Seguridad del Paciente en las Clínicas Odontológicas

La Facultad de Odontología de la UNAM convoca a un Seminario sobre Seguridad del Paciente en Odontología. Mayo 5 y 6, 2016.

OBJETIVO: Orientar a las instituciones educativas y del Sector Salud sobre la introducción de Programas para la Seguridad del Paciente en las Clínicas Odontológicas.

En este Seminario presentaremos

·       Evidencia del daño que ocurre en las clínicas odontológicas.

·       Estrategias para prevenir el daño y mitigar sus efectos.

·       Elementos de una Cultura de Seguridad.

Participarán:

Dr. Bernardo Perea. Director de la Escuela de Medicina Legal y Forense (Universidad Complutense, Madrid) –

Dr. Bunmi Tokede Profesor de la School of Dental Medicine (Harvard University, Boston)

Dr. Enrique Acosta Profesor Facultad de Odontología (UNAM, CDMx)

Congreso Internacional de la Facultad de Odontología, UNAM-AMIC

SEDE: World Trade Center México

http://132.248.76.20/unamamic2016/

Jueves y Viernes		- Viernes	- Viernes

 

PRE-REGISTRO INDISPENSABLE

Informes sobre inscripciones, registro y el evento en general:

Coordinación de Educación Continua y

Extensión Universitaria

Facultad de Odontología, UNAM

Tel. (5255) 5623 2244, 5623-2220

Fax: (5255) 5623 2227

educonfounam@gmail.com

 

 

SEGURIDAD DEL PACIENTE EN LAS CLÍNICAS DE ENSEÑANZA

Enrique Acosta Gío, PhD.

acostag@unam.mx

Entrevistamos a 175 cirujanos dentistas recientemente egresados de 50 facultades o escuelas de odontología en México y otros cuatro países de habla hispana.

Entre los dentistas que participaron en la encuesta, la mayoría declaró que mientras estudiaban odontología causaron Eventos Adversos que lastimaron a sus pacientes (más de un tipo de daño y más de una vez).

Declararon también haber cometido Errores que pusieron en riesgo a sus pacientes (más de un tipo de Error y más de una vez).

Algunos de los eventos adversos más comunes fueron: Cortes, abrasiones y quemaduras al paciente, perforaciones de la furca, fractura de instrumentos en el conducto radicular, mala técnica de anestesia y manejo del dolor, complicaciones en cirugía (fracturas, hemorragia, infección, parestesia..).

Los hallazgos demuestran que – a pesar de la supervisión que ejercen los profesores en las clínicas - un alto porcentaje de estudiantes de odontología lastiman pacientes y cometen errores que ponen a los pacientes en riesgo.

Es probable que la mayoría de los Eventos Adversos y Errores Activos que ocurren diariamente en las clínicas de enseñanza son pasados por alto; así permanecerán sin ser documentados y analizados.

Sin un programa académico sobre Seguridad del Paciente, los mismos Eventos Adversos y Errores Activos, los mismo que las Fallas Latentes se repetirán innecesariamente para lastimar a nuevos pacientes – sin que la escuela o facultad aprenda como prevenirlos.

En cada escuela o facultad de odontología los directivos, administradores, los profesores y el personal adscrito a las clínicas deben tomar conciencia de que el daño a los pacientes es inaceptable y que deben esforzarse por crear una Cultura de Seguridad en la Enseñanza Odontológica.

