Analysis of Adverse Events in the Provision of Surgical Care in Dental Organizations
https://doi.org/10.47619/2713-2617.zm.2025.v.6i4-1;58-68
Abstract
Introduction. Patient safety is a critical issue in dentistry. Adverse events can harm patients, increase costs, and reduce satisfaction. Understanding their types and frequency is essential for effective risk management and quality improvement.
Objective. The aim of this research is to analyze the current situation regarding adverse events in the provision of surgical care within dental organizations.
Materials and methods. A survey was conducted among medical personnel providing surgical dental care.
Results and discussion. The study of adverse events in surgical dental care revealed that the main causes include complex clinical cases, patient anatomical features, psychological discomfort, human factors, and lack of patient information. To minimize risks, survey participants proposed implementing checklists, improving technical equipment, enhancing staff qualifications, increasing appointment times, and strengthening communication with patients. It was also noted that about one-third of medical institutions already use a system for tracking adverse events, based on incident documentation and regular cause analysis.
Conclusion. A systemic approach to managing the quality and safety of dental care is emphasized as crucial for reducing the number of adverse events and increasing patient trust in healthcare.
Supporting agencies: the authors received no financial support for the research
About the Authors
A. A. Khaniev
https://prodoctorov.ru/moskva/vrach/882857-haniev/
Expertise and Quality Control Center of Medical Care, Ministry of Healthcare of the Russian Federation; I.M. Sechenov First Moscow State Medical University, Ministry of Healthcare of the Russian Federation (Sechenov University)
Russian Federation
Expertise and Quality Control Center of Medical Care, Ministry of Healthcare of the Russian Federation; I.M. Sechenov First Moscow State Medical University, Ministry of Healthcare of the Russian Federation (Sechenov University)
Russian Federation
Anzor A. Khaniev – Dentist, Leading Specialist at the Center for Medical Expertise and Quality Control of the RM of Health, Postgraduate Student at the Department of the Higher School of Healthcare Management, Institute of Leadership and Healthcare Management, I.M. Sechenov First Moscow State Medical University, Ministry of Healthcare of the Russian Federation (Sechenov University).
109028, Moscow, Pokrovsky Boulevard, 6/20, bldg. 2; 119048, Moscow, Trubetskaya Street, 8, bldg. 2
Yu. S. Kozlova
I.M. Sechenov First Moscow State Medical University, Ministry of Healthcare of the Russian Federation (Sechenov University); State Research Center of the Russian Federation – A.I. Burnazyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Yuliya S. Kozlova – Cand. of Medical Sciences, Dentist, Assistant at the Department of Pediatric, Preventive Dentistry and Orthodontics, E.V. Borovsky Institute of Dentistry, I.M. Sechenov First MSMU (Sechenov University); Associate Professor at the Department of Dentistry, A.I. Burnazyan Federal Medical Biophysical Center’s Medical and Biological University of Innovations and Continuous Education of the Federal Medical-Biological Agency of Russia.
119048, Moscow, Trubetskaya Street, 8, bldg. 2; 123098, Moscow, Marshal Novikova Street, 23
R. V. Gostischev
N.I. Pirogov City Clinical Hospital No. 1, Moscow Department of Healthcare
Russian Federation
Russian Federation
Roman V. Gostischev – Cand. of Medical Sciences, Deputy Chief Physician for Organizational and Methodological Work at the Pirogov City CH No. 1, Associate Professor at the Department of Healthcare Organization and Public Health with a Course on Healthcare Technology Assessment at the Russian Medical Academy of Continuing Professional Education.
119049, Moscow, Leninsky Prospekt, 8
Zh. Kh. Bakhova
Center for Public Health, Medical Prevention, Medical Analytics and Information Technologies of the Ministry of Healthcare of the Kabardino-Balkarian Republic
Russian Federation
Russian Federation
Zhanna Kh. Bakhova – Dentist, Deputy Director of the State Budgetary Healthcare Institution Center for Public Health, Medical Prevention.
