Dental audit (I): exact criteria of dental records; Results of a Phase-III study
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Pilar Martín García [1] ; Jose Vicente Ríos Santos [1] ; Juan Jose Segura Egea [1] ; Ana Fernández Palacín [1] ; Pedro Bullón Fernández [1]
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[1] Universidad de Sevilla
Universidad de Sevilla
Sevilla, España
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- Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 13, Nº. 7 (July), 2008
- Idioma: inglés
- Enlaces
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Resumen
Objective: Evaluating the quality of dental records in the Faculty of Dentistry of the University of Seville (Spain).
We attempted to collect and/or develop identifiable elements of dental care used to evaluate its appropriateness, as well as to measure its level of filling-in between 1999 and 2004 (Phase III of the record audit).
Method: The 46 criteria used to evaluate dental care are shown, measuring —in 50 dental records randomly chosen within a 5-year-time period— their level of filling-in (Phase III of a health audit).
Results: A low level of filling-in was observed in all quality criteria defined. No record was found to be free from errors. A maximum of 36 criteria out of 46 was fulfilled (mean of 20.8).
Conclusions: The standard of appropriate filling-in was only met in 12 criteria (75 %), the results being poor, due to the importance which clearly deficient aspects related to diagnosis and treatment plan have in the process of patient care. For such reason, we suggest a remedial action (Phase IV) developing a new model of dental record and its subsequent re-evaluation (Phase V), which will be subject to analysis in the second part of this paper.
