Abstract:
:Introduction Prescribing checklists are a means of managing risk related to systemic medications in oral medicine practice.Methods Checklists for workup and monitoring for azathioprine, mycophenolate mofetil (MMF) and dapsone were introduced to an oral medicine clinic. Compliance with the checklists was audited at six and 12-24 months post introduction, and compared to previous clinical practice.Results Azathioprine: compliance with viral serology screening improved from <10% to over 80% at 6 months post checklist introduction, and was 100% at 12 months. Documentation of counselling improved from 48% to 85% at six months, and was 100% at 12 months. Compliance with tuberculosis risk assessment improved from 5% to 50% at six months but declined to 4% at 12 months. Compliance with monitoring blood tests improved slightly. MMF: compliance with viral serology screening increased from nil to 100% at six months. Documented evidence of counselling increased from 20% to 100%. Monitoring blood test compliance for the first six weeks of therapy improved. Dapsone: documentation of patient counselling improved from 25% pre-checklist, to 50% at six months and 60% at 24 months. Monitoring blood test compliance improved at six months but had decreased by 24 months.Discussion and conclusion Clinical checklists led to a modest improvement in prescribing safety in our clinics. The usefulness of checklists depends on cultural changes and clinician engagement. Electronic medication safety programs may be a useful future strategy.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Shephard MK,Nova CV,Thakrar P,Hodgson Tdoi
10.1038/sj.bdj.2017.887subject
Has Abstractpub_date
2017-12-01 00:00:00pages
693-698issue
9eissn
0007-0610issn
1476-5373pii
sj.bdj.2017.887journal_volume
223pub_type
杂志文章abstract::The popularity of caricature at the end of the eighteenth century allows a researcher to observe the social as well as the technical side of dentistry as it was then available throughout the kingdom. The value of these caricatures is further enhanced by the unconscious inclusion of everyday objects which a narrative a...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.4801237
更新日期:2001-11-24 00:00:00
abstract::There has been growing interest in the use of virtual learning environments (VLEs) by universities over the past decade to supplement traditional teaching methods. In this study a tutorial providing information about the temporomandibular joint (TMJ), temporomandibular disorders and teaching of a thorough TMJ examinat...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2010.1085
更新日期:2010-12-11 00:00:00
abstract:OBJECTIVE:The optimum management of dual anti-platelet therapy (DAPT) in patients undergoing dentoalveolar surgery is controversial. The lack of guidelines has meant clinicians have been left to manage these cases from specialist advice or past experience. In view of this the British Association of Oral Surgeons (BAOS)...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.1055
更新日期:2014-12-05 00:00:00
abstract::Many British dentists consider that because of the NHS, oral healthcare provision in Europe is more comprehensive, less controlled and more remunerative than the UK, a view that is often shared by their European colleagues. In this article, the oral healthcare systems of most European countries are classified and comp...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809719
更新日期:1998-07-11 00:00:00
abstract::Aim To assess socioeconomic inequality regarding specific preventive interventions (fissure sealants or any treatment to prevent caries) and dental visits among UK children.Method Data were from the Children's Dental Health Survey 2003, which included participants from England, Wales, Scotland, and Northern Ireland. T...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.499
更新日期:2017-06-09 00:00:00
abstract::There have been many stories concerning VAT and dental practices over the past year, sometimes true but often distorting the facts. This article attempts to document the current state of play so that practitioners can make their own decision on registration. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808368
更新日期:1994-01-22 00:00:00
abstract::April 1993 saw the introduction of the 'Community Care' element of the 1990 NHS and Community Care Act. The term 'Community Care' describes the relocation of long-stay hospital residents to community accommodation. Much public attention has recently been focused on the welfare of psychiatric patients in the community,...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808358
更新日期:1994-01-22 00:00:00
abstract::At one time the incidence of broken hypodermic needles was a fairly common occurrence in general dental practice. Fortunately the routine use of modern stainless steel needles has all but eliminated this emergency. Occasionally a patient may make a sudden movement during administration of local anaesthetic, particular...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809128
更新日期:1996-06-22 00:00:00
abstract::This section of the series introduces the topic of WWW search engines and directory sites; showing you how to find information using a search engine and a directory. It also covers other ways of searching for information on the internet. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809825
更新日期:1998-10-24 00:00:00
abstract::A report is presented of a study which was carried out to investigate the standard of impressions for anterior crowns received at a commercial dental laboratory in Great Britain. Aspects examined were the type of tray and its suitability to the impression technique used, fixation of the impression to the tray, the met...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808129
更新日期:1993-04-10 00:00:00
abstract::Ecstasy (also known as 'love drug', 'XTC' or 'E') is the name commonly used for the illegal designer drug related to amphetamine, 3,4 methylenedioxy-methamphetamine (MDMA). MDMA was patented in 1914 as an appetite suppressant, has been investigated as a mood modifying agent, but with its predecessor 3,4 methylenedioxy...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808200
更新日期:1993-07-10 00:00:00
abstract::I'm delighted to have the opportunity to share with you my understanding of the much-needed and long-awaited reform of the General Dental Council. Change is moving apace and the new, modern GDC, for which the existing Council has been working so hard, is taking shape as part of widespread fundamental reforms in the re...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4802403
更新日期:2003-01-11 00:00:00
abstract::A great number of dentists recognise the conflict between running a viable business and providing dental care to the same level they had been taught as students. This Personal View recounts the experiences of one general dental practitioner, but the feelings expressed have a universality that many will recognise. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808383
更新日期:1994-02-19 00:00:00
