Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Ensuring Patient Safety in Pediatric Dental Care

  • Daewoo Lee (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
  • Received : 2024.04.27
  • Accepted : 2024.05.14
  • Published : 2024.05.31
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Abstract

This review aims to examine safety concerns in pediatric dental care and underscore the need for comprehensive patient safety initiatives within the Korean Academy of Pediatric Dentistry. Drawing insights from the prevailing patient safety policies of the American Academy of Pediatric Dentistry, case reports, and systematic reviews, this review elucidates issues such as dental fires during sedation, ocular complications from local anesthesia, and surgical emphysema. This review highlights the significance of safety toolkits encompassing infection control, medical error reduction, dental unit waterline infection, and nitrous oxide safety in pediatric dental settings, underscoring the need to foster a safety culture. Furthermore, this study explores the curriculum for pediatric dentistry residency programs, emphasizing concepts such as high-reliability organizations and mortality and morbidity conferences. The study suggests the need for initiatives to enhance patient safety, including establishing safety committees, expanding reporting systems, policy development, and supporting research related to patient safety. In conclusion, this study underlines key messages, emphasizing the utmost priority of patient safety, acknowledging the inevitability of human error, promoting effective communication, and cultivating a patient safety culture. These principles are vital for advancing patient safety in pediatric dental care and improving outcomes among pediatric patients.

Keywords

References

  1. Miles SH : The Hippocratic Oath and the ethics of medicine. Oxford University Press, Oxford, 2005. 
  2. Kohn LT, Corrigan JM, Donaldson MS : To err is human: building a safer health system. National Academies Press, Washington, 2000. 
  3. Kang S, Ho TTT, Lee NJ : Comparative studies on patient safety culture to strengthen health systems among Southeast Asian countries. Front Public Health, 8:600216, 2021. 
  4. Lawati MHA, Dennis S, Short SD, Abdulhadi NN : Patient safety and safety culture in primary health care: a systematic review. BMC Fam Pract, 19:104, 2018. 
  5. Korean Society for Quality in Healthcare : Patient Safety Act, Changing the Culture. Available from URL: http://www.kosqua.net/upload_hi/ext/library2/20170102093053.5410.8.0.pdf (Accessed on April 13, 2024). 
  6. Ministry of Health and Welfare : The First Comprehensive Patient Safety Plan (2018-2022). Available from URL: https://www.mohw.go.kr/board.es-?mid=a10401000000&bid=0008&tag=&act=view&list_no=344873 (Accessed on April 13, 2024). 
  7. Choi EY, Pyo J, Park YK, Ock M, Kim S : Development of the Korean Patient Safety Incidents Code Classification System. J Patient Saf, 19:8-14,
  8. American Associate of Pediatric Dentistry : Policy on Patient Safety. Available from URL: https://www.aapd.org/research/oral-health-policies--recommendations/patient-safety (Accessed on April 13, 2024). 
  9. American Associate of Pediatric Dentistry : Safety Toolkit. Available from URL: https://www.aapd.org/resources/member/safety-toolkit (Accessed on April 13, 2024). 
  10. American Associate of Pediatric Dentistry : Safety in Pediatric Dental Care: Curriculum for Pediatric Dentistry Residency Programs. Available from URL: https://www.aapd.org/research/safety-in-pediatric-dental-care-curriculum-for-pediatric-dentistry-residency-program (Accessed on April 13, 2024). 
  11. Korean Academy of Pediatric Dentistry : Pediatric Dental Sedation Guideline. Available from URL: https://www.kapd.org/board/bbs/board.php?bo_table=jaryosil&wr_id=3 (Accessed on April 13, 2024). 
  12. Korean Academy of Pediatric Dentistry : KAPD Clinical Guideline. Available from URL: https://www.kapd.org/board/bbs/board.php?bo_table=jaryosil&wr_id=4 (Accessed on April 13, 2024). 
  13. Ministry of Health and Welfare : Healthcare Facility Accreditation System. Available from URL: https://www.mohw.go.kr/menu.es?mid=a10702030200 (Accessed on April 13, 2024). 
  14. Korea Patient Safety Reporting & Learning System. Available from URL: https://www.kops.or.kr/portal/main.do (Accessed on April 13, 2024). 
  15. Korea Patient Safety Reporting & Learning System: Patient Safety Alert. Available from URL: https://www.koiha-kops.org/board/patientSafetyAlert/boardList.do (Accessed on April 13, 2024). 
