Avoiding Complication: The Role of Human Factors in Maxillary Sinus Augmentation. A Narrative Review
Corresponding Author
Renouard Franck
Private Practice Oral Surgery Paris, Paris, France
Correspondence:
Renouard Franck ([email protected])
Search for more papers by this authorEdmond Bedrossian
Diplomate, American Board of Oral & Maxilllofacial Surgeons, Chicago, Illinois, USA
University of the Pacific, San Francisco, California, USA
Unioversity Fothe Pacific, Stockton, California, USA
Search for more papers by this authorRiccardo Scaini
Section of Implantology and Oral Rehabilitation (Head: Prof. Tiziano Testori), IRCCS Galeazzi Sant'Ambrogio Hospital, Dental Clinic (Head Prof. L. Francetti), Milan, Italy
Department of Biomedical, Surgical and Dental Sciences, Università Degli Studi di Milano, Milan, Italy
Search for more papers by this authorCorresponding Author
Renouard Franck
Private Practice Oral Surgery Paris, Paris, France
Correspondence:
Renouard Franck ([email protected])
Search for more papers by this authorEdmond Bedrossian
Diplomate, American Board of Oral & Maxilllofacial Surgeons, Chicago, Illinois, USA
University of the Pacific, San Francisco, California, USA
Unioversity Fothe Pacific, Stockton, California, USA
Search for more papers by this authorRiccardo Scaini
Section of Implantology and Oral Rehabilitation (Head: Prof. Tiziano Testori), IRCCS Galeazzi Sant'Ambrogio Hospital, Dental Clinic (Head Prof. L. Francetti), Milan, Italy
Department of Biomedical, Surgical and Dental Sciences, Università Degli Studi di Milano, Milan, Italy
Search for more papers by this authorABSTRACT
Maxillary sinus augmentation is now considered a routine procedure; however, it can rapidly become a challenging surgery susceptible to multiple complications. It is widely acknowledged that lack of preparation or inadequate technical expertise is a primary cause of such complications. This procedure can become a source of significant stress for the clinician and morbidity for the patient if not properly planned preoperatively. Despite this, insufficient attention is often paid to the physiological, psychological, and environmental factors that may influence unforeseen and adverse surgical outcomes. This article aims to highlight the importance of the science of Human factors as a strategy to minimize and prevent potential complications. This approach not only encompasses guidelines for the proper execution of sinus lift grafting procedures but also addresses the management of various human factors that can adversely impact surgical outcomes, thereby reducing intraoperative risks and morbidity during maxillary sinus augmentation surgery.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.
References
- 1P. F. Stahel, L. Cobianchi, F. D. Mas, S. Paterson-Brown, B. E. Sakakushev, and Coll, “The Role of Teamwork and Non-Technical Skills for Improving Emergency Surgical Outcomes: An International Perspective,” Patient Safety in Surgery 16 (2022): 8, https://doi.org/10.1186/s13037-022-00317-w.
- 2F. Renouard, E. Renouard, A. Rendón, and H. M. Pinsky, “Increasing the Margin of Patient Safety for Periodontal and Implant Treatments: The Role of Human Factors,” Periodontology 2000 92, no. 1 (2023): 382–398, https://doi.org/10.1111/prd.12488.
- 3T. T. Le, E. L. Scheller, H. M. Pinsky, S. J. Stefanac, and R. S. Taichman, “Ability of Dental Students to Deliver Oxygen in a Medical Emergency,” Journal of Dental Education 73, no. 4 (2009): 499–508.
- 4F. Renouard and J. G. Charrier, The Search for the Weakest Link: An Introduction to Human Factors (Ewenn Editions, 2011).
- 5S. Wright, G. Crofts, C. Ucer, and D. Speechley, “Errors and Adverse Events in Dentistry - a Review,” Dental Update 44 (2017): 979–982, https://doi.org/10.12968/denu.2017.44.10.979.
10.12968/denu.2017.44.10.979 Google Scholar
- 6 “Human Factors: Managing Human Failures,” https://www.hse.gov.uk/humanfactors/topics/humanfail.htm.
