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Development of a Quality Improvement Dental Chart Review Training Program
Elsbeth Kalenderian, Nutan B Hebballi1, Amy Franklin1
1University of Texas Health Science Center at Houston School of Dentistry, Houston, Texas.
Journal of Patient Safety
|January 24, 2022
Summary
Standardized training and coaching significantly improved dental adverse event (AE) identification accuracy for new chart reviewers. This enhanced patient safety by ensuring more reliable AE detection in electronic health records.
Area of Science:
- Medical Informatics
- Patient Safety
- Dental Healthcare
Background:
- Chart review is crucial for identifying adverse events (AEs) in healthcare.
- Accurate AE identification in dental settings requires specialized training for chart reviewers.
Purpose of the Study:
- To describe the process and outcomes of educating chart reviewers for dental AE evaluation.
- To assess the impact of a structured training program on the accuracy of AE identification.
Main Methods:
- A web-based training program, "Dental Patient Safety Training," was developed.
- Training incorporated didactic education, skills practice, quizzes, and hands-on exercises.
- Novice reviewers received weekly coaching during consensus discussions, with performance compared to experienced reviewers.
Main Results:
- The training program led to marked improvements in agreement and diagnostic measures for AE identification.
- Both independent and consensus-based learning phases showed enhanced accuracy.
- Key metrics including sensitivity, specificity, and predictive values improved significantly post-training.
Conclusions:
- Standardized training and ongoing coaching are effective in improving chart reviewer performance.
- This approach enhances calibration between novice and expert reviewers.
- The findings support the implementation of structured training to improve dental patient safety through better AE detection.
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