Clinical documentation of dental care in an era of electronic health record use.

ABSTRACT:

Background

Although complete and accurate clinical records do not guarantee the provision of excellent dental care, they do provide an opportunity to evaluate the quality of care provided. However, a lack of universally accepted documentation standards, incomplete record-keeping practices, and unfriendly electronic health care record (EHR) user interfaces are factors that have allowed for persistent poor dental patient record keeping.

Methods

Using 2 different methods-a validated survey, and a 2-round Delphi process-involving 2 appropriately different sets of participants, we explored what a dental clinical record should contain and the frequency of update of each clinical entry.

Results

For both the closed-ended survey questions and the open-ended Delphi process ques

SUBMITTER: Tokede O 

PROVIDER: S-EPMC5119920 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature