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Measuring Adherence to Evidence-Based Clinical Practice Guidelines

Version 2 2024-06-05, 09:15
Version 1 2017-05-29, 16:30
journal contribution
posted on 2024-06-05, 09:15 authored by R Clark, Utsana TonmukayakulUtsana Tonmukayakul, Y Mangan, M Smith, M Gussy, D Manton, D Bailey, Hanny CalacheHanny Calache
OBJECTIVES: Dental Health Services Victoria publishes evidence-based clinical practice guidelines (CPGs) to assist public oral health practitioners to provide high-quality dental care. How well these CPGs are implemented into practice is unknown. The aim of this study was to assess adherence to selected CPGs. METHODS: An electronic auditing tool was developed using clinical indicators derived for "stainless steel crown (SSC)," "restorative care for children under general anesthetic (GA)," and "direct restorative materials" CPG. Six trained dentists audited a random sample of 204 dental records of children aged 3-12 years from 2 major public dental agencies. RESULTS: In total, 319 material-based treatments were audited, comprising 170 resin composite, 81 glass ionomer cement, 64 SSC, and 4 amalgam restorations. Adherence to the current guidelines varied from 94% of the SSC to none of the amalgam treatments audited. Almost half (47%) of the resin composite restorations and 5% of glass ionomer cement restorations were nonadherent to the relevant guideline. CONCLUSIONS: Average adherence was up to 72% of cases. Clinicians need to consider recording the rationale upon which their professional judgment is based when they decide not to follow an appropriate CPG.

History

Journal

Journal of Evidence-Based Dental Practice

Volume

17

Pagination

301-309

Location

United States

ISSN

1532-3382

eISSN

1532-3390

Language

English

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2017, Elsevier

Issue

4

Publisher

ELSEVIER INC