A pilot improvement project in hospital-based oral healthcare: improving caries risk assessment documentation
| Autor: | R. C. Lloyd, Siobhán Lucey, Jason Leitch, Caroline Campbell, A. J. Keightley |
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| Rok vydání: | 2012 |
| Předmět: |
Program evaluation
medicine.medical_specialty Adolescent Quality Assurance Health Care genetic structures Hospital Departments MEDLINE Dentistry Pilot Projects Documentation Evidence-Based Dentistry Dental Caries Risk Assessment Pediatric Dentistry Health care medicine Humans Child General Dentistry Diet advice business.industry Hospital based United Kingdom Physical therapy business Risk assessment Quality assurance Program Evaluation |
| Zdroj: | British Dental Journal. 212:E3-E3 |
| ISSN: | 1476-5373 0007-0610 |
| Popis: | Objective To evaluate the impact of a continuous improvement project to improve completion of a caries risk assessment (CRA) and to assess its impact on delivery of dental caries prevention. Design Single centre clinical improvement project. Setting A paediatric dental department within a UK dental hospital over the course of 2008-2009. Subjects (materials) and methods Continuous monitoring of documentation of a CRA was instigated and results fed back to clinicians. Tools were developed to structure the process of CRA. After six months of intervention, a comparison of preventive care to a pre-intervention sample was undertaken. Main outcome measures The main outcome measure was completion of a CRA. Comparison was also made with pre-intervention data on levels of preventive care received. Results Over the 12 month project the mean rate of CRA completion improved from 30% over the first 6 months to 73% in the second 6 months. Compared to the pre-intervention sample, all items of the caries prevention package had improved, with delivery of toothpaste strength advice (16% vs 60%, p = 0.001) and diet advice (32% vs 70%, p = 0.004) improving significantly. Conclusion By targeting and improving CRA completion the quality of preventive care delivered has also significantly improved. |
| Databáze: | OpenAIRE |
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