- 7R. L. Helmreich, “One Error Management: Lessons From Aviation,” BMJ Clinical Research 320 (2000): 781–785.
- 8J. Reason, “Human Error: Models and Management,” British Medical Journal 320 (2000): 768–770.
- 9F. Renouard and A. Courtet, “ Le modèle de Reason: un modèle dynamique pour analyser la dynamique au travail,” in Facteurs Humains en Santé, ed. R. Fuzier and F. Jaulin (Arnette, 2023).
- 10D. Kahneman, Thinking Fast and Slow (Straus and Giroux, 2011).
- 11C. M. Wetzel, R. L. Kneebone, M. Woloshynowych, et al., “The Effects of Stress on Surgical Performance,” American Journal of Surgery 191, no. 1 (2006): 5–10.
- 12K. L. Chrouser, J. Xu, S. Hallbeck, M. B. Weinger, and M. R. Partin, “The Influence of Stress Responses on Surgical Performance and Outcomes: Literature Review and the Development of the Surgical Stress Effects (SSE) Framework,” American Journal of Surgery 216, no. 3 (2018): 573–5813, https://doi.org/10.1016/j.amjsurg.2018.02.017.
- 13T. P. Grantcharov, L. L Bardram, P. Funch-Jensen, and J. Rosenberg, “Laparoscopic Performance After One Night on Call in a Surgical Department: Prospective Study,” BMJ 323 (2001): 1222–1223.
- 14T. Bell, M. Sprajcer, T. Flenady, and A. Sahay, “Fatigue in Nurses and Medication Administration Errors: A Scoping Review,” Journal of Clinical Nursing 32, no. 17–18 (2023): 5445–5460, https://doi.org/10.1111/jocn.16620.
- 15F. Renouard and F. Roussarie, “Le cockpit stérile pour ne pas interrompre la tâche,” Infodent International 43, no. 11 (2023): 24–27.
- 16A. Wheelock, A. Suliman, R. Wharton, et al., “The Impact of Operating Room Distractions on Stress, Workload, and Teamwork,” Annals of Surgery 261, no. 6 (2015): 1079–1084, https://doi.org/10.1097/SLA.0000000000001051.
- 17J. I. Westbrook, A. Woods, M. I. Rob, W. T. M. Dunsmuir, and R. O. Day, “Association of Interruptions With an Increased Risk and Severity of Medication Administration Errors,” Archives of Internal Medicine 170, no. 8 (2010): 683–690.
- 18A. M. Burgener, “Enhancing Communication to Improve Patient Safety and to Increase Patient Satisfaction,” Health Care Management 39, no. 3 (2020): 128–132.
10.1097/HCM.0000000000000298 Google Scholar
- 19A. Plessas, M. Nasser, Y. Hanoch, T. O'Brien, M. B. Delgado, and D. Moles, “Impact of Time Pressure on Dentists' Diagnostic Performance,” Journal of Dentistry 82 (2019): 38–44.
- 20K. M. Mohan, A. Chopra, V. Guddattu, S. Singh, and K. Upasana, “Should Dentists Mandatorily Wear Ear Protection Device to Prevent Occupational Noise-Induced Hearing Loss? A Randomized Case – Control Study,” International Society of Preventive & Community Dentistry 12 (2022): 513–523.
- 21A. Adan, “Cognitive Performance and Dehydration,” Journal of the American College of Nutrition 31, no. 2 (2012): 71–78.
- 22P. A. Brennan, M. De Martino, M. Ponnusamy, S. White, R. De Martino, and R. S. Oeppen, “Review: Avoid, Trap, and Mitigate – An Overview of Threat and Error Management,” British Journal of Oral and Maxillofacial Surgery 58, no. 2 (2020): 146–150.
- 23T. Testori, L. Tavelli, R. Scaini, et al., “How to Avoid Intraoperative and Postoperative Complications in Maxillary Sinus Elevation,” Periodontology 2000 92 (2023): 299–328.
