Key result
The Dental Anesthesia Medication Safety Paradigm (DAMSP) offers a framework to reduce anesthesia medication errors and adverse drug events in the office-based dental environment.
Why the study?
There is a lack of literature available regarding medication errors and adverse drug events involving anesthesia for dentistry, requiring the profession to assess medical literature and develop specific preventive methods.
This review introduces the Dental Anesthesia Medication Safety Paradigm (DAMSP) to address medication errors and adverse drug events in dental anesthesia.
May support DAMSP evaluation to reduce medication errors in office dental anesthesia; leaves open prospective validation before practice adoption.
For decades, the dental profession has provided the full spectrum of anesthesia services ranging from local anesthesia to general anesthesia in the office-based ambulatory environment to alleviate pain and anxiety. However, despite a reported record of safety, complications occasionally occur. Two common contributing factors to general anesthesia and sedation complications are medication errors and adverse drug events. The prevention and early detection of these complications should be of paramount importance to all dental providers who administer or otherwise use anesthesia services. Unfortunately, there is a lack of literature currently available regarding medication errors and adverse drug events involving anesthesia for dentistry. As a result, the profession is forced to look to the medical literature regarding these issues not only to assess the likely severity of the problem but also to develop preventive methods specific for general anesthesia and sedation as practiced within dentistry. Part 1 of this 2-part article illuminated the problems of medication errors and adverse drug events, primarily as documented within medicine. Part 2 will focus on how these complications affect dentistry, discuss several of the methods that medical anesthesia has implemented to manage such problems that may have utility in dentistry, and introduce a novel method for addressing these issues within dentistry known as the Dental Anesthesia Medication Safety Paradigm (DAMSP).
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Sarasin et al. (2020) conducted a review in Medication errors and adverse drug events in dental anesthesia. Dental Anesthesia Medication Safety Paradigm (DAMSP) was evaluated. The Dental Anesthesia Medication Safety Paradigm (DAMSP) offers a framework to reduce anesthesia medication errors and adverse drug events in the office-based dental environment.
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