360032, Kabardino-Balkarian Republic, Nalchik, Shogenova Street, 6
References
1. Vikan M., Haugen A.S., Valeberg B.T. et al. Patient safety culture through the lenses of surgical patients: a qualitative study. BMC Health Serv Res. 2025;25:215. https://doi.org/10.1186/s12913-025-12366-9
2. Matytsin N.O., Ivanov I.V., Gabunia N.Yu., Tariverdiev M.L. Usage of The Universal Protocol to ensure surgical safety. Bulletin of Roszdravnadzor. 2021;4:46-51. (In Russ.)
3. Sirivatana K., Pongpanich S. 5-year retrospective analysis of adverse events in dentistry at the Dental Hospital, Faculty of Dentistry, Chulalongkorn University. BMC Oral Health. 2024;24(1):1294. https://doi.org/10.1186/s12903-024-05034-7
4. Gabunia N.Yu., Khaniev A.A., Matytsin N.O. Dental surgical checklist as a tool for improving patient safety. Bulletin of Roszdravnadzor. 2023;1:46-52 (In Russ.)
5. Khaniev A.A. Compilation of a checklist of surgical safety during dental implantation. Russian Bulletin of Dental Implantology. 2024;65(3):8-21 (In Russ.)
6. Shkarin V.V., Sedova N.N., Yarygina E.N., Dronov S.V. Medical Errors in the Practice of an Oral and Maxillofacial Surgeon: a review. Bulletin of Volgograd State Medical University. 2022;19(3):9-13. https://doi.org/10.19163/1994-9480-2022-19-3-9-13 (In Russ.)
7. Makarochkina M.V. Understanding the term "adverse event" as a basis for successful identification and consideration in the implementation of medical activities. Current problems of healthcare and medical statistics. 2023;3:864-876. https://doi.org/10.24412/2312-2935-2023-3-864-876 (In Russ.)
8. Ludupova E.Y. Medical errors: a literary review. Bulletin of Roszdravnadzor. 2016;2:6-15. (In Russ.)
9. Lesnichenko A.M. Medical error. Issues of science and education. 2018;13(25):66-78. (In Russ.)
10. Dulich L.M., Vakhmistrov V.P. The constitutional right to life and the problems of medical errors. Bulletin of the St. Petersburg Law Academy. 2024;1(62):31-38. (In Russ.)
11. Maramaldi P., Valji M.F., White J. et al. How dental team members describe adverse events. J Am Dent Assoc. 2016;147(10):803-811. https://doi.org/10.1016/j.adaj.2016.04.015
12. dos Santos F.P.F.R., do Nascimento D.D.G., Cunha I.P. Assessment of adverse events and patient safety culture in dental practice: cross-sectional study. Rev Odontol UNESP. 2024;53:e20240010. https://doi.org/10.1590/1807-2577.01024
13. Kalenderian E., Obadan-Udo E., Maramaldi P. et al. Classifying Adverse Events in the Dental Office. J Patient Saf. 2021;17(6):e540-e556. https://doi.org/10.1097/PTS.00000000000000407
14. Tokede O., Walji M., Ramoni R. et al. Quantifying Dental Office-Originating Adverse Events: The Dental Practice Study Methods. J Patient Saf. 2021;17(8):e1080-e1087. https://doi.org/10.1097/PTS.0000000000000444
15. Ensaldo-Carrasco E., Suarez-Ortegon M.F., Carson-Stevens A. et al. Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. J Patient Saf. 2021;17(5):381-391. https://doi.org/10.1097/PTS.00000000000000316
16. Obadan E.M., Ramoni R.B., Kalenderian E. Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146(5):318-326.e2. https://doi.org/10.1016/j.adaj.2015.01.003
Supplementary files
Review
For citations:
Khaniev A.A., Kozlova Yu.S., Gostischev R.V., Bakhova Zh.Kh. Analysis of Adverse Events in the Provision of Surgical Care in Dental Organizations. City Healthcare. 2025;6(4-1):58-68. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2025.v.6i4-1;58-68
Views:
52
Email this article 