What can we do to mitigate these incidents?

Based on both practical experience and research evidence, BAOS advises that the main methods for mitigation of errors are:

• learning from mistakes – including investigation and root cause analysis
• engaging the clinical team when developing 'correct site surgery' policies
• utilising the LocSSIPs template and guidelines from NHS England/RCS England
• developing a correct site surgery checklist that is appropriate for your clinical environment
• providing training for staff on the use of the checklist
• ensuring that the checklist is being used correctly through active audits of the processes involved
• supporting the clinical team throughout the process and not taking punitive action when incidents do occur.

At the time of publication, this was one of a small number of dental studies with an explicit focus in terms of developing a tool to help improve patient safety related work practices and performance in this setting, potentially reducing risks to practitioners and practices alike.