- 24J. L. Halback and L. Sullivan, “ A Curriculum Guide for Teachning Medical Students and Family Practice Residents,” in Department of Family Medecine, 3rd ed. (New York Medical College, 2003), http://www.nymc.edu/fammed/medicalerrors.pdf.
- 25A. C. Antonacci, S. P. Dechario, C. Antonacci, et al., “Cognitive Bias Impact on Management of Postoperative Complications, Medical Error, and Standard of Care,” Journal of Surgical Research 258 (2021): 47–53.
- 26E. D. O'Sullivan and S. J. Schofield, “Cognitive Bias in Clinical Medicine,” Journal of the Royal College of Physicians of Edinburgh 48 (2018): 225–232.
- 27A. Gawande, The Check List Manifesto (Metropolitan Book Ed, 2009).
- 28E. S. Berner and M. L. Graber, “Overconfidence as a Cause of Diagnostic Error in Medicine,” American Journal of Medicine 121 (2008): S2–S23.
- 29I. Simonetto, The Neuroscience of Safety Habits: How Neuroscience Can Help Build a Better Workplace (Éditions Mardaga, 2023).
- 30T. Testori, L. Tavelli, S. H. Yu, et al., “Maxillary Sinus Elevation Difficulty Score With Lateral Wall Technique,” International Journal of Oral and Maxillofacial Implants 35 (2020): 631–638.
- 31M. A. Makary, A. Mukherjee, J. B. Sexton, et al., “Operating Room Briefings and Wrong-Site Surgery,” Journal of the American College of Surgeons 204, no. 2 (2007): 236–243.
- 32M. Schaap, M. Hanskamp-Sebregts, T. M. A. W. Merkx, A. A. J. Heideveld-Chevalking, and J. W. J. H. J. Meijerink, “Long-Term Effects of Perioperative Briefing and Debriefing on Team Climate: A Mixed-Method Evaluation Study,” International Journal of Clinical Practice 75, no. 3 (2021): 13689, https://doi.org/10.1111/ijcp.13689.
- 33N. M. Hobson, J. Schroeder, J. L. Risen, D. Xygalatas, M. Inzlicht, and I. Norton, “The Psychology of Rituals: An Integrative Review and Process-Based Framework,” Personality and Social Psychology Review 21, no. 3 (2017): 263–285.
- 34C. M. Schmitt, M. Buchbender, S. Musazada, B. Bergauer, and F. W. Neukam, “Evaluation of Staff Satisfaction After Implementation of a Surgical Safety Checklist in the Ambulatory of an Oral and Maxillofacial Surgery Department and Its Impact on Patient Safety,” Journal of Oral and Maxillofacial Surgery 76 (2018): 1616–1639.
- 35J. R. Kupka, K. Sagheb, B. Al-Nawas, and E. Schiegnitz, “Surgical Safety Checklists for Dental Implant Surgeries-A Coping Review,” Clinical Oral Investigations 26 (2022): 6469–6477.
- 36H. M. Pinsky, R. S. Taichman, and D. P. Sarment, “Adaptation of Airline Crew Resource Management Principles to Dentistry,” Journal of the American Dental Association (1939) 141 (2010): 1010–1018.
- 37S. Lupien, “ For the Love of Stress,” in Learn the Mechanism of Human Stress and You Will Be Able to Maximize Well-Being and Performance Under Stress (Edition Va Savoir, 2023), 432.
- 38W. B. Cannon, Bodily Changes in Pain, Hunger, Fear, and Rage (Appleton-Century-Crofts, 1929).
10.1097/00007611-192909000-00037 Google Scholar
- 39S. Mekled, “Stress Among Dentists,” Journal of Dentistry and Oral Health 6, no. 1 (2022): 6, https://doi.org/10.33552/OJDOH.2022.06.000628.
10.33552/OJDOH.2022.06.000628 Google Scholar
- 40R. Brown and C. C. Mardsen, “Dual Task Performance and Processing Resources in Normal Subjects and Patients With Parkinson's Diseases,” Brain 114 (1991): 215–231.
