Patient Safety Curriculum

September 12, 2008

Definitions

"A medical error is anything that happened in my office that shouldn’t have happened and that I absolutely do not want to happen again.“

AAFP Past President Bruce Bagley, MD

“Error is defined as the failure of a planned action to be completedas intended or the use of a wrong plan to achieve an aim."

IOM

What causes medical error? James Reason has categorized errors according to two types of causes:

active failure and latent conditions.

Active errors can take the form of slips (doing a familiar action in the wrong way), lapses (failures of memory such that planned actions do not happen), and mistakes (errors in reasoning that lead to wrong choices).

Latent conditions are the systemic properties, or root causes, that lead to errors. These might include system interfaces, or poor maintenance or management practices. In situations with latent conditions, if an individual errs he/she has, in a sense, been set up to fail by the environment.

Year 1 Year 2Semester 1 Semester 2 Semester 3 Semester 4 Semester 5

Freshman Fall Freshman Spring Sophomore Summer Sophomore Fall Sophomore SpringStream 1 - Structure and Function of Body Systems5100 Micro and Macro Anatomy, (5 cr.) Dr. Jackson5121 Biochemical, Molecular and Cellular Biology, (4 cr.) Dr. Frost

5120 Physiology, (6 cr.) Dr. Gerenscer5127 Infectious Diseases (4 cr.) Dr. Walker

6128 Host Defense (3 cr.) Dr. T. Brow n

6416 Basic Sciences Review (2 cr.) Dr. Brow n / Gremillion

Stream 2 - Developmental Biology, Diagnostic and Therapeutic Sciences5210 Developmental Biology and Psychosocial Issues, Part I. (3 cr.) Dr. Bimstein

5221 Oral Health Management and Psychosocial Issues (2 cr.) Dr.Fillingim

6350 General Pathology (4 cr.) Dr. Winter

6251 Science and Clinical Management of Dental Pain (2 cr.) Dr. Caudle6351 Oral Pathology (3 cr.) Dr. Cohen

6260 Oral Medicine and Pharmaco-Therapeutics in Dentistry (2 cr.) Dr. Katz6262 Principles of Pharmacology (3 cr.) Dr. Law6440 Intro OMFS, Part I (1 cr.) Dr. Dennis

Stream 3 - Principles of Professionalism and Oral Health Management5013 Foundations of Professionalism, (3 cr.) Dr. Catalanotto5001 Evidence-based Dental Practice (1 cr.) Dr. Tomar5010 ISL 1 Dr. M. Gibbs

5320 Foundations of Patient Care, (1 cr.) Ms. Cooper5010 ISL 1 (1 cr.) Dr. M. Gibbs

6502 Preventive Dentistry, (1 cr) Ms. Cooper6015 PPCPM I. Dr. Watson6011 ISL 2 Dr. M. Gibbs

6015 PPCPM I. Dr. Watson6011 ISL 2 Dr. M. Gibbs

6015 PPCPM I. (1 cr.) Dr. Watson6011 ISL 2 (1 cr.) Dr. M. Gibbs

Stream 4 - Foundations of Psychomotor Skills 5404 Dental Anatomy (2 cr.) Dr. Gale

5405 Operative Dentistiry I. (3 cr.) Dr. Ottenga5406 Operative Dentistry II. Dr.Young

5406 Operative Dentistry II. cont (2 cr.) Dr.Young6407 Operative Dentistry III. Dr. Blaser6213 Fundamentals of Occlusion (2 cr.) Dr. Clark6301 Fundamentals of Oral and Maxillofacial Radiology (2 cr.) Dr. Pettigrew

6302 Intro Cl DX Dr. S. Nimmo6407 Operative Dentistry III. (2 cr.) Dr. Blaser6408 Operative Dentistry IV. (2 cr.) Dr. Ottenga6412 Fixed Pros 1 (2 cr.) Dr. Jones6421 Perio Assess (2 cr.) Dr. Aukhil6430 Prin Endo (1 cr.) Dr. U. Nair

