British dental journal
-
British dental journal · Jan 2012
Updated guidance on medical emergencies and resuscitation in the dental practice.
This article outlines the updated guidance relating to the management of medical emergencies in the dental practice. The incidence of medical emergencies in the dental practice is discussed. The key recommendations from the Resuscitation Council UK on the treatment of medical emergencies in the dental practice are listed, with specific reference to oxygen therapy, medications and automated external defibrillators. An overview to the professional responsibilities of dental practitioners and dental care professionals is provided.
-
British dental journal · Jan 2012
Oral health, dental prophylaxis and catheter related bloodstream infections in home parenteral nutrition patients: results of a UK survey and cohort study.
Concern that some catheter related bloodstream infections (CRBSI) arise from dental treatment in home parenteral nutrition (HPN) patients results in recommendation of antibiotic prophylaxis. Clinical guideline 64 is widely recognised and observed. There is a lack of consistent guidance for other patient groups viewed at risk from procedural bacteraemia. ⋯ Opinion varies among UK HPN providers on the role of dental treatment and oral health in CRBSI and on prescribing prophylactic antibiotics for dental treatment. Prophylaxis guidance specific to this patient group is required.
-
British dental journal · Jan 2012
CommentSummary of: A pilot improvement project in hospital-based oral healthcare: improving caries risk assessment documentation.
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. ⋯ By targeting and improving CRA completion the quality of preventive care delivered has also significantly improved.
-
British dental journal · Dec 2011
Multicenter StudyIntroducing care pathway commissioning to primary dental care: measuring performance.
Care pathways have been used in a variety of ways: firstly to support quality improvement through standardising clinical processes, but also for secondary purposes, by purchasers of healthcare, to monitor activity and health outcomes and to commission services. This paper focuses on reporting a secondary use of care pathways: to commission and monitor performance of primary dental care services. ⋯ Data from surgery-based clinical databases and interviews from commissioners and providers are reported. The use of both process and outcome key performance indicators in this context is discussed, as well as issues which arise such as attributability of outcome measures and strategic approaches to improving quality of care.
-
British dental journal · Dec 2011
Patients' satisfaction after a comprehensive assessment for complex chronic facial pain at a specialised unit: results from a prospective audit.
The aim of this audit was to investigate complex chronic facial pain patients' satisfaction after an initial, comprehensive, 45-60 minute consultation visit. ⋯ A consultation with adequate time for history taking, addressing patients' goals and thorough explanation accompanied by written information, results in high satisfaction among patients with chronic facial pain.