A Performance Measurement Plan for Pediatric Dentists: Using Accuracy of Caries Diagnosis from Intraoral Radiographs
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چکیده: (1814 مشاهده) |
Purpose: The purpose of this study was to develop a metric for measuring (1) an individual pediatric dentist's performance against peer performance and (2) aggregate group performance, using accuracy of caries diagnosis. Methods: A total of 3,985 tooth surfaces (from 174 patients) on intraoral bitewing radiographs were assessed by 9 precalibrated attending pediatric dentists at Children's Hospital Boston over a 3-year period. Each surface was reviewed by 3 pediatric dentists (the operating dentist and 2 peer reviewers) using a score card. An accurate diagnosis was defined as agreement between the operating dentist and at least 1 peer reviewer as to the presence or absence of caries. Results: Average percentage diagnostic accuracy within the group over the course of the project was approximately 95% (95% confidence interval=94.0-95.4). Individual dentist scores ranged from approximately 89% to 96%. Group average rose steadily over time, from approximately 93% in 2008 to 97% by 2010. Unacceptable diagnosis (∼5% of surfaces assessed) did not directly translate into unfavorable treatment (∼4% of surfaces with unacceptable diagnosis). Conclusions: Interexaminer reliability as a proxy for accuracy of caries diagnoses from bitewing radiographs is a viable metric for improving and assessing the quality of care provided by pediatric dentists.
Source: Journal of American Academy of Pediatric Dentistry Full Text |
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واژههای کلیدی: BITEWING; DENTAL CARIES; QUALITY IMPROVEMENT; RADIOGRAPHY; REPRODUCIBILITY OF RESULTS |
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نوع مطالعه: پژوهشي |
موضوع مقاله:
کودکان دریافت: 1392/9/7 | پذیرش: 1392/9/7 | انتشار: 1392/9/7
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