Volum: 11
Número: 2
Pàgines: 207-216
Tipus: Article
Altres publicacions en: International Journal of Odontostomatology
Resum
Root cause analysis (RCA) is a retrospective study of adverse events performed to detect the underlying causes of these events to protect patients by modifying the factors within the health system that caused them and preventing their recurrences. Although this paradigm focused on patient safety has seen a significant increase in medical care, dentistry has not been carried out in the same way, probably because of milder injuries, outpatient procedures (with the consequent lack of follow-up of many adverse events) and basically private practices (whose conflicts would potentially affect commercial outcomes). Since there is no precedent in Chile, we present an adverse event produced at the Dental Clinic of the Faculty of Dentistry of the University of La Frontera and its RCA, performed as the first intervention of the Chilean Center for the Observation and Management of Health Risk of that institution. The needs to implement an explicit system of categorization of adverse events in this discipline and to provide support for cultural safety policies for the dental patient are discussed. The role of university institutions in recognizing areas of vulnerability in their clinics and to strengthen and improve the quality of their health practices is also discussed.
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