abstract:OBJECTIVES:To test the hypothesis that a blue light emitting diode (LED) light curing unit (LCU) can produce an equal dental composite depth of cure to a halogen LCU adjusted to give an irradiance of 300 mWcm-2 and to characterise the LCU's light outputs. MATERIALS AND METHODS:Depth of cure for three popular composite...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800120
更新日期:1999-04-24 00:00:00
abstract::A brief review of the literature of digit sucking is followed by the report of a study of 68 treated Class II division 1 malocclusions, designed to attempt to clarify the significance of digit sucking in their aetiology. Case histories of two of the patients from the study are briefly discussed to illustrate the range...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807724
更新日期:1991-12-07 00:00:00
abstract::In 1998, research on 'What the general public wants from the general dental service' was carried out by the Centre for Dental Services Studies (CDSS) at the University of York and was commissioned by the British Dental Association (BDA). The research culminated in the report: 'User Priorities for General Dental Servic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800588
更新日期:2000-07-08 00:00:00
abstract::The prevalence of double teeth in the primary dentition, for the British schoolchild, is 1.6%. Although primary double teeth in the anterior region of the mouth are not uncommon, double teeth in the primary molar region are rare. This case report describes the intra-oral findings, and in particular a case of a primary...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807694
更新日期:1991-11-09 00:00:00
abstract::The factors which influence the uptake of orthodontic treatment are reviewed with respect to the features and aspirations of the consumers (patients and parents) and the providers (dentists, orthodontists and health system). It appears that the assessment of orthodontic treatment need is influenced by many variables r...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807421
更新日期:1991-01-19 00:00:00
abstract::A theoretical model was proposed and tested to evaluate some of the factors involved in patients' decisions to undergo extensive restorative dental treatment. This model incorporates aspects of the environment within which the decision occurred (the patient/provider relationship, social influence and the role of cues ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808807
更新日期:1995-07-08 00:00:00
abstract::The difference between paediatric dentistry and most other branches of dentistry is that in the child the occlusion is changing. Consequently 'Good Occlusal Practice' in children is a matter of making the right clinical decisions for the future occlusion. The clinician needs to be able to predict the influence that di...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801261a
更新日期:2001-12-22 00:00:00
abstract::Objective To establish the appropriateness of timing of referrals for patients referred for the management of ectopic maxillary canines, and to evaluate the success of previous recommendations to educate referrers.Design Retrospective clinical re-audit.Setting Royal Surrey County Hospital NHS Foundation Trust.Subjects...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.816
更新日期:2016-11-04 00:00:00
abstract::Five hundred pairs of dental panoramic tomographs (DPT) and maxillary anterior occlusal radiographs (AO) from patients referred to the orthodontic department of a dental teaching hospital were examined to assess the diagnostic yield from a panoramic radiograph of the premaxillary region alone and then assess the addit...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808931
更新日期:1995-11-25 00:00:00
abstract::Alcohol is a very widely used drug which can cause dental disease and influence dental treatment. It is therefore important that dental professionals take an alcohol history from all patients and are aware of how to give alcohol reduction advice. This article discusses the impact of alcohol on oral health, including o...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.997
更新日期:2018-01-01 00:00:00
abstract::It is widely accepted that the practice support staff, and particularly the dental nurse, have a major role to play in ensuring patient satisfaction and reassurance. Despite this, findings from recent research by Maria Mindak show that dental nurses do not as a rule receive praise, encouragement or feedback from their...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809036
更新日期:1996-04-06 00:00:00
abstract:OBJECTIVE:Acupuncture is frequently advocated as an effective treatment of dental pain. The question whether or not it is effective for this indication remains controversial. The aim of this systematic review therefore was to assess the effectiveness of acupuncture in dental pain. DATA SOURCES:Four electronic database...
journal_title:British dental journal
pub_type: 杂志文章,meta分析
doi:10.1038/sj.bdj.4809654
更新日期:1998-05-09 00:00:00
abstract::Widely varying prevalence rates of oral lesions in patients with Crohn's disease have been reported, ranging from 0.5% to 37%. These manifestations may coincide with or precede intestinal symptoms. Oral manifestations can be classified as specific lesions, when macroscopic examination shows similar changes to those ob...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.954
更新日期:2016-12-16 00:00:00
abstract::The geographic tongue of a 23-year-old female student was examined daily for one year. The size, number and location of the lesions were recorded using transparent films. The phase of the oral contraceptive cycle appeared to have a marked effect on the initiation and duration of the circinate lesions, the tongue chang...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807618
更新日期:1991-08-10 00:00:00
abstract::Destructive membranous periodontal disease is a rare, destructive and poorly defined entity, which is the part of a systemic disease due to plasminogen deficiency and fibrin deposition. The disease is characterised by gingival enlargement and periodontal tissue destruction that leads to rapid tooth loss despite treatm...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811739
更新日期:2004-10-23 00:00:00
abstract::This study describes a pilot project in which peer assisted learning (PAL) is used to teach dental clinical skills. A cluster randomised controlled trial compared opinions of Bachelor of Dental Surgery (BDS) students from peer-led groups versus staff-led groups in a clinical (impression taking) and a pre-clinical (han...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2015.722
更新日期:2015-09-25 00:00:00
abstract::Heroin addiction is associated with poor oral health. Oral and dental care in heroin addiction might be complicated by altered mental status, negative attitude towards oral health, dental anxiety and fear, drug interaction, and associated medical co-morbidity. We present the oral findings and discuss the dental, behav...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0206-x
更新日期:2019-04-01 00:00:00