Dr. Enrique Acosta Gío

Eventos Adversos cometidos por 175 dentistas (50 escuelas o facultades) mientras estudiaban la licenciatura (encuesta propedéutico 2016)
	n	%
Daño o inflamación a tejidos blandos
Lastimé el labio del paciente mientras le atendía	123	70
Lastimé  al paciente con el instrumental.	120	68
Realicé comunicación pulpar no intencional.	80	45
Sobreobturé los conductos.	63	36
Dejé cemento en el surco gingival.	56	32
Provoqué una pulpitis por una mala irrigación durante la preparación dental.	23	13
Dañé el piso de la boca por uso inapropiado de instrumentos	19	10
Causé quemaduras en algún paciente	19	10
Realicé  comunicación oro- antral en una extracción	10	0.5
Daño a tejidos duros
Fracturé  una lima dentro del conducto radicular.	56	32
Perforé la furca al realizar una endodoncia.	31	17
Fracturé la tabla ósea durante la extracción	25	14.2
En la cirugía dañé la raíz del diente adyacente	6	0.4
Infección
Mi paciente desarrolló infección del sitio quirúrgico.	43	24
Paciente equivocado / procedimiento equivocado / sitio equivocado.
Realicé un tratamiento inadecuado por un mal diagnóstico	35	20
Anestesié el cuadrante equivocado.	12	6
Traté el diente equivocado.	6	3.4
Extraje  el diente equivocado.	2	1
Hemorragia
Provoqué hematoma postquirúrgico	34	19.4
Mi paciente presentó sangrado que no pude controlar	15	8.5
Lesión al nervio
Lesioné el paquete vásculo-nervioso durante la cirugía.	13	0.7
Hice extracción que resultó en parestesia	12	0.6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROYECTO DE NORMA OFICIAL MEXICANA PROY-NOM-013-SSA2-2014. PARA LA PREVENCIÓN Y CONTROL DE ENFERMEDADES BUCALES

5. Disposiciones generales

5.1. Para el ejercicio de la estomatología se debe contar con título y cédula profesional y cumplir con los

requisitos que establecen la Ley General de Salud, la Ley Reglamentaria del artículo 5o. Constitucional,

relativo al ejercicio de las profesiones en el Distrito Federal y las demás disposiciones aplicables.

5.2. Las/los alumnas/os en formación en las instituciones de educación superior podrán realizar

actividades educativo preventivas, diagnóstico, pronóstico y actividades derivadas del plan de tratamiento,

rehabilitación y control de enfermedades bucales bajo la estricta supervisión de la/el estomatóloga/o docente.

5.3. Las/los pasantes en servicio social podrán realizar actividades educativas preventivas, diagnóstico,

pronóstico y actividades derivadas del plan de tratamiento, rehabilitación y control de enfermedades bucales

bajo la supervisión de una/un estomatóloga/o, conforme a la normativa institucional correspondiente.

ADA News - What STDs Look Like In Your Mouth

 

April is STD Awareness Month. Did you know 20 million people are diagnosed each year with a sexually transmitted disease? With these highly preventable diseases often come symptoms that affect your entire body – including the mouth. Use this visual guide to help educate your patients about STDs and their oral health.

What Sexually Transmitted Diseases Look Like in Your Mouth

Nearly 20 million new cases of sexually transmitted diseases affect people in the United States each year, according to the Centers for Disease Control and Prevention. With these highly preventable diseases often come symptoms that affect your entire body – including your mouth. Not all people who are infected will go on to have symptoms. If a person with a sexually transmitted infection (STI) develops symptoms, they are then considered to have a sexually transmitted disease (STD).

While not all STDs are curable, they are treatable. Your dentist is an important part of your healthcare team. Use this visual guide to learn how these infections can impact your mouth.

Please note: This content is for informational purposes only. Only a dentist, physician or other qualified health care professional can make a diagnosis. To learn more about preventing sexually transmitted diseases, visit CDC.gov.

HPV: Oral Cancer

The human papilloma virus (HPV) is the most common STD in the United States, with 14 million new cases each year. According to the CDC, there are more than 40 types of HPV, but most tend to clear up before causing any serious health problems so many don't know they have it. HPV can affect the mouth and throat, and some high-risk strains are associated with oropharyngeal cancers (oral cancer). Approximately 3,800 cases of HPV-related oral cancer are diagnosed each year.

HPV-positive oral cancers typically develop in the throat at the base of the tongue and near or on the tonsils, making them difficult to detect. Although they are often diagnosed at a later stage, people with HPV-positive cancers have a lower risk of dying or having recurrence than those with HPV-negative cancers. Early diagnosis can happen during routine dental checkups, so be sure to see your dentist regularly.