  16. Ministry of Health and Welfare : The Second Comprehensive Patient Safety Plan (2023-2027). Available from URL: https://www.mohw.go.kr/board.es-?mid=a10401000000&bid=0008&act=view&list_no=1479526&tag=&nPage=1 (Accessed on April 13, 2024). 
  17. Ministry of Health and Welfare : Standardized Dental Healthcare Facility Infection Control Manual. Available from URL: https://www.mohw.go.kr/board.es-?mid=a10411010100&bid=0019&tag=&act=view&list_no=355159 (Accessed on April 13, 2024). 
  18. VanCleave AM, Jones JE, McGlothlin JD, Saxen MA, Sanders BJ, Walker LA : Factors involved in dental surgery fires: a review of the literature. Anesth Prog, 61:21-25, 2014.  https://doi.org/10.2344/0003-3006-61.1.21
  19. Bosack RC, Bruley ME, VanCleave AM, Weaver JM : Patient fire during dental care: A case report and call for safety. J Am Dent Assoc, 147:661-666, 2016.  https://doi.org/10.1016/j.adaj.2016.03.012
  20. Joshi A, Jain A, Chimote MM : Etiology and Pathophysiological Pathways of Ocular Complications Associated with Local Dental Anesthesia and Odontogenic Infections: A Systematic Review. J Maxillofac Oral Surg, 21:648-667, 2022.  https://doi.org/10.1007/s12663-022-01715-4
  21. Boynes SG, Echeverria Z, Abdulwahab M : Ocular complications associated with local anesthesia administration in dentistry. Dent Clin North Am, 54:677-686, 2010.  https://doi.org/10.1016/j.cden.2010.06.008
  22. Steenen SA, Dubois L, Saeed P, de Lange J : Ophthalmologic complications after intraoral local anesthesia: case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol, 113:E1-5, 2012.  https://doi.org/10.1016/j.tripleo.2011.07.032
  23. Barbeau J : Lawsuit against a dentist related to serious ocular infection possibly linked to water from a dental handpiece. J Can Dent Assoc, 73:618-622, 2007. 
  24. Penarrocha-Diago M, Sanchis-Bielsa JM : Ophthalmologic complications after intraoral local anesthesia with articaine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 90:21-24, 2000.  https://doi.org/10.1067/moe.2000.107506
  25. Jones A, Stagnell S, Renton T, Aggarwal VR, Moore R : Causes of subcutaneous emphysema following dental procedures: a systematic review of cases 1993-2020. Br Dent J, 231:493-500, 2021.  https://doi.org/10.1038/s41415-021-3564-0
  26. Fasoulas A, Boutsioukis C, Lambrianidis T : Subcutaneous emphysema in patients undergoing root canal treatment: a systematic review of the factors affecting its development and management. Int Endod J, 52:1586-1604, 2019.  https://doi.org/10.1111/iej.13183
  27. Gowans K, Patel M, Lewis K : Surgical Emphysema: A Rare Complication of a Simple Surgical Dental Extraction Without the Use of an Air-Driven Rotor. Dent Update, 44:217-218, 220, 2017.  https://doi.org/10.12968/denu.2017.44.3.217
  28. Ricci ML, Fontana S, Pinci F, Fiumana E, Pedna MF, Farolfi P, Sabattini MA, Scaturro M : Pneumonia associated with a dental unit waterline. Lancet, 379:684, 2012. 
  29. Perez-Alfonzo R, Poleo Brito LE, Vergara MS, Ruiz Damasco A, Meneses Rodriguez PL, Kannee Quintero CE, Carrera Martinez C, Rivera-Oliver IA, Da Mata Jardin OJ, Rodriguez-Castillo BA, de Waard JH : Odontogenic cutaneous sinus tracts due to infection with nontuberculous mycobacteria: a report of three cases. BMC Infect Dis, 20:295, 2020. 
  30. Singh J, O'Donnell K, Nieves DJ, Adler-Shohet FC, Arrieta AC, Ashouri N, Ahuja G, Cheung M, Holmes WN, Huoh K, Tran L, Tran MT, Pham N, Zahn M : Invasive Mycobacterium abscessus Outbreak at a Pediatric Dental Clinic. Open Forum Infect Dis, 8:ofab165, 2021. 
