Patient Safety Curriculum September 12, 2008 Definitions "A

Patient Safety Curriculum September 12, 2008 Definitions "A

Patient Safety Curriculum September 12, 2008 Definitions "A medical error is anything that happened in my office that shouldnt 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 completed as 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 Sem ester 1 Sem ester 2 Sem ester 3 Freshm an Fall Freshm an Spring Sophom ore Summ er Stream 1 - Structure and Function of Body Sys tem s 5100 Micro and Macro Anatomy, (5 5120 Physiology, (6 cr.) Dr. 6128 Host Defense (3 cr.) Dr. T. cr.) Dr. Jackson Gerenscer Brow n

5121 Biochemical, Molecular and 5127 Infectious Diseases (4 cr.) Cellular Biology, (4 cr.) Dr. Frost Dr. Walker Stream 2 - Developm ental Biology, Diagnostic and Therapeutic Sciences 5210 Developmental Biology and 5221 Oral Health Management 6350 General Pathology (4 cr.) Psychosocial Issues, Part I. (3 cr.) and Psychosocial Issues (2 cr.) Dr. Winter Dr. Bimstein Dr.Fillingim Year 2 Sem ester 4 Sophom ore Fall 6416 Basic Sciences Review (2 cr.) Dr. Brow n / Gremillion 6251 Science and Clinical Management of Dental Pain (2 cr.) Dr. Caudle 6351 Oral Pathology (3 cr.) Dr. Cohen Stream 3 - Principles of Professionalis m and Oral Health Managem e nt 5013 Foundations of 5320 Foundations of Patient 6502 Preventive Dentistry, (1 cr) 6015 PPCPM I. Dr. Watson Professionalism, (3 cr.) Dr. Care, (1 cr.) Ms. Cooper Ms. Cooper 6011 ISL 2 Dr. M. Gibbs Catalanotto 5010 ISL 1 (1 cr.) Dr. M. Gibbs 6015 PPCPM I. Dr. Watson

5001 Evidence-based Dental 6011 ISL 2 Dr. M. Gibbs Practice (1 cr.) Dr. Tomar 5010 ISL 1 Dr. M. Gibbs Stream 4 - Foundations of Psychomotor Skills 5404 Dental Anatomy (2 cr.) Dr. 5405 Operative Dentistiry I. (3 Gale cr.) Dr. Ottenga 5406 Operative Dentistry II. Dr.Young Stream 5 - Clinical Practice (Comprehe nsive Patient Care) Stream 6 - Rotations (Block Patient Care) Electives (6 credit hrs. total) Evaluations 5406 Operative Dentistry II. cont (2 cr.) Dr.Young 6407 Operative Dentistry III. Dr. Blaser 6213 Fundamentals of Occlusion (2 cr.) Dr. Clark 6301 Fundamentals of Oral and Maxillof acial Radiology (2 cr.) Dr. Pettigrew Semester 5 Sophomore Spring 6302 Intro Cl DX Dr. S. Nimmo 6407 Operative Dentistry III. (2 cr.) Dr. Blaser 6408 Operative Dentistry IV. (2 cr.) Dr. Ottenga

6412 Fixed Pros 1 (2 cr.) Dr. Jones 6421 Perio Assess (2 cr.) Dr. Aukhil 6430 Prin Endo (1 cr.) Dr. U. Nair 6260 Oral Medicine and PharmacoTherapeutics in Dentistry (2 cr.) Dr. Katz 6262 Principles of Pharmacology (3 cr.) Dr. Law 6440 Intro OMFS, Part I (1 cr.) Dr. Dennis 6015 PPCPM I. (1 cr.) Dr. Watson 6011 ISL 2 (1 cr.) Dr. M. Gibbs 6250 Pain Control (1 cr.) Dr. Foerster 6302 Intro Cl DX (3 cr.) Dr. S. Nimmo 6460 Pros for Edentulous Pts. (2 cr.) Dr. A. Nimmo 6432 Endo Dr. Varella 6415 Fixed Pros 2 (2 cr.) Dr. Echeto Year 3 Sem ester 6 Sem ester 7 Junior Sum m er Junior Fall Stream 1 - Structure and Function of Body System s Sem ester 8 Junior Spring Stream 2 - Developm ental Biology, Diagnostic and Therapeutic Sciences 7241 Disaster Preparedness (1 7441 Intro OMFS - Part II (1 7319 Geriatric Oral Medicine

cr.) Ms. Primosch cr.) Dr. Dennis (1 cr.) Dr. Thomas 7417 Craniomandibular 7352 Ad. Diff. DX Dr. Pathofunction (1 cr.) Dr. Bhattacharyya Gremillion 7433 Interdiscip. Endo (2 cr.) Dr. Vertucci 7442 Overview OMFS (1 cr.) Dr. Dolw ick Sem ester 9 Senior Sum m er 7352 Ad. Diff. DX - cont. (1 cr.) Dr. Bhattacharyya 8303 Ad Rad Interp Dr. M. Nair 8423 Perio G.P. (1 cr.) Dr. Low Stream 3 - Principles of Professionalism and Oral Health Managem ent 7016 PPCPM II. Dr. Robinson 7016 PPCPM II cont. (1 cr.) Dr. 7017 PPCPM III. Dr. Robinson 7017 PPCPM III cont. (1 cr.) 7012 ISL 3 Dr. M. Gibbs Robinson 7012 ISL 3 cont. (1 cr.) Dr. M. Dr. Robinson 7012 ISL 3 cont. Dr. M. Gibbs Gibbs 8019 ISL 4 Dr. M. Gibbs Year 4 Sem ester 10 Senior Fall

