ArticleJournal of the American Dental Association (1939)2018
Need for diagnostic-centric care in dentistry: A case study from the Marshfield Clinic Health System.
Article in Journal of the American Dental Association (1939), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Treatment Gaps Among Young Medicaid-Enrolled Children with Tooth Decay in Pediatric Primary Care.medRxiv : the preprint server for health sciences · 2026Article
- Knowledgeability, attitude, and practice behaviors of primary care providers toward managing patients' oral health care in medical practice: Wisconsin statewide survey.Journal of the American Dental Association (1939) · 2019Article
- Evaluation of a Dental Diagnostic Terminology Subset.Studies in health technology and informatics · 2019Article
- Development of non-invasive diabetes risk prediction models as decision support tools designed for application in the dental clinical environment.Informatics in medicine unlocked · 2019Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe study objective was to evaluate the workflow of dental providers who use the existing electronic dental record (EDR) system at a large regional health care system to establish a diagnostic-centric culture as part of their dental practice. A further goal focused on identifying when improvements to the workflow and design of the EDR may be indicated.
methodsDental procedures performed on patients and corresponding International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnoses were retrospectively mined from Marshfield Clinic's enterprise data warehouse. All dental procedures performed were selected and paired with corresponding diagnostic codes documented by dental providers. Frequency of documented diagnosis was further analyzed by characterizing correspondence with their ranking order in the diagnosis column with and without a scroll bar within the EDR user interface (UI). Accuracy of selecting appropriate ICD-9-CM for the corresponding Code on Dental Procedure and Nomenclature (CDT) was checked for 10% (n = 6,187) of the procedure-diagnosis pairs.
resultsOf the 61,511 unique procedures documented using 147 CDTs, 11% (6,914 procedures) had a corresponding "not available" option associated under the diagnoses column, whereas 89% (54,597) of dental procedures were associated with a corresponding ICD-9-CM diagnostic code. Overall tendency of dental providers to select the first or last options from the diagnostic list with a scroll bar was noted. Appropriateness of documenting corresponding ICD-9-CM to CDT procedures indicated 98% accuracy.
conclusionEDR UI design greatly affected documentation process. Redesigning the EDR UI from the results will increase both the quality and utility of clinical documentation.
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