Improper Performance in Dentistry: Why is it Still Happening?

Program Description

Data from dental reports to the National Practitioners Data Bank between 2008 and 2013 and from The Doctors Company’s 2007 to 2015 Dental Closed Claims Study indicate that the most prevalent patient injuries resulting in negligence claims or professional sanctions are due to allegations of improper performance.  Root cause analysis reveals that the majority of injuries related to improper performance are preventable.  This program will explore dental improper performance claims to identify the prevalent injuries and contributing factors involved; as well as describe preventive measures that may be easily implemented in any dental practice. Disclosure and resolution of injury or dissatisfaction related to improper performance or the allegation of improper performance will also be addressed.  


After completing this activity, learners will be able to:

  • Identify factors in my practice that may contribute to improper performance 
  • Implement Universal Protocols or other patient safety initiatives aimed at preventing improper performance 
  • Formulate a patient disclosure plan  


No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests.


Sandra Strickland,  RN, MSN, LHRM, CPHRM, Assistant Vice President, Department of Patient Safety and Risk Management, SE Region, The Doctors Company 

Course Developers

Darrell Ranum, JD, CPHRM, Vice President, Department of Patient Safety and Risk Management, NE Region, The Doctors Company

Julie Hopkins, MA, MBA, Director, Continuing Medical Education, Patient Safety and Risk Management, The Doctors Company

Continuing Education Credit

The Doctors Company is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at

The Doctors Company designates this enduring material activity for 1.25 continuing education credits. Dentists should claim only the credit commensurate with the extent of their participation in the activity.

Course ID#: TDE 18003.0
Issue Date for This Activity: 01-10-2018
Expiration Date for This Activity: 01-10-2021


The information and guidelines contained in this enduring material activity are generalized and may not apply to all practice situations. The faculty recommends that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes only.

Complies with State Requirements

Please SEE the Federation of State Medical Boards overview of Continuing Medical Education requirements by State. 

Technical Requirements

This activity is best experienced using the most current browser (or one back) of Firefox, Chrome, Safari, or Microsoft Edge. Internet Explorer is not supported by this platform. For all activities featuring audio you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer.  Adobe Acrobat Reader may be required for certain activities.


Click Here to download a PDF with resources related to this program.

Contact Us

If you have questions, contact or call 800.421.2368, extension 1243.