Study on prevention of incidents of trainee dentists using psychological tests

利用心理测试预防见习牙医事故的研究

• 批准号: 15592207
• 负责人: SHIMIZU Chie
• 金额: $ 1.34万
• 依托单位: Tokyo Medical and Dental University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592207/
• 关键词: prevention of medical accidents; trainee dentists; medical accidents; near misses; psychological tests; インシデント報告; ストレス; リスクマネジメント

For the purpose of preventing medical accidents by trainee dentists, actual incidents of medical accidents were investigated in 107(41 males and 66 females) second grade trainee dentists who graduated in 2003 and 2004. Investigation term was 2003 and 2004. Their psychological conditions were also analyzed using four types of psychological tests, which included SDS, CMI, MAS, and STAI.1)Annual tabulation of medical accidents by trainee dentistsAccidents were reported by 19% of the trainee dentists in 2003 and about 20% in 2004. In breaking these down, there were six cases of patients who felt unwell after completion of the treatment or during root canal treatment, five cases of damage inside the mouth by a cutting device, three cases of needle sting by a cutting device, as well as others.Near miss was experienced about 92% of the time in 2003 and about 68% in 2004. In the order of the highest in number, there were bar's putting on and off in 34 cases, damage by the turbine bar in 33 cas … More es, and mistakenly swallowing of inlay or crown in 18 cases (multiple answers in each case), just to name a few.As for the incidence of accidents in different time zones, the highest incidence was found at times close to the end of the treatment, around 11:00 am and 3:00 pm. There were no patients who experienced a sequelae due to a medical accident. There were three cases in which the same trainee dentists executed two accidents.2)Analyses of psychological featuresAs for SDS, about 60% were within the normal range without a depressive tendency and there were no dentists with moderate depressive tendency. As for CMI, about 82-86% were within the normal range without a neurotic tendency, and were no dentists with a IV area. In MAS, a subjective manifest anxiety tendency was absent in about 74-78%. No differences in these tendencies were found between one group with medical accidents and another group without them. In STAI, trait anxiety was high in about 60%, and a significant difference was present with the number of near misses. Further studies will be necessary to understand the relationship between medical accidents and trait anxiety. Less

为了预防受训牙医的医疗事故，对107例（41名男性和66名女性）进行了医疗事件的实际事件，他们于2003年和2004年毕业，他们于2003年和2004年进行了毕业。 19％的学员牙医在2003年报告了牙医，2004年约有20％。在分解这些牙科医生时，有六例患者在治疗或根管治疗期间或在根管治疗期间感到不适，五例被切割装置内部造成的损坏，割伤装置在嘴里造成的损坏，三例由削减装置以及其他速度降低的命令。在2003年中，有38％的命令是2003年的2003年，有38％的命中率是2003年的2003年。数字，在34例案例中，酒吧在33个CAS…更多的ES中受到损坏，并在18个案例中错误地吞下了镶嵌或皇冠的吞咽（每种情况下有多个答案），仅举几例，因为在不同时区域中发生的事件中的事件最高，在治疗的最大范围内，在11:00 AM和3:00 AM和3:00 PM左右发现了最高的事件。由于医疗事故，没有患者经历了后遗症。在三种情况下，同一受训牙医执行了两次事故。2）对SDS的心理特征进行分析，大约60％的人在正常范围内没有抑郁趋势，并且没有中等抑郁趋势的牙医。至于CMI，大约82-86％在正常范围内，没有神经性趋势，并且不是具有IV区域的牙医。在MAS中，大约74-78％的主观明显焦虑趋势是不存在的。在一组发生医疗事故的群体和没有他们的另一组群体之间，这些趋势没有发现差异。在Stai中，特质焦虑量大约为60％，而近距离遗漏的数量存在显着差异。要了解医疗事故与特质焦虑之间的关系，需要进一步的研究。较少的

项目成果

Psychological Assessment of Stress in Patients Visiting a Dental Hospital

牙科医院就诊患者压力的心理评估

• 发表时间: 2004
• 期刊: Jpn J Oral Diag/Oral Med. 17(1)
• 作者: Yoshinori Toriyama

Yoshmon Toriyama: "Psychological Assessment of Stress in Patients Visiting a Dental Hospital"Jpn J Oral Diag/Oral Med.. 17(1). 1-13 (2004)

Yoshmon Toriyama：“去牙科医院就诊的患者的压力心理评估”Jpn J Oral Diag/Oral Med.. 17(1)。