Análisis de los eventos adversos en el área de rehabilitación oral de la Facultad de Odontología de la Pontificia Universidad Javeriana Bogotá

Background: One of the mechanisms that ensures the health care quality is the analysis of adverse events in the treatment. The oral rehabilitation area is among the more likely because of the complex procedures involved. Objective: To analyze the adverse events that occurred in the clinic of the oral rehabilitation graduate program at the Pontificia Universidad Javeriana Dentistry School in Bogotá during 2013. Methods: Out of 595 medical records including all the patients who completed their treatment in 2013, 590 fulfilled the requirement of being signed both by the patient and the teacher. Based on the medical records that reported any kind of adverse event, the patient information regarding demographic data, type of reported adverse event, potential causes for their occurrence, and whether they were preventable was gathered. Results: In 36 (6.1%) of the examined medical records, at least one report of adverse event was found. The most frequently found event was the restoration loss (42%). The most frequently found cause was the full fracture of the restoration (19%). Fifty-eight (58 %) of the adverse events were preventable. Sixty-one (61.1%) of the cases were retained fixed dental prostheses. Conclusions: The frequency of adverse events reported in the medical records of patients treated in the rehabilitation area is low. Considering that the cases are preventable, it is important to record and examine these cases in order to ensure the health care quality for the patients.