6250 Pain Control (1 cr.) Dr. Foerster6302 Intro Cl DX (3 cr.) Dr. S. Nimmo 6460 Pros for Edentulous Pts. (2 cr.) Dr. A. Nimmo6432 Endo Dr. Varella6415 Fixed Pros 2 (2 cr.) Dr. Echeto

Electives (6 credit hrs. total)Evaluations

Stream 5 - Clinical Practice (Comprehensive Patient Care)

Stream 6 - Rotations (Block Patient Care)

Year 3 Year 4Semester 6 Semester 7 Semester 8 Semester 9 Semester 10 Semester 11

Junior Summer Junior Fall Junior Spring Senior Summer Senior Fall Senior Spring Stream 1 - Structure and Function of Body Systems

7241 Disaster Preparedness (1 cr.) Ms. Primosch 7417 Craniomandibular Pathofunction (1 cr.) Dr. Gremillion

7441 Intro OMFS - Part II (1 cr.) Dr. Dennis

7319 Geriatric Oral Medicine (1 cr.) Dr. Thomas 7352 Ad. Diff . DX Dr. Bhattacharyya 7433 Interdiscip. Endo (2 cr.) Dr. Vertucci 7442 Overview OMFS (1 cr.) Dr. Dolw ick

7352 Ad. Diff . DX - cont. (1 cr.) Dr. Bhattacharyya 8303 Ad Rad Interp Dr. M. Nair 8423 Perio G.P. (1 cr.) Dr. Low

8263 Ad. OM (2 cr.) Dr. Stew art 8303 Ad Rad Interp - cont. (2 cr.) Dr. M. Nair

8462 Ad. Pros.(1 cr.) Dr. Nimmo

7016 PPCPM II. Dr. Robinson7012 ISL 3 Dr. M. Gibbs

7016 PPCPM II cont. (1 cr.) Dr. Robinson 7012 ISL 3 cont. Dr. M. Gibbs

7017 PPCPM III. Dr. Robinson 7012 ISL 3 cont. (1 cr.) Dr. M. Gibbs

7017 PPCPM III cont. (1 cr.) Dr. Robinson 8019 ISL 4 Dr. M. Gibbs

8018 PPCPM IV. Dr. Robinson 8019 ISL 4 cont. Dr. M. Gibbs 8321 Prac. Mgt. (1 cr.) Dr. Minden

8018 PPCPM IV cont. (1 cr.) Dr. Robinson 8019 ISL 4 cont. (1 cr.) Dr. M. Gibbs

6432 Endo Cont (2 cr.) Dr. Varella 7450 Ortho (1 cr.) Dr. Dopazo7452 Ped Dent (2 cr.) Dr. Jerrell7413 Rem Part. Pros. (2 cr.) Dr. Clark

7411 Dent Implant (1 cr.) Dr. Morton7422 Perio Surg (1 cr.) Dr. Karpinia7717 Cl Use of Dent Materials Dr. Shen

7717 Cl Use of Dent Materials-cont. Dr. Shen

7717 Cl Use of Dent Materials-cont. (2 cr.) Dr. Shen

8719 Selection of Cl Dent Materials Dr. Soderholm

8719 Selection of Cl Dent Materials-cont. (2 cr.) Dr. Soderholm

7744 Oper Dent 1 (1 cr.) 7745 Oper Dent 2 (2 cr.) 7746 Oper Dent 3 (2 cr.) 8747 Oper Dent 4 (2 cr.) 8748 Oper Dent 5 (2 cr.) 8749 Oper Dent 6 (1 cr.)

7834 Perio 1 (2 cr.) 7835 Perio 2 (2 cr.) 7836 Perio 3 (2 cr.) 8837 Perio 4 (2 cr.) 8838 Perio 5 (2 cr.) 8839 Perio 6 (1 cr.)

7761 Treatment Planning 1 7845 Prosth 1 (1 cr.) 7846 Prosth 2 (1 cr.) 8857 Prosth 3 (2 cr.) 8858 Prosth 4 (2 cr.) 8859 Prosth 5 (3 cr.)

