A pilot improvement project in hospital-based oral healthcare : improving caries risk assessment documentation. / Keightley, A. J.; Lucey, S. M.; Leitch, J.; Lloyd, R. C.; Campbell, C.
In: British Dental Journal, Vol. 212, No. 2, 01.2012, p. 1-5.Research output: Contribution to journal › Article
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TY - JOUR
T1 - A pilot improvement project in hospital-based oral healthcare
T2 - improving caries risk assessment documentation
A1 - Keightley,A. J.
A1 - Lucey,S. M.
A1 - Leitch,J.
A1 - Lloyd,R. C.
A1 - Campbell,C.
AU - Keightley,A. J.
AU - Lucey,S. M.
AU - Leitch,J.
AU - Lloyd,R. C.
AU - Campbell,C.
PY - 2012/1
Y1 - 2012/1
N2 - <p>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.</p>
AB - <p>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.</p>
U2 - 10.1038/sj.bdj.2012.49
DO - 10.1038/sj.bdj.2012.49
M1 - Article
JO - British Dental Journal
JF - British Dental Journal
SN - 0007-0610
IS - 2
VL - 212
SP - 1
EP - 5
ER -