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: 17592176
• 负责人: SHIMIZU Chie
• 金额: $ 0.9万
• 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: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592176/
• 关键词: dental resident; accident prevention; psychological tests; 医療事故防止; 歯科研修医; ニアミス; アクシデント; 医療事故

For the purpose of preventing medical accidents by trainee dentists, actual incidents of medical accidents were investigated in 101 (31 males and 70 females) second grade trainee dentists who graduated in 2005 and 2006. Investigation term was 2005 and 2006. 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 26.5% of the trainee dentists in 2005 and about 19.2% in 2006. In breaking these down, there were six cases of damage inside the mouth by a cutting device, four cases of patients who felt unwell after completion of the treatment or during root canal treatment, as well as others. There were no patients who experienced a sequelae due to a medical accident.Near miss was experienced about 69.4% of the time in 2005 and about 75.0% in 2006. In the order of the highest in number, there were bar's putting on and off in 31 cases, damage by the turbine bar in 17 cases (multiple answers in each case), just to name a few.2) Analyses of psychological featuresAs for SDS, about 63.0% were within the normal range without a depressive tendency and there were 4.0% dentists with moderate depressive tendency. As for CMI, about 87.6% were within the normal range without a neurotic tendency and were 2.0% dentists with a IV area. In MAS, a subjective manifest anxiety tendency was absent in about 72.0%. In STAI, trait anxiety was high in about37.9%. The differences were hardly seen between one group with medical accidents and another group without them in four types of psychological tests. The number of subjects was too small to confirm these tendencies, it will therefore be important to accumulate the cases.

为预防实习牙医发生医疗事故，对2005年和2006年毕业的101名二级实习牙医(男31人，女70人)的实际医疗事故进行了调查。调查期为2005年和2006年。采用抑郁自评量表、CMI、MAS和STAI4种心理测试工具对实习牙医的心理状况进行分析。1)实习牙医医疗事故年表2005年为26.5%，2006年为19.2%。在这些细目中，有6例口腔内被切割装置损坏，4例患者在完成治疗后或在根管治疗期间感到不适，以及其他。2005年和2006年分别有69.4%和75.0%的患者发生了险情遗漏。2)心理特征分析：抑郁自评量表中，63.0%的人无抑郁倾向，4.0%的牙医有中度抑郁倾向。对于CMI，约87.6%的人在正常范围内，没有神经质倾向，2.0%的牙医有IV区。在MAS中，约72.0%的患者没有主观明显的焦虑倾向。在STAI中，特质焦虑的比例高达37.9%。在四种类型的心理测试中，有医疗事故的一组和没有医疗事故的另一组之间几乎看不到差异。受试者的数量太少，无法证实这些趋势，因此，重要的是积累案例。

项目成果

研修歯科医のアクシデント防止に関する研究-第2報平成16年度におけるインシデント調査と心理テストとの関係-

见习牙医事故预防研究-第二次报告2004年事故调查与心理测试的关系-

• 发表时间: 2007
• 期刊: 日本口腔診断学会雑誌 Vol.20(1)
• 作者: 清水 チエ;大山 篤;山下 典子;新田 浩;荒木 孝二;俣木 志朗;黒崎 紀正
• 通讯作者: 黒崎 紀正

研修歯科医のアクシデント防止に関する研究-第1報平成15年度におけるインシデント調査と心理テストとの関係-

见习牙医事故预防研究 - 第一份报告：2003年事故调查与心理测试的关系 -

• 发表时间: 2007
• 期刊: 日本口腔診断学会雑誌 vol.20(1)
• 作者: 清水 チエ;大山 篤;山下 典子;新田 浩;荒木 孝二;俣木 志朗;黒崎 紀正
• 通讯作者: 黒崎 紀正

A Study on the Prevention of Accidents by Dental Residents.-The First Report : Survey on Relationship between Incidents and Psychological Tests in 2003-

牙科住院医师预防事故的研究-第一份报告：2003年事故与心理测试关系调查-

• 发表时间: 2007
• 期刊: Jpn J Oral Diag/Oral Med. 20(1)
• 作者: Yamaguchi N.;et al.;Chie Shimizu
• 通讯作者: Chie Shimizu

A Study on the Prevention of Accidents by Dental Residents.-The Second Report : Survey on Relationship between Incidents and Psychological Tests in 2004-

牙科住院医师预防意外事故的研究-第二份报告：2004年事故与心理测试关系调查-

• 发表时间: 2007
• 期刊: Jpn J Oral Diag/Oral Med. 20(1)
• 作者: Martinez Argueta;J.G.;Shiota;S.;Yamaguchi;N.;et al.;Chie Shimizu
• 通讯作者: Chie Shimizu

研修歯科医のアクシデント防止に関する研究 -第一報 平成15年度におけるインシデント調査と心理テストとの関係-

见习牙医事故预防研究 - 2003年第一份报告事故调查与心理测试的关系 -

• 发表时间: 2007
• 期刊: 日本口腔診断学会雑誌 Vol.20(1)
• 作者: 清水チエ;大山篤;山下典子;新田浩;荒木孝二;俣木志朗;黒崎紀正
• 通讯作者: 黒崎紀正