7761 Treatment Planning 1 cont (1 cr)

7766 Treatment Planning 2 7766 Treatment Planning 2 cont (1 cr)

8768 Treatment Planning 3 8768 Treatment Planning 3

cont (1 cr)Stream 6 - Rotations (Block Patient Care)7805 OMFS1 7805 OMFS 1 7805 OMFS 1 (2 cr.) 8809 OMFS 2 8809 OMFS 2 8809 OMFS 2 (2 cr.)7762 Radiology 1 7762 Radiology 1 7762 Radiology 1 (1 cr.) 8765 Radiology 2 8765 Radiology 2 8765 Radiology 2 (1 cr.)

7735 Endo 1 (1 cr.) 7736 Endo 2 (1 cr.) 8737 Endo 3 (2 cr.) 8738 Endo 4 (1 cr.) 8739 Endo 5 (1 cr.)7825 Ped Dent 1 (1 cr.) 7826 Ped Dent 2 (1 cr.) 8817 Ortho 1 (1 cr.) 8818 Ortho 2 (1 cr.) 8819 Ortho 3 (1 cr.)

8709 Com Dent 8827 Ped Dent 3 8827 Ped Dent 3 cont (1 cr.) 8828 Ped Dent 4 (1 cr.)8709 Com Dent 8709 Com Dent 8709 Com Dent (4 cr.)8767 Oncology/Oral Path 8767 Oncology/Oral Path 8767 Oncology/Opath 8443 Hospital Dent 8443 Hospital Dent 8443 Hospital Dent (1 cr.)

Electives (6 credit hrs. total)

Molar Endo Ortho (Invisalign) Perio Implant

EvaluationsNBDE Part I (June) 7961 Clin Exam 1 (1 cr.) NBDE Part II (December) 8960 Clin Exam 2 (1 cr.)

Florida Board (Mar,June)

Stream 2 - Developmental Biology, Diagnostic and Therapeutic Sciences

Stream 5 - Clinical Practice (Comprehensive Patient Care)

Stream 3 - Principles of Professionalism and Oral Health Management

Stream 4 - Foundations of Psychomotor Skills

Audit of the UFCD Curriculum

Clinic Procedure Manual

I. MISSION AND VISION OF THE COLLEGEII. STANDARD OF PATIENT CAREIII. PROTOCOL FOR MANAGING CLINIC MEDICAL EMERGENCIESIV. PATIENT INFORMATION AND PATIENT CAREV. FEES AND COLLECTIONSVI. GENERAL CLINIC PROTOCOLVII. GUIDELINES AND POLICY REGARDING THE USE OF IONIZING

RADIATIONVIII. POLICY FOR SUSPENSION OF DENTAL STUDENTS FROM CLINICAL

ACTIVITIESIX. INFECTION CONTROL DOCUMENTX. INFECTIOUS DISEASE POLICYXI. STERILIZATION, DISINFECTION, AND HAZARDOUS WASTES

Audit of UFCD Curriculum

Quality Assurance Manual

I. UFCD QUALITY ASSURANCE AND COMPLIANCE PROGRAM

II. ASSESSMENT TOOLS III. STANDARDS OF CAREIV. STANDARDS OF CARE MATRIX V. SUMMARY OF UFCD QUALITY ASSURANCE AND

COMPLIANCE MANUAL ABBREVIATIONS AND

TERMINOLOGY

Clinical Occurrences

Types of Occurrences at UFCD (October 2007-May 2008)

82% "medico-legal" or improper/inadequate written documentation.

19% of the total Risks ID'd were medical emergencies

26% were Unplanned escalation of care

15% were unanticipated/unscheduled dental appts

Clinical Occurrences Reported by Category for October 2007-May 2008

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October November December January February March April May

Month Occurrences Reported

Occ

urre

nces

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egor

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No Category

Category I

Category II

Category III

Category IV

# COF Submitted

HSC Collaboration

Develop a patient safety/medical errors case for IFH.

Develop patient safety/medical errors cases for small group discussions within colleges.

Develop an online training/quiz for providers and students.

Use this FLC to periodically review QA data and address system interfaces or management practices.