确定直接恢复的失败率 - - 图表审查与电子健康记录报告相比
Priyal Patel1, Utsavi Kapadia1, Janhvi Vyas2
1Office of Patient Services, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA.
Dentistry journal
|August 28, 2024
概括
牙科修复失败率高于电子健康记录 (EHR) 中报告的. 手动图表的审查揭示了差异,强调需要准确的牙科文档.
科学领域:
- 牙科材料科学 牙科材料科学
- 基于证据的牙科.
- 医疗信息学 医疗信息学
背景情况:
- 合金和复合材料修复在轻微的牙科问题中很常见.
- 电子健康记录 (EHR) 数据表明故障率较低:合金为2.31%,复合材料为1.14%.
- 电子健康记录数据与实际临床结果之间的差异需要进一步调查.
研究的目的:
- 为了确定合金和复合牙科修复的真正失败率.
- 为了将手动图表审查结果与现有的EHR数据进行比较.
- 识别牙科电子病历系统中的文档缺口.
主要方法:
- 从密歇根大学牙科学院的患者数据对216次合金修复 (2020-2022) 和350次复合修复 (2021) 的手动审查.
- 定义的恢复失败,即在一年内用相同或替代材料进行更换.
- 基于重新处理和替代治疗数据计算的失败率.
主要成果:
- 合金失败:1.85%的人退化,7.87%的人替代治疗.
- 复合失败:9.71%的复合,2.86%的替代治疗.
- 通过手动审查发现的整体失败率超过了电子健康报告中报告的失败率.
结论:
- 手动图表的审查表明,牙科修复失败率高于最初在EHR中报告的.
- 准确和精确的文档实践对于将电子健康记录数据与临床现实保持一致至关重要.
- 提高电子健康记录数据完整性对于可靠的牙科研究和实践管理至关重要.
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