دورية أكاديمية
أعرض في EDS

Improvements in appropriate placement of dental sealants after implementation of a clinical decision support system.

التفاصيل البيبلوغرافية
العنوان: Improvements in appropriate placement of dental sealants after implementation of a clinical decision support system.
المؤلفون: Mullins J, Brandon R, Skourtes N, Kalenderian E, Walji M
المصدر: Journal of the American Dental Association (1939) [J Am Dent Assoc] 2024 May; Vol. 155 (5), pp. 409-416. Date of Electronic Publication: 2024 Apr 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 7503060 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1943-4723 (Electronic) Linking ISSN: 00028177 NLM ISO Abbreviation: J Am Dent Assoc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2015- : London : Elsevier
Original Publication: Chicago, Ill. : American Dental Association, c1939-
مواضيع طبية MeSH: Pit and Fissure Sealants*/therapeutic use , Dental Caries*/prevention & control , Decision Support Systems, Clinical*, Humans ; Child ; Adolescent ; Female ; Male ; Child, Preschool ; Quality Improvement ; Electronic Health Records
مستخلص: Background: Dental sealants are effective for the prevention of caries in children at elevated risk levels, and increasing the proportion of children and adolescents who have dental sealants on 1 or more molars is a Healthy People 2030 objective. Electronic health record (EHR)-based clinical decision support systems (CDSSs) have the ability to improve patient care. A dental quality measure related to dental sealant placement for children at elevated risk of caries was targeted for improvement using a CDSS.
Methods: A validated dental quality measure was adapted to assess a patient's need for dental sealant placement. A CDSS was implemented to advise care team members whether a child was at elevated risk of developing caries and had sealant-eligible first or second molars. Data on dental sealant placement at examination visits during a 5-year period were analyzed, including 32 months before CDSS implementation and 28 months after CDSS implementation.
Results: From January 1, 2018, through December 31, 2022, the authors assessed 59,047 examination visits for children at elevated risk of developing caries and with sealant-eligible teeth. With the implementation of a CDSS and training to support the clinical care team members in September 2020, the appropriate placement of dental sealants at examination visits increased from 27% through 60% (P < .00001).
Conclusions: Integration of a CDSS into the EHR as part of a quality improvement program was effective in increasing the delivery of sealants in eligible first and second molars of children aged 5 through 15 years and considered at high risk of developing caries.
Practical Implications: An EHR-based CDSS can be implemented to improve standardization and provide timely and appropriate patient care in dental practices.
Competing Interests: Disclosure None of the authors reported any disclosures.
(Copyright © 2024 American Dental Association. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: R01 DE024166 United States DE NIDCR NIH HHS
فهرسة مساهمة: Keywords: Preventive care; caries; decision support systems; evidence-based dentistry; high caries risk; quality improvement; sealants
المشرفين على المادة: 0 (Pit and Fissure Sealants)
تواريخ الأحداث: Date Created: 20240407 Date Completed: 20240508 Latest Revision: 20240608
رمز التحديث: 20240608
مُعرف محوري في PubMed: PMC11156465
DOI: 10.1016/j.adaj.2024.02.009
PMID: 38583172
قاعدة البيانات: MEDLINE
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