- 41J. Pastor, “ Cognitive Performance Modeling,” in Assessing Reasoning With EARTH Methodology (Sofia Antipolis, 2000) COOP.
- 42F. Renouard, R. Amamberti, and E. Renouard, “Are the Human Factors the Primary Cause of Failure in Implant Dentistry?,” International Journal of Oral and Maxillofacial Implants 32, no. 2 (2017): e55–e61.
- 43F. Renouard, E. Renouard, and M. Hernanz, “Situational Awarness: A Method for Analysis and Prevention of the Complications in Medicine and Dentistry,” Periodontia Clinica 10 (2018): 100–111.
- 44M. Federwisch, H. Ramos, and S. Adams, “The Sterile Cockpit: An Effective Approach to Reducing Medication Errors?,” American Journal of Nursing 114 (2014): 47–55.
- 45N. Sevdalis, S. Undre, J. McDermott, J. Giddie, L. Diner, and G. Smith, “Impact of Intraoperative Distractions on Patient Safety: A Prospective Descriptive Study Using Validated Instruments,” World Journal of Surgery 38 (2014): 751–758.
- 46Y. Sami and G. Piriou, “ Interruption de tâche et tâche parallèles,” in Facteurs Humains en Santé, ed. R. Fuzier and F. Jaulin (Arnette, 2023), 362.
- 47G. Mark, D. Gudith, and U. Klocke, “ The Cost of Interrupted Work: More Speed and Stress,” in Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Association for Computing Machinery, 2008), https://doi.org/10.1145/1357054.1357072.
10.1145/1357054.1357072 Google Scholar
- 48B. P. Bailey and J. A. Konstan, “On the Need for Attention-Aware Systems: Measuring Effects of Interruptions on Task Performance, Error Rate, and Affective State,” Computers in Human Behavior 22, no. 4 (2006): 685–708.
- 49J. A. Hardie, R. S. Oeppen, G. Shaw, C. Holden, N. Tayler, and P. A. Brennan, “You Have Control: Aviation Communication Application for Safety-Critical Times in Surgery,” British Journal of Oral & Maxillofacial Surgery 58, no. 9 (2020): 1073–1077, https://doi.org/10.1016/j.bjoms.2020.08.104.
- 50E. J. Dunn, P. Mills, J. Neily, M. Crittenden, A. Carmack, and J. Bagian, “Medical Team Training: Applying Crew Resource Management in the Veterans Health Administration,” Joint Commission Journal on Quality and Patient Safety 33, no. 6 (2007): 337–345.
- 51M. Omura, J. Maguire, T. Levett-Jones, and T. E. Stone, “The Effectiveness of Assertiveness Communication Training Programs for Healthcare Professionals and Students: A Systematic Review,” International Journal of Nursing Studies 76 (2017): 120–128, https://doi.org/10.1016/j.ijnurstu.2017.09.001.
- 52K. S. Cosby and P. Croskerry, “Profiles in Patient Safety: Authority Gradients in Medical Error,” Academic Emergency Medicine 11, no. 12 (2004): 1341–1345.
- 53 “Use of Structured Communication Tools to Improve Surgical Patient Safety,” https://www.aaos.org/globalassets/about/bylaws-library/information-statements/1046-use-of-structured-communication-tools-to-improve-surgical-patient-safety.pdf.
- 54T. Testori, L. Drago, S. S. Wallace, et al., “Prevention and Treatment of Postoperative Infections After Sinus Elevation Surgery: Clinical Consensus and Recommendations,” International Journal of Dentistry 2012 (2012): 365809, https://doi.org/10.1155/2012/365809.
- 55L. Hull, S. Arora, R. Aggarwal, A. Darzi, C. Vincent, and N. Sevdalis, “The Impact of Nontechnical Skills on Technical Performance in Surgery: A Systematic Review,” Journal of the American College of Surgeons 214, no. 2 (2012): 214–230.