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Developing agreement on never events in primary care dentistry: an international eDelphi study

Ensaldo-Carrasco, E., Carson-Stevens, Andrew ORCID:, Cresswell, K., Bedi, R. and Sheikh, A. 2018. Developing agreement on never events in primary care dentistry: an international eDelphi study. British Dental Journal 224 , pp. 733-740. 10.1038/sj.bdj.2018.351

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Introduction: Never events (NEs) are a subset of serious patient safety incidents that should not occur if appropriate preventive measures are implemented. Although there is a consensus in medicine, there is no agreement on NEs in dentistry. Aim: To identify NEs in primary care dentistry. Method: We undertook an electronic Delphi exercise to develop an international agreement on NEs for primary care dentistry. Results: We initially identified candidate NEs through a scoping review of the literature and then analysed dentistry-related reports in a national incident reporting system. Next, we invited an international panel of 41 experts to complete two rounds of questionnaires; 32 agreed to participate (78%) and completed the first round and 29/41 (71%) members completed the second round. We provided anonymised controlled feedback between rounds and used a cut-off of 80% agreement to define consensus. Consensus was achieved for 23 out of 42 candidate NEs. These related to routine assessment, and pre-operative, intra-operative and post-operative stages of dental procedures. Discussion and conclusion: To our knowledge, this is the first international expert consensus-based approach that has identified NEs for primary care dentistry. We suggest that dental regulators consider these to support quality assessment and governance activities.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Springer
Date of First Compliant Deposit: 15 January 2018
Date of Acceptance: 19 December 2017
Last Modified: 04 Nov 2022 08:15

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