8263 Ad. OM (2 cr.) Dr. 8462 Ad. Pros.(1 cr.) Dr. Stew art Nimmo 8303 Ad Rad Interp - cont. (2 cr.) Dr. M. Nair 8018 PPCPM IV. Dr. Robinson 8019 ISL 4 cont. Dr. M. Gibbs 8321 Prac. Mgt. (1 cr.) Dr. Minden Stream 4 - Foundations of Psychom otor Skills 6432 Endo Cont (2 cr.) Dr. 7411 Dent Implant (1 cr.) Dr. 7717 Cl Use of Dent Materials- 7717 Cl Use of Dent Materials- 8719 Selection of Cl Dent Varella Morton cont. Dr. Shen cont. (2 cr.) Dr. Shen Materials Dr. Soderholm 7450 Ortho (1 cr.) Dr. Dopazo 7422 Perio Surg (1 cr.) Dr. 7452 Ped Dent (2 cr.) Dr. Jerrell Karpinia 7413 Rem Part. Pros. (2 cr.) Dr. 7717 Cl Use of Dent Materials Clark Dr. Shen Stream 5 - Clinical Practice (Com prehensive Patient Care) 7745 Oper Dent 2 (2 cr.) 7746 Oper Dent 3 (2 cr.) 7744 Oper Dent 1 (1 cr.) Sem ester 11 Senior Spring 8018 PPCPM IV cont. (1 cr.) Dr. Robinson

8019 ISL 4 cont. (1 cr.) Dr. M. Gibbs 8719 Selection of Cl Dent Materials-cont. (2 cr.) Dr. Soderholm 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.) 7766 Treatment Planning 2 8857 Prosth 3 (2 cr.) 8858 Prosth 4 (2 cr.) 8768 Treatment Planning 3

8859 Prosth 5 (3 cr.) 8768 Treatment Planning 3 7761 Treatment Planning 1 cont (1 cr) Stream 6 - Rotations (Block Patient Care) 7805 OMFS1 7805 OMFS 1 7762 Radiology 1 7762 Radiology 1 7735 Endo 1 (1 cr.) 7825 Ped Dent 1 (1 cr.) 7766 Treatment Planning 2 cont (1 cr) 7805 OMFS 1 (2 cr.) 7762 Radiology 1 (1 cr.) 7736 Endo 2 (1 cr.) 7826 Ped Dent 2 (1 cr.) 8709 Com Dent 8809 OMFS 2 8765 Radiology 2 8737 Endo 3 (2 cr.) 8817 Ortho 1 (1 cr.) 8827 Ped Dent 3 8709 Com Dent 8767 Oncology/Oral Path 8443 Hospital Dent Ortho (Invisalign) Perio Implant cont (1 cr)

8809 OMFS 2 8765 Radiology 2 8738 Endo 4 (1 cr.) 8818 Ortho 2 (1 cr.) 8827 Ped Dent 3 cont (1 cr.) 8709 Com Dent 8767 Oncology/Oral Path 8443 Hospital Dent 8809 OMFS 2 (2 cr.) 8765 Radiology 2 (1 cr.) 8739 Endo 5 (1 cr.) 8819 Ortho 3 (1 cr.) 8828 Ped Dent 4 (1 cr.) 8709 Com Dent (4 cr.) 8767 Oncology/Opath 8443 Hospital Dent (1 cr.) NBDE Part II (December) 8960 Clin Exam 2 (1 cr.) Florida Board (Mar,June) Electives (6 credit hrs. total) Molar Endo Evaluations NBDE Part I (June) 7961 Clin Exam 1 (1 cr.) Audit of the UFCD Curriculum Clinic Procedure Manual I. II. III. IV.

V. VI. VII. MISSION AND VISION OF THE COLLEGE STANDARD OF PATIENT CARE PROTOCOL FOR MANAGING CLINIC MEDICAL EMERGENCIES PATIENT INFORMATION AND PATIENT CARE FEES AND COLLECTIONS GENERAL CLINIC PROTOCOL GUIDELINES AND POLICY REGARDING THE USE OF IONIZING RADIATION VIII. POLICY FOR SUSPENSION OF DENTAL STUDENTS FROM CLINICAL ACTIVITIES IX. INFECTION CONTROL DOCUMENT X. INFECTIOUS DISEASE POLICY XI. 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 CARE IV. 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 20 18 16 Occurrences by Category 14 12 No Category Category I Category II 10 Category III Category IV # COF Submitted 8

6 4 2 0 October November December January February Month Occurrences Reported March April May 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.

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