Do Referrals from Primary Dental Care for Treatment Using General Anaesthesia Comply with General Dental Council Guidelines?

Thomas, David M.; Royle, Ian; John, Jeyanthi; Bainton, Peter

doi:10.1308/135576104322702804

Cited by 7 publications

(12 citation statements)

References 4 publications

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“…Unlike the medical literature, 4–6 to date there have been few studies in the dental literature that deal with the quality of or attempt to improve the information contained in referral letters to other practitioners 3,7–13 . In those studies, a large number of referral letters were shown to have significant omissions 7,12 and, on average, in only 40% of referral letters was the relevant medical history documented adequately 3,11 …”

Section: Introductionmentioning

confidence: 99%

The accuracy of medical history information in referral letters

DeAngelis

Chambers

Hall

2010

Australian Dental Journal

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Background: Accurate medical history information is essential for good patient care and should be notified in the letter of referral. The aim of this study was to investigate the subjective opinion that the medical information in a large number of referrals is either inaccurate or non-existent. Methods: Medical histories from 54 patients with positive medical history findings upon taking the medical history at the initial consultation appointment were compared to the medical information supplied in the referral letter. Results: Overall, medical information was only 58.8% complete with dental referrals being 55.2% complete and medical referrals 62.4%. The majority of referral letters (70.4%) missed at least one relevant finding and only 29.6% of referrals were 100% complete. Conclusions:The results of this study suggest that the standard of referral letters needs to be improved as the received referrals were generally incomplete and contained inaccurate information. This highlights the need for each and every practitioner to take their own detailed medical history and not rely on the information supplied in the referral.

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Section: Introductionmentioning

confidence: 99%

The accuracy of medical history information in referral letters

DeAngelis

Chambers

Hall

2010

Australian Dental Journal

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“…Thomas et al . [7] showed that only 39·8% of referrals included a full medical history. Research in other dental specialities [3,5,6,8] reported significant omissions of information.…”

Section: Referral Document Sign Essential Information Fields Completedmentioning

confidence: 99%

“…Thomas et al . [7] found that practitioners using a form were more likely to omit their own details, only 90·4% were identifiable. Snoad et al .…”

Section: Referral Document Sign Essential Information Fields Completedmentioning

confidence: 99%

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An audit of the quality of a referral document, designed in accordance with Scottish Intercollegiate Guidelines Network, for paediatric exodontia under general anaesthesia

Baker¹,

Anthony²,

Sanders³

2006

Int J Paed Dentistry

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A rapid review of variation in the use of dental general anaesthetics in children

et al. 2020

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The use of dental general anaesthetics (DGAs) remains a cause for concern due to additional strains placed on health services. There are numerous factors influencing the prevalence and use of DGAs, and understanding these is an important first step in addressing the issue. AimConduct a rapid review of current peer reviewed and grey literature on the variation in the use of dental general anaesthetics in children. MethodsElectronic searching using MEDLINE via Ovid covering DGA articles from 1998 onwards, written in English. Publication types included primary and secondary sources from peer reviewed journals and reports, as well as grey literature. ResultsFrom 935 results, 171 articles were included in the final review. Themes emerging from the literature included discussions of DGA variation, variations in standards of service provision by health services, and the socio-demographic and geographical characteristics of children. Prominent 2 socio-demographic and geographical characteristics included age, other health conditions, ethnic and cultural background, socio-economic status and deprivation, and geographical location. ConclusionsThis review identified numerous variations in the patterns associated with DGA provision and uptake at both a health service and individual level. The findings demonstrate the complicated and multifaceted nature of DGA practices worldwide. Key points The continuing high DGA rates are a concern amongst policy makers  At the health service level there are varying standards being applied to DGA preassessments, as well as compliance with guidelines for administering DGAs  Socio-demographic characteristics act as key predictors of DGA use, with many children facing multiple burdens due to combinations of ethnic background, deprivation, and geographical location

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Do Referrals from Primary Dental Care for Treatment Using General Anaesthesia Comply with General Dental Council Guidelines?

Abstract: Our findings indicate a need for parents of patients referred for GA procedures to be better informed about alternatives. Improvement in the quality of referrals, perhaps with the aid of standard pro formas, would also facilitate more effective management of referred patients.

Cited by 7 publications

References 4 publications

The accuracy of medical history information in referral letters

The accuracy of medical history information in referral letters

An audit of the quality of a referral document, designed in accordance with Scottish Intercollegiate Guidelines Network, for paediatric exodontia under general anaesthesia

A rapid review of variation in the use of dental general anaesthetics in children

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