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Measuring adherence to evidence-based clinical practice guidelines
journal contribution
posted on 2017-12-01, 00:00 authored by R Clark, Utsana TonmukayakulUtsana Tonmukayakul, Y Mangan, M Smith, M Gussy, D Manton, D Bailey, Hanny CalacheHanny CalacheOBJECTIVES: 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 practiceVolume
17Issue
4Pagination
301 - 309Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
eISSN
1532-3390Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2017, ElsevierUsage metrics
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