fa A Performance Measurement Plan for Pediatric Dentists: Using Accuracy of Caries Diagnosis from Intraoral Radiographs کودکان Pediatric Dentistry پژوهشي Research <p> <strong>Purpose:</strong></p><p>  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.</p><p> <strong> Methods</strong>:</p><p>  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. </p><p> <strong>Results:</strong></p><p>  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). </p><p> <strong>Conclusions:</strong></p><p>  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. </p><hr><p></p><p> <strong>Source: </strong>Journal of American Academy of ‍ Pediatric Dentistry</p><p><a href="http://www.ingentaconnect.com/content/aapd/pd/2013/00000035/00000001/art00005jsessionid=u5n10ezntvyo.alexandra" target="_blank"><font color="#0000ff"> Full Text</font></a></p> BITEWING; DENTAL CARIES; QUALITY IMPROVEMENT; RADIOGRAPHY; REPRODUCIBILITY OF RESULTS 0 0 http://idai.ir/browse.php?a_code=A-10-32-2518&slc_lang=fa&sid=1 Henry O. Ohiomoba 100319475328460011979 100319475328460011979 Yes Department of Dentistry, Children's Hospital Boston, Boston, Mass., USA Linda P. Nelson 100319475328460011980 100319475328460011980 No Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Mass., USA; Department of Dentistry, Children's Hospital Boston, Boston, Mass., USA