Advertisement

European Archives of Paediatric Dentistry

, Volume 12, Issue 4, pp 188–194 | Cite as

Common mistakes, negligence and legal offences in paediatric dentistry: a self-report

  • M. AshkenaziEmail author
  • E. Bijaoui
  • S. Blumer
  • M. Gordon
Article

Abstract

AIM: To identify the type and relative prevalence of mistakes, negligence and legal offences (MNLOs) performed or nearly performed by paediatric dentists during their entire career. METHODS: The population consisted of 25 (29.4%) certified and 48 (56.5%) non-certified paediatric dentists, and 12 (14.1%) residents in paediatric dentistry. A structured anonymous questionnaire accessed occupational characteristics and frequencies of MNLOs (0, 1–4, 5–10, >10). RESULTS: The most prevalent MNLOs related to the performance of radiographs: bite-wings with overlapping teeth (90%), overturned film (30%), film over-exposure (48%), faulty film development (84%) and exposure of the same side of film twice (32%). Other MNLOs were drilling an intact tooth (37%), misdiagnosing existing radiographic caries (63%), anaesthetising the wrong tooth (49%), accidental incision of the cheek/lips during treatment (73%), administering an incorrect dose of antibiotic (49%) or analgesics (24%), extracting the wrong tooth (15%), documenting the wrong tooth in the patient’s file (63%), and a child swallowing an instrument (33%) or clasp (15%). Prevalent MNLOs included administering sedation to a child who had not fasted (32%), sedating without monitoring (9%), treating children without receiving signed parental consent (15%) and losing a radiograph (64%). CONCLUSIONS: MNLOs occur commonly during various operative dental treatments. Means to raise awareness and to implement regulations should be addressed to limit these mistakes.

Keywords

Errors prevention care operative treatment anamnesis documentation 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Chang HH, Lee JJ, Cheng SJ et al. Effectiveness of an educational program in reducing the incidence of wrong-site tooth extraction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:288–94.PubMedCrossRefGoogle Scholar
  2. Hancocks, S. A little knowledge. Br Dent J 2003; 195:227–232.PubMedCrossRefGoogle Scholar
  3. Lee JS, Curley AW, Smith RA. Prevention of wrong side tooth extraction: Clinical guidelines. J Oral Maxillofacial Surg 2007; 65:1793–1799.CrossRefGoogle Scholar
  4. McKeown HF, Murray AM, Sandler PJ. How to avoid common errors in clinical photography. J Orthod 2005; 32:43–54.PubMedCrossRefGoogle Scholar
  5. Nysther A. Hansen BF. Errors on dental bite-wing radiographs. Community Dent Oral Epidemiol 1983; 11:286–288.CrossRefGoogle Scholar
  6. Peleg O, Givot N, Halamish-Shani T et al. Wrong tooth extraction: root cause analysis. Quintessence Int. 2010; 41:869–72.PubMedGoogle Scholar
  7. Pierluissi E, Fischer MA, Campbell AR et al. Discussion of medical errors in morbidity and mortality conferences. J Am Med Assoc 2003; 290:2838–2842.CrossRefGoogle Scholar
  8. Prescott LF. Hepatotoxicity of mild analgesics. Br J Clin Pharmacol 1980; 10 (Suppl 2): 373S–379S.PubMedCrossRefGoogle Scholar
  9. Reason J. Human Error. Cambridge, UK: Cambridge University Press, 1990. Analgesic prescribing errors and associated medication characteristics. 2011; 12:29–40.CrossRefGoogle Scholar
  10. Sloan FA, Shadle JH. Is there empirical evidence for “Defensive Medicine”? A reassessment. J Health Econ. 2009; 28:481–91.PubMedCrossRefGoogle Scholar
  11. Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. J Pain. 2011; 12:29–40.PubMedCrossRefGoogle Scholar
  12. Susini G, Pommel L, Camps J. Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endod J. 2007; 40:585–9.PubMedCrossRefGoogle Scholar
  13. Umefjord G, Hamberg, K, Malker H et al. The use of an Internet-based Ask the Doctor Service involving family physicians: evaluation by a web survey. Fam Pract 2006; 23:159–166.PubMedCrossRefGoogle Scholar
  14. Vincent C. Understanding and responding to adverse events. N Engl J Med 2003; 348:1051–1056.PubMedCrossRefGoogle Scholar
  15. Wachter RM. Understanding Patient Safety. New York: McGraw-Hill, 2008.Google Scholar
  16. Wheeler SJ, Wheeler DW. Medication errors in anesthesia and critical care. Anesthesia 2005; 60:257–273.CrossRefGoogle Scholar
  17. Wilson S. A survey of the American Academy of Paediatric Dentistry membership: nitrous oxide and sedation. Pediatr Dent. 1996; 18:287–93.PubMedGoogle Scholar

Copyright information

© European Archives of Paediatric Dentistry 2011

Authors and Affiliations

  • M. Ashkenazi
    • 1
    Email author
  • E. Bijaoui
    • 2
  • S. Blumer
    • 3
  • M. Gordon
    • 4
    • 5
  1. 1.Department of Paediatric DentistryTel Aviv UniversityTel AvivIsrael
  2. 2.Tel AvivIsrael
  3. 3.Department of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental MedicineTel Aviv UniversityTel AvivIsrael
  4. 4.Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental MedicineTel Aviv UniversityTel AvivIsrael
  5. 5.Ministry of HealthHaifaIsrael

Personalised recommendations