National Dental Patient Safety Incident Survey

My name is Priya Chohan and I am an Oral Surgery Leadership Fellow, based at Northamptonshire NHS Foundation Trust, and I am also working in conjunction with the Central Midlands Local Dental Network. This is a national survey forming one aspect of a project I am undertaking, which focusses on the topic of patient safety incidents in dentistry.

This survey is designed to gain an understanding of your awareness and opinions regarding patient safety incidents. It has been distributed to dentists nationally, and your responses are crucial to current research being undertaken in this field.

The survey responses will be used to:
• Optimise shared learning
• Drive positive change within the profession by creating a ‘just culture’
• Contribute to the development of the new Patient Safety Incident Management System (PSIMS), which will enable all healthcare professionals, including dentists, to record patient safety incidents and promote learning from them

Your responses will be used solely for research and learning.
There is a section where you may voluntarily offer sensitive information regarding specific patient safety incidents. If you choose to answer these questions, your responses will remain strictly anonymous.

The outcomes of the survey will be published and in the event of publication all answers will remain completely anonymous. Providing your details is optional, and if you would like to do so please add your details in the 'final comments' section, or alternatively you may email them to the address at the end of the survey.

This survey should take approximately 10-15 minutes to complete. Once you have submitted your responses, it will not be possible to withdraw consent or retrieve the data submitted as it is completely anonymous. Responses cannot be saved before submission however, once submitted you may return and edit your survey. If you wish to close the survey and return and edit it, you will have to copy the ‘edit response’ link at the end of the survey and save it somewhere to access it again.

I would very much appreciate if you can spare the time to complete this survey, as it is an important opportunity to voice your opinions on this topic.

Thank you in advance for taking time to complete this survey.

Please state which year you gained your primary dental qualification (eg. BDS, DMD etc.). *

Your answer

Please rate how important you believe these reasons for reporting patient safety incidents are. *

Not important at all

Slightly important

Important

Fairly important

Very Important

To learn from and to prevent future incidents

To improve patient care

To support the development of a 'just culture'

To identify systems and process errors

To improve team cohesion

To provide teams with an opportunity to identify problems with current practice

To monitor and potentially alter budgets for hospital trusts/primary care services

To allow patients to choose the safest care facilities

To uphold duty of candour

Not important at all

Slightly important

Important

Fairly important

Very Important

To learn from and to prevent future incidents

To improve patient care

To support the development of a 'just culture'

To identify systems and process errors

To improve team cohesion

To provide teams with an opportunity to identify problems with current practice

To monitor and potentially alter budgets for hospital trusts/primary care services

To allow patients to choose the safest care facilities

To uphold duty of candour

Please detail any other reasons why you feel it is important to report patient safety incidents.

Your answer

Please select which of these terms you are familiar with. *

Patient Safety Incidents, including near misses

Serious Incident

Never Event

I am not aware of these terms

Required

Below is a list of patient safety incident terminology. Which of the following do you think it is currently compulsory to notify to a national organisation/body? *

Patient Safety Incidents, including near misses causing no, low or moderate harm to patients

Serious Incident

Never Event

I do not understand what these terms mean

Required

Are you aware of which incidents are currently listed as Never Events according to NHS Improvement? *

Yes

I am aware of some incidents

Are you aware of what constitutes a Serious Incident according to NHS Improvement? *

Yes

I am aware of some incidents

All Never Events are classed as Serious Incidents? *

True

False

I do not understand the question

Which of the following events/incidents do you believe should be anonymously reportable in order to improve patient care in dentistry? *

Breaking the patient’s jaw

Extracting the wrong adult tooth under LA

Extracting the wrong adult tooth under GA

Extracting the wrong deciduous tooth under LA

Extracting the wrong deciduous tooth under GA

Extrusion of sodium hypochlorite into the tissues beyond the apex of a tooth during root canal treatment

Wrong side block injection

Treating the wrong patient

Injecting the wrong anaesthetic agent

Injuring the patient’s eye, due to the omission of appropriate eye protection

Leaving foreign objects behind in the patient after surgical procedures when they should have been removed before completion of the procedure

Inhalation by the patient of ‘foreign objects’

Failing to sterilise instruments

Prescription of a drug to a patient with a known allergy to the drug

Failure to register the patient’s history of allergies to medication

Use of dental materials in a patient with a known history of allergy to the dental material used

Reusing disposable items

Failure to refer a patient for an oral cancer assessment after the patient’s lesions do not heal after two weeks of receiving treatment for the suspected cause

Failure to implement oral cancer screening as part of a routine examination

Prescribing incorrect medication to children

Wrong type or site of implant placement

Patient death

Severe patient pain perioperatively

Iatrogenic nerve injuries

Necessary corrective treatment

Any Incident/Event that causes the patient harm

Any incident/event that provides a learning opportunity for improvement, whether or not harm was caused to one or more patients

Required

The following questions are designed to ascertain your experiences of patient safety incidents. Some of these questions are optional and if you wish to confidentially speak to someone, or you would feel more comfortable disclosing any information via email rather than this survey, there is an email address provided at the end of the survey.

Any information that is discussed in the email will remain confidential.

If you encountered a Serious Incident/Never Event would you feel comfortable reporting it?

