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Related Concept Videos

Documentation of Nursing Diagnosis01:10

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Accuracy in Dental Medicine, A New Way to Measure Trueness and Precision
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Dental Faculty Accuracy When Using Diagnostic Codes: A Pilot Study.

Jeanne C Sutton1, Rose-Marie Fay1, Carolyn P Huynh1

  • 1Dr. Sutton is Associate Professor, Department of General Practice and Dental Public Health, University of Texas School of Dentistry at Houston; Dr. Fay is Assistant Professor, Department of General Practice and Dental Public Health, University of Texas School of Dentistry at Houston; Dr. Huynh is Associate Professor, Department of Diagnostic and Biomedical Sciences, University of Texas School of Dentistry at Houston; Dr. Johnson is Professor, Department of General Practice & Dental Public Health, University of Texas School of Dentistry at Houston; Dr. Zhu is Associate Professor, Biostatistics and Epidemiology Research Design Core, Center for Clinical and Translational Sciences, and Department of Internal Medicine, University of Texas McGovern Medical School; and Dr. Quock is Professor and Vice-Chair, Department of Restorative Dentistry and Prosthodontics, University of Texas School of Dentistry at Houston.

Journal of Dental Education
|May 3, 2017
PubMed
Summary
This summary is machine-generated.

Dental faculty accurately diagnosed deep tooth decay but struggled with early enamel lesions. Despite diagnostic code inaccuracies for incipient lesions, treatment decisions were generally correct, indicating a need for improved diagnostic code calibration.

Keywords:
calibrationcariesdental educationdental facultydiagnosisdiagnostic codeselectronic health recordradiographs

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Area of Science:

  • Dental Radiology
  • Operative Dentistry
  • Dental Education

Background:

  • Accurate diagnosis of interproximal tooth radiolucencies is crucial for appropriate treatment planning.
  • Existing diagnostic codes require precise application for effective clinical decision-making.
  • Dental faculty's proficiency in utilizing diagnostic codes impacts treatment outcomes and education.

Purpose of the Study:

  • To evaluate the accuracy of dental faculty in assigning diagnostic codes to radiographic interproximal tooth radiolucencies.
  • To assess the correlation between diagnostic code accuracy and subsequent treatment planning decisions.
  • To determine dental faculty's confidence levels in their diagnostic and treatment choices.

Main Methods:

  • Fifty general dentistry faculty members reviewed 15 bitewing radiographs with highlighted interproximal radiolucencies.
  • Participants selected diagnostic codes (enamel/dentin progression) and acute treatment options.
  • Responses were compared against expert-determined "gold standard" diagnoses and treatments.

Main Results:

  • Faculty accurately assigned diagnostic codes for deep dentin lesions (outer and pulpal thirds) (p<0.0001).
  • Moderate accuracy was observed for lesions in enamel and the middle dentin third.
  • Treatment choices were largely accurate (63.6-100%) across all lesion types, irrespective of diagnostic code accuracy.

Conclusions:

  • Dental faculty demonstrated proficiency in diagnosing advanced caries but less accuracy with incipient enamel lesions.
  • Treatment planning was generally appropriate, even when diagnostic codes were not perfectly assigned.
  • Enhanced calibration and teaching of diagnostic codes are necessary to improve faculty's diagnostic accuracy for early-stage lesions.