  31. Peralta G, Tobin-D'Angelo M, Parham A, Edison L, Lorentzson L, Smith C, Drenzek C : Notes from the field: Mycobacterium abscessus infections among patients of a pediatric dentistry practice - Georgia, 2015. MMWR Morb Mortal Wkly Rep, 65:355-356, 2016.  https://doi.org/10.15585/mmwr.mm6513a5
  32. Lockwood AJ, Yang YF : Nitrous oxide inhalation anaesthesia in the presence of intraocular gas can cause irreversible blindness. Br Dent J, 204:247-248, 2008.  https://doi.org/10.1038/bdj.2008.158
  33. Yang YF, Herbert L, Ruschen H, Cooling RJ : Nitrous oxide anaesthesia in the presence of intraocular gas can cause irreversible blindness. BMJ, 325:532-533, 2002.  https://doi.org/10.1136/bmj.325.7363.532
  34. Hart RH, Vote BJ, Borthwick JH, McGeorge AJ, Worsley DR : Loss of vision caused by expansion of intraocular perfluoropropane (C(3)F(8)) gas during nitrous oxide anesthesia. Am J Ophthalmol, 134:761-763, 2002.  https://doi.org/10.1016/S0002-9394(02)01654-9
  35. Jordi AS, Chavez Mendez MA : Associated factors and types of eye injuries occurring in dentistry practice: systematic review. Rev Cient Odontol, 11:E169, 2023.
  36. Hou R, Zhou H, Hu K, Ding Y, Yang X, Xu G, Xue P, Shan C, Jia S, Ma Y : Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases. Head Face Med, 12:23, 2016. 
  37. Hill EE, Rubel B : A practical review of prevention and management of ingested/aspirated dental items. Gen Dent, 56:691-694, 2008. 
  38. Wochna K, Jurczyk AP, Smedra-Kazmirska A, Berent J : Symptomless aspiration of a dental bur in the lower respiratory tract - a case report. Arch Med Sadowej Kryminol, 63:114-117, 2013.  https://doi.org/10.5114/amsik.2013.46115
  39. Bilder L, Hazan-Molina H, Aizenbud D : Medical emergencies in a dental office: inhalation and ingestion of orthodontic objects. J Am Dent Assoc, 142:45-52, 2011.  https://doi.org/10.14219/jada.archive.2011.0027
  40. Park JH, Owtad P, Milde B : Incident management guidelines for an ingested orthodontic object. Int J Orthod Milwaukee, 24:45-49, 2013. 
  41. D'Ovidio C, Carnevale A, Pantaleone G : A case of accidental aspiration of a dental cutter into the bronchopulmonary tree: clinical implications and legal considerations. Minerva Stomatol, 57:535-547, 2008. 
  42. VanCleave AM, Jones JE, McGlothlin JD, Saxen MA, Sanders BJ, Vinson LA : The effect of intraoral suction on oxygen-enriched surgical environments: a mechanism for reducing the risk of surgical fires. Anesth Prog, 61:155-161, 2014.  https://doi.org/10.2344/0003-3006-61.4.155
  43. Organization for Safety, Asepsis, and Prevention : Journal of Dental Infection Control and Safety. Available from URL: https://www.osap.org/assets/docs/resources/toolkits-topics/dental-unit-water-quality-organization-for-safety-asepsis-and-prevention-white-paper-and-recommendations-2018.pdf (Accessed on April 13, 2024). 
  44. Centers for Disease Control and Prevention : Dental Unit Water Quality. Available from URL: https://www.cdc.gov/oralhealth/infectioncontrol/summary-infection-prevention-practices/dental-unit-water-quality.html (Accessed on April 13, 2024). 
  45. ADA statement on dental unit waterlines. JADA, 127:185-186, 1996.  https://doi.org/10.14219/jada.archive.1996.0167
  46. Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. Pediatr Dent, 40:179-192, 2018. 
  47. American Academy of Pediatric Dentistry : Use of nitrous oxide for pediatric dental patients. The Reference Manual of Pediatric Dentistry. American Academy of Pediatric Dentistry, Chicago, 393-400, 2023. Available from URL: https://www.aapd.org/globalassets/media/policies_guidelines/bp_useofnitrous.pdf (Accessed on April 13, 2024). 
