Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical training
ABSTRACTThe ongoing endeavors to uncover the link between the prevalent errors in clinical endodontic training and undergraduate education are founded on tentative assumptions. This investigation was aimed at determining if cascade analysis can provide an understanding of the origins and causes of e...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Medical Education Online |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/10872981.2023.2268348 |
| _version_ | 1797450039210016768 |
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| author | Abubaker Qutieshat Gurdeep Singh |
| author_facet | Abubaker Qutieshat Gurdeep Singh |
| author_sort | Abubaker Qutieshat |
| collection | DOAJ |
| description | ABSTRACTThe ongoing endeavors to uncover the link between the prevalent errors in clinical endodontic training and undergraduate education are founded on tentative assumptions. This investigation was aimed at determining if cascade analysis can provide an understanding of the origins and causes of errors and if the sensitivity of student reports to the impact of errors on treatment outcomes can be established.In 2021, a group of investigators from the endodontics department concerned with clinical dental education launched the Study of Endodontic Errors (SEE). Sixty-six undergraduate dental students at one dental teaching hospital submitted anonymous narratives of problems they witnessed in their root canal treatment practices. The reports were examined to determine the sequence of events and the major errors. We kept track of the consequences of treatment outcomes, both as reported by students and as deduced by investigators.In 77% of the narratives, a chain of errors was recorded. The majority of the errors that took place were related to the working length or width of root canals. A substantial portion, 86%, of these errors could have been prevented through a deeper comprehension of the concepts that underlie working length and width. 75% of the errors that initiated cascades involved losing the correct working length. When asked whether the treatment outcome was compromised, students answered affirmatively in 16% of cases in which their narratives described compromised outcomes. Unacceptable outcomes necessitating re-treatment accounted for only 3% of student-reported consequences, but when investigator-inferred consequences were considered, the percentage more than doubled (7%).Cascade analysis of student error narratives is useful in understanding the triggering chain of events, but students provide insufficient information about how treatment outcomes are affected. Misconceptions about working length and width appear to play a significant role in the propagation of procedural errors. |
| first_indexed | 2024-03-09T14:33:49Z |
| format | Article |
| id | doaj.art-7b5dc02b94d943b69e942af2a1c29ca6 |
| institution | Directory Open Access Journal |
| issn | 1087-2981 |
| language | English |
| last_indexed | 2024-03-09T14:33:49Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Medical Education Online |
| spelling | doaj.art-7b5dc02b94d943b69e942af2a1c29ca62023-11-27T16:01:58ZengTaylor & Francis GroupMedical Education Online1087-29812023-12-0128110.1080/10872981.2023.2268348Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical trainingAbubaker Qutieshat0Gurdeep Singh1Adult Restorative Dentistry, Oman Dental College, Muscat, OmanAdult Restorative Dentistry, Oman Dental College, Muscat, OmanABSTRACTThe ongoing endeavors to uncover the link between the prevalent errors in clinical endodontic training and undergraduate education are founded on tentative assumptions. This investigation was aimed at determining if cascade analysis can provide an understanding of the origins and causes of errors and if the sensitivity of student reports to the impact of errors on treatment outcomes can be established.In 2021, a group of investigators from the endodontics department concerned with clinical dental education launched the Study of Endodontic Errors (SEE). Sixty-six undergraduate dental students at one dental teaching hospital submitted anonymous narratives of problems they witnessed in their root canal treatment practices. The reports were examined to determine the sequence of events and the major errors. We kept track of the consequences of treatment outcomes, both as reported by students and as deduced by investigators.In 77% of the narratives, a chain of errors was recorded. The majority of the errors that took place were related to the working length or width of root canals. A substantial portion, 86%, of these errors could have been prevented through a deeper comprehension of the concepts that underlie working length and width. 75% of the errors that initiated cascades involved losing the correct working length. When asked whether the treatment outcome was compromised, students answered affirmatively in 16% of cases in which their narratives described compromised outcomes. Unacceptable outcomes necessitating re-treatment accounted for only 3% of student-reported consequences, but when investigator-inferred consequences were considered, the percentage more than doubled (7%).Cascade analysis of student error narratives is useful in understanding the triggering chain of events, but students provide insufficient information about how treatment outcomes are affected. Misconceptions about working length and width appear to play a significant role in the propagation of procedural errors.https://www.tandfonline.com/doi/10.1080/10872981.2023.2268348Cascade analysisdentistryendodonticserroroutcome |
| spellingShingle | Abubaker Qutieshat Gurdeep Singh Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical training Medical Education Online Cascade analysis dentistry endodontics error outcome |
| title | Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical training |
| title_full | Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical training |
| title_fullStr | Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical training |
| title_full_unstemmed | Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical training |
| title_short | Breaking the error chain with SEE: cascade analysis of endodontic errors in clinical training |
| title_sort | breaking the error chain with see cascade analysis of endodontic errors in clinical training |
| topic | Cascade analysis dentistry endodontics error outcome |
| url | https://www.tandfonline.com/doi/10.1080/10872981.2023.2268348 |
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