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Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study

BACKGROUND: A harsh work environment including psychosocial job demands might cause adverse events due to medical mismanagement, but the association has not been explored. The purpose of the study was to investigate whether some types of psychosocial job demands are associated with adverse events du...

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Autores principales: Tsutsumi, Akizumi, Umehara, Katsura, Ono, Hiroshi, Kawakami, Norito
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854897/
https://www.ncbi.nlm.nih.gov/pubmed/17408488
http://dx.doi.org/10.1186/1472-6831-7-3
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author Tsutsumi, Akizumi
Umehara, Katsura
Ono, Hiroshi
Kawakami, Norito
author_facet Tsutsumi, Akizumi
Umehara, Katsura
Ono, Hiroshi
Kawakami, Norito
author_sort Tsutsumi, Akizumi
collection PubMed
description BACKGROUND: A harsh work environment including psychosocial job demands might cause adverse events due to medical mismanagement, but the association has not been explored. The purpose of the study was to investigate whether some types of psychosocial job demands are associated with adverse events due to dental mismanagement experienced by general dental practitioners. METHODS: A self-administered questionnaire was mailed to members of a local branch of the Japan dental association. A total of 261 dental practitioners responded anonymously (response rate 53%). Psychosocial job demands were measured by a Japanese version of the Copenhagen Psychosocial Questionnaire, which comprises five sub-scales: quantitative demands, cognitive demands, emotional demands, demands for hiding emotions, and sensorial demands. The outcome was defined according to whether the respondent's patients experienced one of the following adverse events due to dental mismanagement at least once during the previous one year: dropping of dental instrument or broken injection needle, soft tissue or nerve injury, accidental bleeding, loss of a tooth root into the maxillary sinus, and emphysema. Associations between each demand index and experience of adverse events were examined by logistic regression analyses adjusting for potential confounders. RESULTS: Emotional demands and sensorial demands were significantly associated with the experience of adverse events (odds ratio = 3.9 for each). Other than the indices, male gender, younger age, practice alone, many dental chairs (five or more), and many patients (30 or more per day) were the risks. Working hours per week and number of paramedical staff had no significant associations. CONCLUSION: Emotional and sensorial job demands are a potential target for the reduction of adverse events due to dental mismanagement.
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spelling pubmed-18548972007-04-21 Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study Tsutsumi, Akizumi Umehara, Katsura Ono, Hiroshi Kawakami, Norito BMC Oral Health Research Article BACKGROUND: A harsh work environment including psychosocial job demands might cause adverse events due to medical mismanagement, but the association has not been explored. The purpose of the study was to investigate whether some types of psychosocial job demands are associated with adverse events due to dental mismanagement experienced by general dental practitioners. METHODS: A self-administered questionnaire was mailed to members of a local branch of the Japan dental association. A total of 261 dental practitioners responded anonymously (response rate 53%). Psychosocial job demands were measured by a Japanese version of the Copenhagen Psychosocial Questionnaire, which comprises five sub-scales: quantitative demands, cognitive demands, emotional demands, demands for hiding emotions, and sensorial demands. The outcome was defined according to whether the respondent's patients experienced one of the following adverse events due to dental mismanagement at least once during the previous one year: dropping of dental instrument or broken injection needle, soft tissue or nerve injury, accidental bleeding, loss of a tooth root into the maxillary sinus, and emphysema. Associations between each demand index and experience of adverse events were examined by logistic regression analyses adjusting for potential confounders. RESULTS: Emotional demands and sensorial demands were significantly associated with the experience of adverse events (odds ratio = 3.9 for each). Other than the indices, male gender, younger age, practice alone, many dental chairs (five or more), and many patients (30 or more per day) were the risks. Working hours per week and number of paramedical staff had no significant associations. CONCLUSION: Emotional and sensorial job demands are a potential target for the reduction of adverse events due to dental mismanagement. BioMed Central 2007-04-04 /pmc/articles/PMC1854897/ /pubmed/17408488 http://dx.doi.org/10.1186/1472-6831-7-3 Text en Copyright © 2007 Tsutsumi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Tsutsumi, Akizumi
Umehara, Katsura
Ono, Hiroshi
Kawakami, Norito
Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
title Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
title_full Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
title_fullStr Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
title_full_unstemmed Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
title_short Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
title_sort types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854897/
https://www.ncbi.nlm.nih.gov/pubmed/17408488
http://dx.doi.org/10.1186/1472-6831-7-3
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