  48. Ashley P, Anand P, Andersson K : Best clinical practice guidance for conscious sedation of children undergoing dental treatment: an EAPD policy document. Eur Arch Paediatr Dent, 22:989-1002, 2021.  https://doi.org/10.1007/s40368-021-00660-z
  49. Obadan EM, Ramoni RB, Kalenderian E : Lessons learned from dental patient safety case reports. J Am Dent Assoc, 146:318-326.E2, 2015.  https://doi.org/10.1016/j.adaj.2015.01.003
  50. Calvo JM, Obadan-Udoh E, Walji M, Kalenderian E : Adverse Events in Pediatric Dentistry: An Exploratory Study. Pediatr Dent, 41:455-467, 2019. 
  51. Nicola W, Ouanounou A, Hashim Nainar SM : Adverse Events in Pediatric Dental Practice: Survey of Pediatric Dentists in the United States. Pediatr Dent, 46:45-54, 2024. 
  52. Kalenderian E, Walji MF, Tavares A, Ramoni RB : An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office. J Am Dent Assoc, 144:808-814, 2013.  https://doi.org/10.14219/jada.archive.2013.0191
  53. Walji MF, Yansane A, Hebballi NB, Ibarra-Noriega AM, Kookal KK, Tungare S, Kent K, McPharlin R, Delattre V, Obadan-Udoh E, Tokede O, White J, Kalenderian E : Finding Dental Harm to Patients through Electronic Health Record-Based Triggers. JDR Clin Trans Res, 5:271-277, 2020.  https://doi.org/10.1177/2380084419892550
  54. Correa C, Mendes W : Proposal of a trigger tool to assess adverse events in dental care. Cad Saude Publica, 33:E00053217, 2017. 
  55. Musy SN, Ausserhofer D, Schwendimann R, Rothen HU, Jeitziner MM, Rutjes AW, Simon M : Trigger Tool-Based Automated Adverse Event Detection in Electronic Health Records: Systematic Review. J Med Internet Res, 20:E198, 2018. 
  56. Eggenschwiler LC, Rutjes AWS, Musy SN, Ausserhofer D, Nielen NM, Schwendimann R, Unbeck M, Simon M : Variation in detected adverse events using trigger tools: A systematic review and meta-analysis. PLoS One, 17:E0273800, 2022. 
  57. Kalenderian E, Obadan-Udoh E, Yansane A, Kent K, Hebballi NB, Delattre V, Kookal KK, Tokede O, White J, Walji MF : Feasibility of Electronic Health Record-Based Triggers in Detecting Dental Adverse Events. Appl Clin Inform, 9:646-653, 2018.  https://doi.org/10.1055/s-0038-1668088
  58. Stockwell DC, Kirkendall E, Muething SE, Kloppenborg E, Vinodrao H, Jacobs BR : Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. J Patient Saf, 9:203-210, 2013.  https://doi.org/10.1097/PTS.0000000000000055
  59. Tokede O, Walji M, Ramoni R, Rindal DB, Worley D, Hebballi N, Kumar K, van Strien C, Chen M, Navat-Pelli S, Liu H, Etolue J, Yansane A, Obadan-Udoh E, Easterday C, Enstad C, Kane S, Rush W, Kalenderian E : Quantifying Dental Office-Originating Adverse Events: The Dental Practice Study Methods. J Patient Saf, 17:E1080-E1087, 2021.  https://doi.org/10.1097/PTS.0000000000000444
  60. Murff HJ, Forster AJ, Peterson JF, Fiskio JM, Heiman HL, Bates DW : Electronically screening discharge summaries for adverse medical events. J Am Med Inform Assoc, 10:339-350, 2003.  https://doi.org/10.1197/jamia.M1201
  61. Hellyer P, Radford DR : An evaluation of defensive dentistry: w(h)ither the profession? Br Dent J , 223:885-888, 2017.  https://doi.org/10.1038/sj.bdj.2017.996
  62. Bradley H, Barratt O, Simms ML, Atkin PA : Inappropriate referrals. Br Dent J, 228:906, 2020. 
  63. Bate R : More defensive dentistry. Br Dent J, 229:637, 2020. 
  64. Hassan AA : Defensive dentistry and the young dentist - this isn't what we signed up for. Br Dent J, 223:757-758, 2017.  https://doi.org/10.1038/sj.bdj.2017.982
  65. Agency for Healthcare Research and Quality : High Reliability. Available from URL: https://psnet.ahrq.gov/primer/high-reliability (Accessed on April 13, 2024). 
