Assessment of the Quality of Care at the Paediatric Dental Clinic of a Tertiary Health Institution in Nigeria
World Journal of Public Health
Volume 4, Issue 4, December 2019, Pages: 81-86
Received: May 8, 2019;
Accepted: Nov. 15, 2019;
Published: Nov. 25, 2019
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Joycelyn Odegua Eigbobo, Department of Child Dental Health, Faculty of Dentistry, College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria
Felix Emeka Anyiam, Centre for Health and Development, University of Port Harcourt, Port Harcourt, Nigeria
Seye Babatunde, Department of Preventive and Social Medicine, Faculty of Clinical Sciences, College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria
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To evaluate the quality of clinical records as a measure of quality of paediatric oral health care in a tertiary health institution, in Nigeria. A 12-month retrospective review of clinical records of all paediatric dental patients seen in the dental centre of a tertiary hospital in Nigeria was carried out. The clinical records were assessed using a structured standard checklist based on the modified CRABEL Scores. The information assessed in each of the case notes included the case note identification number, patient demographic information, the history of presenting complaint, dental and medical /drug histories. Other information elicited were clinical features, diagnosis, treatment plan, procedures done and professional rank of the person who made the entries. Scores obtained per item for each case note were inputted and analyzed using the Statistical Package for Social Sciences (SPSS) Version 20.0. Three hundred and thirty four clinical records were assessed, of which, 136 (44.3%), 106 (36.8%), 65 (21.2%) and 7 (2.3%) of entries were made by students, interns, resident doctors and consultants respectively. The median CRABEL score was 95%. Written consent was the least (0.3%) documented information. There were statistically significant differences between the professional rank and extra oral examination, treatment plan and procedures done (p<0.05). However, there was no significant difference between the professional rank and CRABEL scores (p=0.4). Using the adequacy of clinical note taking as an index of the quality of care, it may be concluded that the quality of care in our paediatric dental clinic is of high standard. The only shortcoming in our experience was almost the absence of documentation of written informed consent.
Dental Records, CRABEL Scores, Quality of Dental Care, Nigerian Children
To cite this article
Joycelyn Odegua Eigbobo,
Felix Emeka Anyiam,
Assessment of the Quality of Care at the Paediatric Dental Clinic of a Tertiary Health Institution in Nigeria, World Journal of Public Health.
Vol. 4, No. 4,
2019, pp. 81-86.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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U. S. Department of Health and Human services. Oral health in America: a report of the surgeon general. Rockville: U. S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes Of Health; 2000.
A. Adindu and S. Babatunde (2006). Health Managers Perception of the Primary Health Care Management Information System: A case of Bama Local Government in Northern, Nigeria. Nigerian Journal of Medicine15: 266–271.
A. Donabedian (1988). The quality of care: How can it be assessed? Journal of the American Dental Association, 11, 1145–1150.
Indian Health Services. Oral Health program guide. Quality Assessment and improvement. Appendix III Chapter 7: Indirect review of Clinical Quality Chart Review. 2007: 1–15.
B. K. Charangowda (2010). Dental records: an overview. Journal of Forensic Dental Sciences 2, 5–10.
New York University. Chapter 10: Dental Records. http://www.nyu.edu/dental/careers/.../startingyourdentalpractice/chapter10.pdf. Pp 79-86. Accessed 02/09/16.
J. Crall (1989). Evaluations of effectiveness and quality of care. Journal of Dental Education53, 673–676.
R. G. Morgan (2001). Quality assurance: Quality evaluation of clinical records of a group of general dental practitioners entering a quality assurance programm. British Dental Journal191, 436–441.
American Academy of Pediatric Dentistry (2009). Guideline on record keeping. Pediatric Dentistry 2008-2009; 30: 226-233.
F. Pessian andH. A. Beckett (2004). Record keeping by undergraduate dental students: A clinical audit. British Dental Journal197, 703-705.
S. E. Heilminen, M. Vehkalahti, H. Murtomaa, P. Kekki and T. M. Ketomäki (1998). Quality evaluation of oral health record-keeping for Finnish young adults. Acta Odontologica Scandinavica, 56, 288–292.
A. Dierickx, M. Seyler, Valck E. De Wijffels J and G. Willems (2006). Dental Records : A Belgium Study, Journal of Forensic Odontostomatology 24, 22–31.
A. Narayanan, N. Ashok and K. Sebastian (2011). A study of patient record documentation, practice of dentists in Kerala. Kerala Dental Journal34: 430–432.
J. R. Crawford, T. P. Beresford andK. L. Lafferty (2001). The CRABEL score - a method for auditing medical records Annals of Royal College of Surgeons of England 83, 65-68
E. B. Dosumu, O. O. Dosumu and F. B. Lawal (2012). Quality of records keeping by undergraduate dental students in Ibadan, Nigeria, Annals of Ibadan Postgraduate Medicine10, 13–17.
World Health Organization- Western Pacific Region. Medical Records Manual/A Guide for Developing Countries. Accessed 23/01/16 http://www.wpro.who.int/publications/docs/MedicalRecordsManual.pdf.
Australian Dental Association Inc. Guidelines for good practice on consent for care in dentistry. Accessed 23/01/16 http://www.ada.org.au/app_cmslib/media/lib/0703/m52394_v1_ggp2consentforcareindentistry.pdf.
J. T. Arotiba, V. I. Akinmoladun and V. N. Okoje (2006). An audit of medical record-keeping in maxillofacial surgery at the University College Hospital, Ibadan, using the CRABEL scoring system. African Journal of Medicineand Medical Sciences 35, 93–95.
P. Lambden (2002). Dental law and ethics. Radcliffe Medical press ltd. Abingdon. UK. ISBN 1–85775–911–7. Pp 81-83.
American Dental Association Division of Legal Affairs. Dental Records. Chicago, Ill. American Dental Association; 2007: 16.
P. Sfikis (2003). A duty to disclose: Issues to consider in securing informed consent. Journal of American Dental Association 13, 1329-1333.