Study on prevention of incidents of trainee dentists using psychological tests

为预防实习牙医的医疗事故，对2003年和2004年毕业的107名（41名男性和66名女性）二级实习牙医的实际医疗事故进行了调查。调查时间为2003年和2004年。1）实习牙医年度医疗事故统计表2003年有19%的实习牙医报告发生医疗事故，2004年约有20%的实习牙医报告发生医疗事故。在这些病例中，有6例患者在治疗完成后或在根管治疗过程中感到不适，5例患者在口腔内被切割器械损伤，3例患者被切割器械刺伤，以及其他情况。2003年的近似失误率约为92%，2004年约为68%。从数量上看，有34例发生了杆件的穿脱，33例发生了涡轮机杆件的损坏 关于我们 至于不同时区的意外发生率，在接近治疗结束的时间，即上午11时和下午3时左右，意外发生率最高。没有患者因医疗事故出现后遗症。2）心理特征分析在SDS量表中，约60%的学生在正常范围内，无抑郁倾向，无中度抑郁倾向。至于CMI，约82-86%在正常范围内，没有神经质倾向，没有牙医有IV区。在MAS中，约74- 78%的人没有主观的明显焦虑倾向。在这些倾向中，没有发现有医疗事故的一组和没有医疗事故的另一组之间的差异。在STAI中，特质焦虑在60%左右的被试中处于较高水平，并且在未遂事件的数量上存在显著差异。进一步的研究将是必要的，以了解医疗事故和特质焦虑的关系。少

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