Reports
Welcome to the Dental Patient Safety Foundation SAFETY REPORTS. Please feel free to browse and share these reports. Cases are categorized and labelled by year and month of publication followed by a short title. Reports involving anesthesia are labelled with an “A”, when they involve anesthesia (local only, minimal, moderate or deep sedation by any route). Cases not involving anesthesia (wrongful tooth extraction, inadvertent patient injury, myocardial infarction, etc.) will not have the “A” label.
Levels of reporting can include Safety Alerts, Case Reports, Advisories, or Best Practice Recommendations. DPSF Welcomes all feedback and can be contacted HERE.
Safety Reports
Involving Anesthesia
Case 2024.12A Excessive Duration of Sedation in the Office.pdf
Case 2023.9A: Naloxone: A Safety Net with Holes.pdf
Case 2022.10A: Pediatric Ventilatory Trouble or Obstruction.pdf
Case 2022.2A: Medication Dosing Errors,
Again.pdf
Case 2021.9A: Life Threatening Complications
can occur during/after moderate
sedation TOO!.pdf
Case 2021.4: Use of a Contaminated Needle
for Local Anesthesia.pdf
Case 2019.4A Nalbuphine Induced Opioid
Withdrawal.pdf
Case 2018.8A Delayed Awakening.pdf
Case 2018.3A Unmonitored Recovery.pdf
Safety Reports
Not Involving Anesthesia
Case 2026.1 Objects Lost Beyond the Oropharynx.pdf
Case 2024.4: Are We Safe Enough.pdf
Case 2023.4: History Taking Error.pdf
Case 2021.7: Iatrogenic Subcutaneous
Emphysema.pdf
Case 2020.4: Flawed EMR: Accept/Resolve
Error/Shame ASAP.pdf
Case 2018.3 Red Flags of Syncope.pdf
Case 2017.12 Wrong Site Surgery.pdf