  66. Gambashidze N, Hammer A, Wagner A, Rieger MA, Brosterhaus M, Van Vegten A, Manser T : Influence of Gender, Profession, and Managerial Function on Clinicians' Perceptions of Patient Safety Culture: A Cross-National Cross-Sectional Study. J Patient Saf, 17:E280-E287, 2021.  https://doi.org/10.1097/PTS.0000000000000585
  67. Agency for Healthcare Research and Quality : Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. Available from URL: https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2024-user-database-report (Accessed on April 13, 2024). 
  68. Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, Roberts PR, Thomas EJ : The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res, 6:44, 2006. 
  69. Centers for Disease Control and Prevention : Infection Prevention & Control in Dental Settings. Available from URL: https://www.cdc.gov/oralhealth/infectioncontrol/index.html (Accessed on April 13, 2024). 
  70. Centers for Disease Control and Prevention : Infection Prevention Checklist for Dental Settings. Available from URL: https://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care-checklist.pdf (Accessed on April 13, 2024). 
  71. Reason J : Human error. Cambridge university press, New York, 1990. 
  72. Agency for Healthcare Research and Quality : Root Cause Analysis. Available from URL: https://psnet.ahrq.gov/primer/root-cause-analysis (Accessed on April 13, 2024). 
  73. The Joint Commission Sentinel Event Alert : Preventing pediatric medication errors. Available from URL: https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sea-39-ped-med-errors-rev-final-4-14-21.pdf (Accessed on April 13, 2024). 
  74. American Dental Association : Dental Unit Waterlines. Available from URL: https://www.ada.org/resources/ada-library/oral-health-topics/dental-unit-waterlines (Accessed on April 13, 2024). 
  75. Organization for Safety, Asepsis, and Prevention : INFECTION CONTROL CHECKLIST FOR DENTAL SETTINGS USING MOBILE VANS OR PORTABLE DENTAL EQUIPMENT. Available from URL: https://www.osap.org/assets/docs/resources/portable-mobile/portable-mobile-checklist.pdf (Accessed on April 13, 2024). 
  76. Centers of Disease Control and Prevention : Dental Unit Water Quality. Available from URL: https://www.cdc.gov/oralhealth/infectioncontrol/summary-infection-prevention-practices/dental-unit-water-quality.html (Accessed on April 13, 2024). 
  77. Gandhi HA, Olson G, Lee H, Zouaidi K, Yansane A, Walji M, Kalenderian E, Tokede B : Assessing the safety of deep sedation in outpatient pediatric oral health care. J Am Dent Assoc, 154:975-983.E1, 2023. 
  78. Centers for Disease Control and Prevention : WASTE ANESTHETIC GASES. Available from URL: https://www.cdc.gov/niosh/docs/2007-151/pdfs/2007-151.pdf (Accessed on April 13, 2024). 
  79. Messeri A, Amore E, Dugheri S, Bonari A, Pompilio I, Arcangeli G, Rizzo G : Occupational exposure to nitrous oxide during procedural pain control in children: a comparison of different inhalation techniques and scavenging systems. Paediatr Anaesth, 26:919-925, 2016.  https://doi.org/10.1111/pan.12966
  80. Freilich MM, Alexander L, Sandor GK, Judd P : Effectiveness of 2 scavenger mask systems for reducing exposure to nitrous oxide in a hospital-based pediatric dental clinic: a pilot study. J Can Dent Assoc, 73:615, 2007. 
  81. American Associate of Pediatric Dentistry : Updated posters to help manage medical emergencies in the dental practice. Available from URL: https://www.aapd.org/globalassets/media/safety-toolkit/updated-posters-to-help-manage-medical-emergencies-in-the-dental-office.pdf (Accessed on April 13, 2024). 
  82. American Associate of Pediatric Dentistry : Informed Consent. Available from URL: https://www.aapd.org/globalassets/media/policies_guidelines/bp_informedconsent.pdf (Accessed on April 13, 2024). 
  83. American Dental Association : ADA Tip Sheet on Certain Provisions of the HIPAA Privacy Rule. Available from URL: https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/guidelines-for-practice-success/gps-regulatory/hipaa-privacy-rule-tip-sheet.pdf?rev=449d26aec36c44189a9b1ac5c0229017&hash=0AE8504CB7957B3CACC042967E6C5EA5 (Accessed on April 13, 2024). 
  84. American Dental Association : Documentation/Patient Records. Available from URL: https://www.ada.org/resources/practice/practice-management/documentation-patient-records (Accessed on April 13, 2024). 
