The Joint Commission. (2013). Sentinel event policy and procedures. Retrieved from http:// www.jointcommission.org/Sentinel_Event_Policy_and_Procedures/ The Joint Commission. (2014). Sentinel event data summary. Retrieved from http://www. jointcommission.org/sentinel_event_statistics_quarterly/ The Joint Commission. (2017a). About The Joint Commission. Retrieved from http://www. jointcommission.org/about_us/about_the_joint_commission_main.aspx The Joint Commission. (2017b). National patient safety goals. Retrieved from http://www. jointcommission.org/standards_information/npsgs.aspx The Joint Commission. (2017c). 2017 Ambulatory Care National Patient Safety Goals. Retrieved from https://www.jointcommission.org/assets/1/6/2017_NPSG_AHC_ER.pdf U.S. Census Bureau. (2010). New Census Bureau report analyzes nation’s linguistic diversity. Retrieved from https://www.thestreet.com/story/10737782/1/new-census-bureau-report- analyzes-nations-linguistic-diversity.html U.S. Department of Education, National Center for Education Statistics. (2003). National assessment of adult literacy. Retrieved from http://nces.ed.gov/naal/kf_demographics.asp U.S. Department of Health and Human Services (DHHS), Office of Inspector General. (2008). Adverse events in hospitals: State reporting systems. Retrieved from http://oig.hhs.gov/oei/ reports/oei-06-07-00471.pdf U.S. Department of Veterans Affairs, Office of Public and Intergovernmental Affairs. (2009). Medical journal praises VA electronic health record . Retrieved from http://www1.va.gov/ opa/pressrel/pressrelease.cfm?id=1662 U.S. Department of Veterans Affairs. (2014a). VA National Center for Patient Safety. Retrieved from http://www.patientsafety.va.gov 21. According to the HMD report To Err Is Human: Building a Safer Health System, how many deaths annually can be attributed to medical, including dental, errors? a. 11,000 to 36,000 deaths. b. 22,000 to 49,000 deaths. c. 44,000 to 98,000 deaths. d. 88,000 to 198,000 deaths. 22. Approximately what percentage of the American population visits the dentist at least once per year? a. 15%. b. 35%. c. 65%. d. 85%. 23. The majority of the approximately 200,000 dentists in the United States work in: a. Medical centers/hospitals. b. Large group practices. c. Sole proprietorships. d. Partnerships with dental specialists. 24. What term is used to refer to an injury to a patient resulting from poor medical management by a healthcare provider? 25. A dentist’s duty to use that degree of care and skill expected of a reasonably competent dentist with similar training or experience acting in the same or similar circumstances is the American Dental Association’s definition of: a. A sentinel event. b. The standard of care. c. Standard practice. d. An adverse event. 26. A “red rule” is best defined as a procedure that? a. Applies to emergency situations only. b. Should be followed in all but rare and urgent cases. c. May not be used on pediatric patients without parental consent. d. Requires a dentist’s supervision. 27. Inadequate record keeping is a common cause of corrective action by state licensing boards and among the common record keeping errors includes the failure to: a. Adverse event. b. Sentinel event. c. Latent error. d. Inadvertent event. a. Document specific record components such as a treatment plan, health history, informed consent, or informed refusal. b. Properly document communications with patients such as telephone conversations, e-mail correspondence, or text messages. c. Document missed and failed patient appointments. d. Maintain the patient record in ink, rather than pencil.
U.S. Department of Veterans Affairs. (2014b). Root cause analysis. Retrieved from http:// www.patientsafety.va.gov/professionals/onthejob/rca.asp U.S. Food and Drug Administration (FDA). (2007). Medical devices: FDA public health notification: Patient burns from electric dental handpieces. Retrieved from https:// wayback.archive-it.org/7993/20170111190521/http://www.fda.gov/MedicalDevices/Safety/ AlertsandNotices/PublicHealthNotifications/ucm062018.htm U.S. Food and Drug Administration. (2014a). Medical product safety information: Med Watch: The FDA safety information and adverse event reporting program. Retrieved from http://www.fda.gov/Safety/MedWatch/SafetyInformation/default.htm U.S. Food and Drug Administration. (2014b). What we do. http://www.fda.gov/AboutFDA/ WhatWeDo/default.htm Wachter, R. M. (2012). Understanding patient safety (2nd ed.). New York, NY: McGraw-Hill. Waknis, P. P., Deshpande, A. S., & Sabhlok, S. (2011). Accidental injection of sodium hypochlorite instead of local anesthetic in a patient scheduled for endodontic procedure. Journal of Oral Biology and Craniofacial Research, 1 (1), 50-52. Wall, T., Nasseh, K., & Vujicic, M. (2014). U.S. dental spending remains flat through 2012. American Dental Association, Health Policy Institute. Retrieved from http://www.ada.org/~/ media/ADA/Science%20and%20Research/Files/HPRCBrief_0114_1.ashx. Weaver, J. M. (2007). Calculating the maximum recommended dose of local anesthetic . Journal of the California Dental Association, 35 (1), 61-63.
Welch, W. P., Cuellar, A. E., Stearns, S. C., & Bindman, A. B. (2013). Proportion of physicians in large group practices continued to grow in 2009-11. Health Affairs (Millwood), 32 (9), 1659-1666. PROTECTING PATIENT SAFETY IN THE DENTAL OFFICE: PREVENTING MEDICAL/DENTAL ERRORS Final Examination Questions Select the best answer for each question complete your test online at EliteLearning.com/Book
28. In providing guidelines on proper charting methods, it is recommended that all patient chart entries be: a. Subjective in nature and present only the facts related to patient care. b. Completed as soon as possible following the patient care, with no blank lines remaining to fill in later. c. Initialed, signed, and dated in legible handwriting, using a pencil that shows up well on a copier. d. Made with correction fluid to completely obliterate the entry, which is then written over. 29. What is a key to avoiding a malpractice charge? a. If something goes wrong with the treatment, do not disclose the situation to the patient. b. Delegate as many duties as possible to your auxiliaries. c. Maintain good communication with patients. d. Never treat patients who have medical conditions. 30. Which of the following circumstances is most likely to be the cause of a wrong-site extraction? a. Cognitive failure and miscommunication. b. The oral surgeon’s haste and fatigue. c. Fully erupted teeth mimicking third molars. d. The presence of a single carious tooth. 31. To improve diagnostic thinking, clinicians need to reduce their reliance on: a. Algorithms. b. Memory. c. Checklists. d. Clinical decision support systems. 32. The majority of dental healthcare providers practicing in the United States are: a. Endodontists. b. Orthodontists. c. Oral surgeons. d. General practitioners. 33. Among specialists, the largest number of malpractice claims was filed against: a. Pathologists. b. Pedodontists. c. Endodontists. d. Periodontists. 34. The most common reason that general practitioners refer their patients to specialists is that: a. They feel they cannot perform a procedure at the level of a specialist. b. The patient does not have the financial means to pay for the procedure. c. The patient’s insurance is not accepted at the general practitioner’s office. d. There is a personality conflict between the general practitioner and the patient.
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