HPV: Mouth Warts

Low-risk strains of HPV may cause warts or lesions in your mouth or throat. The image above is an example of a deep lesion. Aside from their appearance, they often have no (or very few) symptoms, are painless and non-cancerous. They can reappear from time to time, and your dentist or physician may recommend having them surgically removed.

Herpes

There are two strains of the virus that causes herpes. Currently, there is no cure for either strain. Herpes simplex virus type 1 is most commonly associated withcold sores and other mouth lesions. Herpes simplex virus type 2 is most commonly associated with genital lesions. However, both strains are extremely contagious and can be passed between the genitals and the mouth through saliva and contact with open sores during and right before an outbreak.

During an outbreak, you may see blisters in your mouth. Their appearance varies widely. They could be clear, pink, red, yellow or gray. When they pop, you may feel pain when you try to swallow or eat. They generally heal within 7-10 days, and your dentist can prescribe medicine to reduce the pain.

Symptoms of herpes can also include fever and fatigue. Be sure to talk to your physician about the best way for you to manage the disease.

Syphilis

Syphilis has been on the rise since 2005. 19,999 cases were reported in 2014, a 5.1% increase over the 17,375 cases reported in 2013.

During the first stage of infection, syphilis may appear as sores, known as chancres, on your lips, the tip of your tongue, your gums or at the back of your mouth near your tonsils. They start as small red patches and grow into larger, open sores that can be red, yellow or gray in color. These are very contagious and  often painful. If untreated, the sores may go away, but you still have syphilis and can infect others.

Syphilis is a bacterial infection that is actually very treatable in its early stages. Your dentist can do a biopsy to confirm a diagnosis. If positive, you would be referred to your primary care physician for more testing and treatment. But it is important to be aware that untreated syphilis can cause long-term damage to your heart and brain.

Gonorrhea

Gonorrhea is a bacterial infection that affects mucous membranes, including those in your mouth and throat. As with syphilis, the number of cases of gonorrhea cases has also been increasing. In 2014, 350,062 cases were reported. That's a 15.1% increase over the 333,004 cases reported in 2013.

Gonorrhea can be difficult to detect because its symptoms are often very mild and can go unnoticed. The most common symptoms in your mouth are soreness or burning in your throat. Additional symptoms may include swollen glands and occasionally white spots in your mouth.

Untreated gonorrhea can cause seriously impact your health. A throat culture swab test can diagnose gonorrhea if you have symptoms in your mouth. Discuss any concerns about your mouth or throat with your dentist, and see your physician for further testing and treatment.

More from MouthHealthy

• What 10 common dental issues really look like
• 12 signs you need to see a dentist
• Your questions about going to the dentist, answered

 

programa final del congreso unam amic 2016

Estimados todos envío programa de UNAM-AMIC, recuerden que las becas para alumnos, aspirantes y profesores, se entregarán directamente en el WTC el 5 de mayo, esperamos contar con su asistencia, alumnos y profesores.

saludos

Manual Cochrane

 
http://www.cochrane.es/files/handbookcast/Manual_Cochrane_510.pdf
 
 

18th IAOP – XXV IAOMP 2016 Congress Invite

If you can't view this emailer properly CLICK HERE
	Dear Colleague,       On behalf of the Local Organizing team of the Silver Jubilee (XXV) conference of IAOMP and the 18th IAOP Meeting at Chennai, India, we welcome you to the meeting.       The program is scheduled during 8th – 11th September 2016. More details of the program of can be had from www.iaomp2016.in or www.iaomp2016.com       This time besides conventional means of registration, exclusive online registration is also possible.       The conference brochure can be downloaded HERE. Kindly pass the e-brochure among your friends, students and fellow Oral Pathologists.       If you prefer to get information via WhatsApp,+919894844721 in your phone and send a simple Hi message to get WhatsApp updates about the meeting.