%0 Journal Article
%T Types of psychosocial job demands and adverse events due to dental mismanagement: a cross sectional study
%A Akizumi Tsutsumi
%A Katsura Umehara
%A Hiroshi Ono
%A Norito Kawakami
%J BMC Oral Health
%D 2007
%I BioMed Central
%R 10.1186/1472-6831-7-3
%X 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.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.Emotional and sensorial job demands are a potential target for the reduction of adverse events due to dental mismanagement.Injury or complications in patients undergoing medical mismanagement has become a significant social concern, as the consequences are often very serious [1]. Thus, the benefits of preventing such adverse events are large for the appropriate health services.It has been reported that dental practitioners experience higher levels of occupational stress than general working populations [2-5]. As classifications of dental work pressure, rising patient expectations, aggression exhibited by some patients in the practice, the risk of cross-infect
%U http://www.biomedcentral.com/1472-6831/7/3