Yes

It would depend on the nature of the event

I do not understand the question

If you answered 'no' or 'it would depend on the nature of the event' please use this space to provide further detail.

Your answer

Are you familiar with to whom and how you should report a Patient Safety Incident? *

Yes

If you answered 'yes' to the above question please use this space to state the relevant bodies and method of reporting.

Your answer

Have you experienced any Never Events/Serious Incidents during your career?

Yes

I prefer not to say

I do not understand the question

If you answered 'yes' to the above question, have you or your trainer reported this event/these events?

Yes

I do not know

I prefer not to say

N/A

If you answered 'no' to the above question please state why.

Your answer

Have you and/or your team learnt from this event or developed your practice?

Yes

I prefer not to say

N/A

If you answered 'no' to the above question please state why.

Your answer

Was the event investigated?

Yes

I don't know

N/A

If you answered 'yes' to the above question please state who/which body the event was investigated by.

Your answer

From the list below, which of these do you feel is a barrier to you reporting patient safety incidents? (You may select more than one option) *

Fear of litigation

Loss of professional respect (amongst colleagues)

Loss of respect from patients

Fear of GDC/CQC repercussions

Fear of losing your job

Time-consuming and unnecessary paperwork/admin

It will not make a difference

Other:

Required

What facilitators/tools for reporting patient safety incidents would you feel comfortable using? *

Very Comfortable

Fairly Comfortable

Slightly Comfortable

Not Comfortable at all

National website for recording patient safety events centrally (including reporter details)

National website for recording patient safety events centrally (anonymised)

Reporting to a single system with details shared across the NHS (in line with data sharing agreements)

Reporting through an existing local system (please provide details of this system below)

Mobile application for reporting on-the-go

Reporting incidents via an online portfolio tool to enable reflective learning (to supplement national reporting)

Access to full details of incidents reported by colleagues/peers

Access to limited details of incidents reported by colleagues/peers

Ability to submit my own learning resources for colleagues/peers to access

Ability to collaborate around learning resources (e.g. add feedback, ask questions regarding incidents)

Learning materials developed by national bodies using national safety data

Learning materials developed by peers/colleagues

A system with integrated support from relevant organisations/bodies

Very Comfortable

Fairly Comfortable

Slightly Comfortable

Not Comfortable at all

National website for recording patient safety events centrally (including reporter details)

National website for recording patient safety events centrally (anonymised)

Reporting to a single system with details shared across the NHS (in line with data sharing agreements)

Reporting through an existing local system (please provide details of this system below)

Mobile application for reporting on-the-go

Reporting incidents via an online portfolio tool to enable reflective learning (to supplement national reporting)

Access to full details of incidents reported by colleagues/peers

Access to limited details of incidents reported by colleagues/peers

Ability to submit my own learning resources for colleagues/peers to access

Ability to collaborate around learning resources (e.g. add feedback, ask questions regarding incidents)

Learning materials developed by national bodies using national safety data

Learning materials developed by peers/colleagues

A system with integrated support from relevant organisations/bodies

Are there any other facilitators/tools to reporting patient safety incidents you feel comfortable using not mentioned above?

Your answer

Which of the following mechanisms do you feel are the most worthwhile for sharing learning from patient safety incidents? *

Most Useful

Least Useful

Practice Meetings

Trainee/GDP Support Network

Support from Dental Deaneries

Patient safety day road shows

The National Reporting and Learning System (NRLS)

Reporting to Commissioners

Patient Safety Alerts

Repository of previous patient safety alerts and other learning resources created by national bodies

Repository of learning resources created by colleagues/peers

Are there any other mechanisms not mentioned above that you feel would be useful to share learning from patient safety incidents?

Your answer

What interventions do you think would be most effective in preventing patient safety incidents? *

We already use this/something similar where I work

I would like this implemented where I work

Not sure what this is

LocSSIP's

NatSSIP's

WHO Safety Checklist

A supportive inclusive culture encouraging clinical team learning

Patient reporting

Locally developed interventions including Quality Improvement (QI) initiatives

Nationally-defined interventions developed by national bodies and professional organisations

We already use this/something similar where I work

I would like this implemented where I work

Not sure what this is

LocSSIP's

NatSSIP's

WHO Safety Checklist

A supportive inclusive culture encouraging clinical team learning

Patient reporting

Locally developed interventions including Quality Improvement (QI) initiatives

Nationally-defined interventions developed by national bodies and professional organisations

Are there any other interventions you think would be effective in preventing patient safety incidents?

Your answer

Do you currently use any tools/interventions to prevent patient safety incidents? If 'yes' please state what they are and how they are effective.

Your answer

Which of these roles best describes your position? *

Please use this section to give more detail about your role i.e. primary care/secondary care. If you have indicated you are a specialist/specialist registrar/consultant/DCT/SAS grade/clinical academic/fellow, please indicate which speciality and level. *

Your answer

Please select which region you currently work in. *

Finally, please use this space to make any other comments that you would like to make concerning this topic/the survey.

Your answer

I would like to once again thank you for taking the time to complete this survey. Your responses will be used to develop the evidence base for patient safety in dentistry and to support a culture change in this field. Please be aware that you can report any patient safety incident to the National Reporting and Learning System (NRLS).

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