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

为了预防见习牙医的医疗事故，对2003年和2004年毕业的107名（男41名，女66名）二级见习牙医进行了医疗事故的实际发生情况调查，调查期限为2003年和2004年，并采用SDS、CMI、MAS、STAI等四种心理测试对其心理状况进行了分析。 1）见习牙医年度医疗事故统计 牙医 2003 年，19% 的见习牙医报告了事故，2004 年约为 20%。按这些数据统计，有 6 例患者在完成治疗后或在根管治疗期间感到不适，5 例被切割装置造成口腔内损伤，3 例被切割装置刺伤，以及其他情况。2003 年，大约有 92% 的情况发生了未遂事故。 2004 年为 68%。按最高顺序排列 其中，杆件装卸 34 例，涡轮杆损坏 33 例，误吞镶体或牙冠 18 例（每种情况有多个答案）等。从不同时区的事故发生率来看，发生率最高的时间是接近治疗结束时，即上午 11:00 和下午 3:00 左右。无患者因医疗事故造成后遗症。同一实习牙医造成两起事故的案例有3例。2)心理特征分析对于SDS来说,大约60%在正常范围内,没有抑郁倾向,没有中度抑郁倾向的牙医。至于CMI，大约82-86%在正常范围内，没有神经质倾向，并且没有静脉注射区域的牙医。在 MAS 中，大约 74-78% 的人不存在主观明显的焦虑倾向。在发生医疗事故的一组和没有发生医疗事故的另一组之间，没有发现这些趋势存在差异。在 STAI 中，特质焦虑的比例高达 60% 左右，并且与未遂事件的数量存在显着差异。需要进一步的研究来了解医疗事故与特质焦虑之间的关系。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)。