  85. University of Rochester Medical Center : Toy Safety - Prevention. Available from URL: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=P02999 (Accessed on April 13, 2024). 
  86. UCSF Childcare Health Program : Toy Safety Checklist. Available from URL: https://cchp.ucsf.edu/sites/g/files/tkssra181/f/ToySafetyChecklist.pdf (Accessed on April 13, 2024). 
  87. Duckett SA, Bartman M, Roten RA : Choking. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, Treasure Island, 2024. 
  88. Holida DL : Latex balloons: they can take your breath away. Pediatr Nurs, 19:39-43, 68, 1993. 
  89. Abdel-Rahman HA : Fatal suffocation by rubber balloons in children: mechanism and prevention. Forensic Sci Int, 108:97-105, 2000.  https://doi.org/10.1016/S0379-0738(99)00143-7
  90. Henderson JM : Balloons as a cause of airway obstruction. Am Fam Physician, 40:171-173, 1989. 
  91. Lifschultz BD, Donoghue ER : Deaths due to foreign body aspiration in children: the continuing hazard of toy balloons. J Forensic Sci, 41:247-251, 1996.  https://doi.org/10.1520/JFS15422J
  92. Tarrago SB : Prevention of choking, strangulation, and suffocation in childhood. WMJ , 99:43-46, 42, 2000. 
  93. Binmadi NO, Alblowi JA : Prevalence and policy of occupational violence against oral healthcare workers: systematic review and meta-analysis. BMC Oral Health, 19:279, 2019. 
  94. Korea Dental Association : Violence and Threat Response Manual. Available from URL: https://www.kda.or.kr/kda/kdaNews/kdaNotice/board_read.kda?board_key=37244 (Accessed on April 13, 2024). 
  95. Korea Dental Association : Dental Healthcare Provider Violence Prevention Poster. Available from URL: https://www.kda.or.kr/kda/kdaNews/kdaNotice/board_read.kda?board_key=37268 (Accessed on April 13, 2024). 
  96. Occupational Safety and Health Administration : Preventing Workplace Violence: A Road Map for Healthcare Facilities. Available from URL: https://www.osha.gov/sites/default/files/OSHA3827.pdf (Accessed on April 13, 2024). 
  97. Occupational Safety and Health Administration : Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers. Available from URL: https://www.osha.gov/sites/default/files/publications/osha3148.pdf (Accessed on April 13, 2024). 
  98. American Dental Association : ADA continues response to Change Healthcare cyberattack. Available from URL: https://adanews.ada.org/ada-news/2024/march/ada-continues-response-to-change-healthcare-cyberattack (Accessed on April 13, 2024). 
  99. U.S. Department of Health and Human Services : HHS Statement Regarding the Cyberattack on Change Healthcare. Available from URL: https://www.hhs.gov/about/news/2024/03/05/hhs-statement-regarding-the-cyberattack-on-change-healthcare.html (Accessed on April 13, 2024). 
  100. U.S. Department of Health and Human Services Office for Civil Rights : Cases Currently Under Investigation. Available from URL: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf (Accessed on April 13, 2024). 
  101. Rokhshad R, Zhang P, Mohammad-Rahimi H, Shobeiri P, Schwendicke F : Current Applications of Artificial Intelligence for Pediatric Dentistry: A Systematic Review and Meta-Analysis. Pediatr Dent, 46:27-35, 2024. 
  102. Revilla-Leon M, Gomez-Polo M, Vyas S, Barmak AB, Gallucci GO, Att W, Ozcan M, Krishnamurthy VR : Artificial intelligence models for tooth-supported fixed and removable prosthodontics: A systematic review. J Prosthet Dent, 129:276-292, 2023.  https://doi.org/10.1016/j.prosdent.2021.06.001
  103. de Queiroz Tavares Borges Mesquita G, Vieira WA, Vidigal MTC, Travencolo BAN, Beaini TL, Spin-Neto R, Paranhos LR, de Brito Junior RB : Artificial Intelligence for Detecting Cephalometric Landmarks: A Systematic Review and Meta-analysis. J Digit Imaging, 36:1158-1179, 2023.  https://doi.org/10.1007/s10278-022-00766-w
  104. Rokhshad R, Mohammad-Rahimi H, Price JB, Shoorgashti R, Abbasiparashkouh Z, Esmaeili M, Sarfaraz B, Rokhshad A, Motamedian SR, Soltani P, Schwendicke F : Artificial intelligence for classification and detection of oral mucosa lesions on photographs: a systematic review and meta-analysis. Clin Oral Investig, 28:88, 2024. 
