Provider Attitudes Toward the Implementation of Clinical Decision Support Tools in Dental Practice

Mertz, Elizabeth; Bolarinwa, Olumide; Wides, Cynthia; Gregorich, Steven E.; Simmons, Kristen; Vaderhobli, Ram; White, Joel M.

doi:10.1016/j.jebdp.2015.09.001

Cited by 21 publications

(25 citation statements)

References 26 publications

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“…Clinical decision support tools have been designed to provide expert support for health professionals making clinical decisions, thereby enhancing quality of care. While many studies have proven the use of CDSTs in supporting evidence-based practice and increasing the accuracy and consistency of decision making, 15,24,25 there are some studies that have observed no effect of CDSTs on clinicians' decision-making behavior. 20,26,27 In this study, both dental students and pediatric dentists in the mobile app group scored higher in the Post-test than those in the control and print groups.…”

Section: Ta B L E 4 Cdst Survey Responsesmentioning

confidence: 99%

“…They have been integrated into dentistry over the last decade for the differential diagnosis of orofacial pain, management of oral diseases in the head and neck, and interpretation of radiographic lesions . However, there is limited research on the effectiveness of these CDSTs in dentistry . There is also limited research on whether CDST format affects usage .…”

Section: Introductionmentioning

confidence: 99%

“…9 However, there is limited research on the effectiveness of these CDSTs in dentistry. [12][13][14][15] There is also limited research on whether CDST format affects usage. 12,15 Mobile Internet devices and smartphones are becoming a common tool in the healthcare field and can serve as a future platform for clinical decision support systems.…”

Section: Introductionmentioning

confidence: 99%

“…[12][13][14][15] There is also limited research on whether CDST format affects usage. 12,15 Mobile Internet devices and smartphones are becoming a common tool in the healthcare field and can serve as a future platform for clinical decision support systems. As demonstrated by Dhuvad et al, the utilization of smartphones in dentistry can facilitate in differential diagnosis and treatment and also improve the overall quality of care, specifically in remote areas without access to providers.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Use of a clinical decision support tool for the management of traumatic dental injuries in the primary dentition by novice and expert clinicians

Machado

Lam

Chen

2018

Dental Traumatology

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Section: Ta B L E 4 Cdst Survey Responsesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of a clinical decision support tool for the management of traumatic dental injuries in the primary dentition by novice and expert clinicians

Machado

Lam

Chen

2018

Dental Traumatology

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show abstract

“…21,22 However, being more motivated in general is also related to use of a technological application. 44 The relatively lower scores on motivating factors among low technology users could be related to lower job satisfaction in general, which might result in lower motivation to invest in improving workplace conditions, including the use of digital technologies.…”

Section: Scores On Opinions On Digital Technologies As Well As On Momentioning

confidence: 99%

Dentists’ opinions on using digital technologies in dental practice

Zande

Gorter

Bruers

et al. 2017

Comm Dent Oral Epid

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Assessment of implementation of the caries management by risk assessment philosophy in a dental school

DiLuigi

Hagel

Finkelman

et al. 2023

Journal of Dental Education

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ObjectiveThis cross‐sectional study assessed the implementation of documenting a baseline caries risk assessment (CRA) of patients seen by predoctoral dental students and its association with the presence of caries risk management (CRM) treatment.MethodsA convenience sample of 10,000 electronic axiUm patient records at Tufts University School of Dental Medicine was retrospectively assessed for the presence or absence of a completed CRA and CRM after IRB approval following predetermined inclusion and exclusion criteria. The CRM variables (nutrition counseling, sealant, fluoride) were identified by procedure codes that were completed by the student. Associations were assessed via the chi‐square test, Kruskal–Wallis test (with Dunn's test and the Bonferroni correction used in post‐hoc tests) and Mann–Whitney U test.ResultsMost patients (70.5%) had a CRA completed. However, only 24.9% (out of the 7045 patients with a completed CRA) received CRM, while 22.9% of the 2,955 patients without a CRA received CRM. The difference between the groups with and without a completed CRA in terms of the percentage receiving CRM was not clinically significant. Significant associations were found between a completed CRA and in‐house fluoride treatment (p = .034) and between a completed CRA and sealant treatment (p = .001). Patients with higher baseline CRA levels (i.e., greater risk) were more likely to have CRM (16.9% of the 785 patients at low risk, 21.1% of the 1282 patients at moderate risk, 26.3% of the 4347 patients at high risk, and 32.6% of the 631 patients at extreme risk). The association between these two variables was significant (p < .001).ConclusionThere is evidence that students were mostly compliant with completing a CRA for most patients; however, there is a deficiency in implementation of CRM approach to help support dental caries management, and there is still much room for improvement.

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Provider Attitudes Toward the Implementation of Clinical Decision Support Tools in Dental Practice

Cited by 21 publications

References 26 publications

Use of a clinical decision support tool for the management of traumatic dental injuries in the primary dentition by novice and expert clinicians

Use of a clinical decision support tool for the management of traumatic dental injuries in the primary dentition by novice and expert clinicians

Dentists’ opinions on using digital technologies in dental practice

Assessment of implementation of the caries management by risk assessment philosophy in a dental school

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