Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Feature
  • Published:

Dental infection control violations - an analysis of GDC Fitness to Practise cases between 2014-2018

Abstract

Aim The aim of this study was to determine the prevalence and content of General Dental Council Fitness to Practise cases associated with infection control.

Methods Data were collected via freedom of information requests to the GDC about Fitness to Practise cases concerning infection control between 1 January 2014 and 31 December 2018.

Results Less than 1% of Fitness to Practise cases during the period concerned infection control. Of these, less than half were primarily about infection control failings. Most registrants were male dentists who had graduated more than 20 years ago. The most frequent failing was poor hand hygiene and inappropriate glove use.

Discussion Violations are workplace errors where rules are intentionally broken. A combination of pressures including financial and performance have been cited as factors that can lead workers away from working to standards and adopting unsafe practice. To avoid infection control violations in dentistry standards should be realistic and achievable, training provided and a workplace culture that takes safety seriously.

Conclusion Only a small number of registrants - mostly dentists - end up before the GDC Professional Conduct Committee on charges pertaining to infection control, but when they do the outcome is normally career-ending.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Singh P, Mizrahi E, Korb S. A five-year review of cases appearing before the General Dental Council's Professional Conduct Committee. Br Dent J 2009; 206: 217-223.

  2. Hopcraft M, Sanduja D. An analysis of complaints against Victoria dental care providers 2000-2004. Aus Dent J 2006; 51: 290-296.

  3. Thomas L A, Tibble H, Too L S, Hopcraft M S, Bismark M M. Complaints about dental practitioners: an analysis of 6 years of complaints about dentists, dental prosthetists, oral health therapists, dental therapists and dental hygienists in Australia. Aus Dent J 2018; 63: 285-293.

  4. Zahra D, Roberts M, Bryce M, O'Brien T, Archer J. Analysis of Fitness to Practise case data for the General Dental Council. Summary Report Plymouth University Peninsula Schools of Medicine and Dentistry. 2017. Online information available at https://www.gdc-uk.org/docs/default-source/research/ftp-data-analysis-summary-report.pdf?sfvrsn=fcc3cdb5_2 (Accessed March 2020).

  5. Postma T C, van Wyk P J, Heymans J H, White J G, Prinsloo P M. An analysis of complaints against oral health professional charged with misconduct at the HPCSA: 2004-2009. South African Dent J 2011; 66: 420-425.

  6. Reason J. Human Error. Cambridge: Cambridge University Press Cambridge, 1990.

  7. Rasmussen, J. Human error. A taxonomy for describing human malfunction in industrial installations, J Occ Accidents 1982; 4: 311-333.

  8. Gluyas H. Understanding non-compliance with hand hygiene practices. Nurs Stand 2015; 29: 40-46.

  9. Health and Safety Executive. Reducing error and influencing behaviour. HSE Books, 1999.

  10. Amalberti R, Vincent C, Auroy Y, de Saint Maurice, G. Violations and migrations in health care: a framework for understanding and management. Quality & Safety in Health Care 2006; 15: i66-i71.

  11. Rasmussen J. Risk management in a dynamic society. Saf Sci 1997; 27: 183-214.

  12. Polet P, Vanderhaegen F, Amalberti R. Modelling the borderline tolerated conditions of use. Saf Sci 2003; 41: 111-136.

  13. Carayon P (ed) Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Boca Raton: CRC Press, 2012.

  14. Dodge W, Winder R, Young S et al. Continued Competency Assessment: Its History and Role in the Health Professions. J Am Coll Dent 2012; 79: 5-12.

  15. General Dental Council. Risk in Dentistry. 2014. Online information available at https://www.gdc-uk.org/docs/default-source/research/risk-in-dentistry.pdf?sfvrsn=e67dbf64_2 (Accessed March 2020).

  16. Manchi G B, Gowda A and Hanspal J S. Study on cognitive approach to human error and its application to reduce the accidents at workplace. Int J Engineer Adv Tech 2013; 2: 236-242.

  17. Erasmus V, Daha T, Brug H et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol 2010; 31: 283-294.

  18. Haessler S, Bhagavan A, Kleppel R, Hinchey K, Visintainer P. Getting doctors to clean their hands: lead the followers. BMJ Quality and Safety. 2012; 21: 499-502.

  19. Gould DJ, Moralejo D, Drey N, Chudleigh JH, Taljaard M. Interventions to improve hand hygiene compliance in patient care. Cochrane Database of Systematic Reviews 2017; 9: CD005186.

  20. Medicines and Healthcare products Regulatory Agency. Single-use medical devices: implications and consequences of reuse. 2019. Online information available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/842614/Single-use_medical_devices_v2.3_Oct-19.pdf (Accessed March 2020).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nikolai Stankiewicz.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Stankiewicz, N. Dental infection control violations - an analysis of GDC Fitness to Practise cases between 2014-2018. BDJ In Pract 33, 12–16 (2020). https://doi.org/10.1038/s41404-020-0367-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41404-020-0367-y

Search

Quick links