  105. Revilla-Leon M, Gomez-Polo M, Vyas S, Barmak AB, Ozcan M, Att W, Krishnamurthy VR : Artificial intelligence applications in restorative dentistry: A systematic review. J Prosthet Dent, 128:867-875, 2022.  https://doi.org/10.1016/j.prosdent.2021.02.010
  106. Revilla-Leon M, Gomez-Polo M, Vyas S, Barmak BA, Galluci GO, Att W, Krishnamurthy VR : Artificial intelligence applications in implant dentistry: A systematic review. J Prosthet Dent, 129:293-300, 2023.  https://doi.org/10.1016/j.prosdent.2021.05.008
  107. Chen Y, Esmaeilzadeh P : Generative AI in Medical Practice: In-Depth Exploration of Privacy and Security Challenges. J Med Internet Res, 26:E53008, 2024. 
  108. Patcas R, Bornstein MM, Schatzle MA, Timofte R : Artificial intelligence in medico-dental diagnostics of the face: a narrative review of opportunities and challenges. Clin Oral Investig, 26:6871-6879, 2022.  https://doi.org/10.1007/s00784-022-04724-2
  109. Cybersecurity and Infrastructure Security Agency : Cyber Essentials Starter Kit. Available from URL: https://www.cisa.gov/sites/default/files/publications/Cyber%20Essentials%20Starter%20Kit_03.12.2021_508_0.pdf (Accessed on April 13, 2024). 
  110. Boynton JR, Amini H, Claman DB, Hammersmith KJ, Peng J, McDaniel JC, Casamassimo PS : Safety training in US pediatric dentistry advanced education programs: a survey of program directors. Pediatr Dent, 44:198-206, 2022. 
  111. Moon S, Song JS, Shin TJ, Choi S, Yang Y : Survey on Sedation Training for Pediatric Residents in Training Hospitals. J Korean Acad Pediatr Dent, 48:333-343, 2021.  https://doi.org/10.5933/JKAPD.2021.48.3.333
  112. The Joint Commission : 11 Tenets of a Safety Culture. Available from URL: https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sentinel_events_11_tenets_of_a_safety_culture_infographic_2018pdf.pdf (Accessed on April 13, 2024). 
  113. The Joint Commission : Sentinel Alert Event: The essential role of leadership in developing a safety culture. Available from URL: https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sea-57-safety-culture-and-leadership-final2.pdf (Accessed on April 13, 2024). 
  114. Muller M, Jurgens J, Redaelli M, Klingberg K, Hautz WE, Stock S : Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open, 8:E022202, 2018. 
  115. Institute for Healthcare Improvement : SBAR Tool: Situation-Background-Assessment-Recommendation. Available from URL: https://www.ihi.org/resources/tools/sbar-tool-situation-background-assessment-recommendation (Accessed on April 13, 2024). 
  116. Jevon P, Shamsi S, Cornforth S : Devising a protocol for calling 999 from a dental practice and using SBAR to ensure effective communication and handover. Br Dent J, 229:661-666, 2020.  https://doi.org/10.1038/s41415-020-2385-x
  117. Szekendi MK, Barnard C, Creamer J, Noskin GA : Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qual Patient Saf, 36:3-9, 2010.  https://doi.org/10.1016/S1553-7250(10)36001-6
  118. Giesbrecht V, Au S : Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf, 42:516-527, 2016.  https://doi.org/10.1016/S1553-7250(16)42094-5
  119. Indresano AT : The morbidity and mortality conference: a case assessment tool, quality control measure, and teaching method. J Am Coll Dent, 71:23-25, 2004. 
  120. Destino LA, Kahana M, Patel SJ : Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferences. Jt Comm J Qual Patient Saf, 42:99-106, 2016.  https://doi.org/10.1016/S1553-7250(16)42012-X
  121. Esclassan R, Valera MC, Bergia JM, Canceill T, Mendes LC, Bailleul-Forestier I, Gardette V, Vaysse F, Gurgel-Georgelin M, Noirrit E : Morbidity and Mortality Review in a University Dental Hospital: A Necessary Tool to Improve Quality of Care. Eur J Dent, 15:307-311, 2021. https://doi.org/10.1055/s-0040-1719233