Page 13 - RADC Bulletin 2018

Some of Wessex Region Suggestions to improve PDI Clinical Efficiency:
• Use the waiting room questionnaire to gather maximum information from patients prior to entry into surgery; this provides information on risk factors at a glance and justification for Treatment Plan, it also allows delivery of bespoke oral health messages.
• Effective use of ‘templates’. Waiting room questionnaire to match Dentist’s Template for slick information transfer. Ensure Dentist’s own template has all best practice information with no duplication.
• Nurse to populate Treatment plan and add Dentist’s ‘notes template’ where appropriate, allowing more Dentist/Patient interaction.
• Concurrent activity at all times between Dentist and Nurse.
(Dentist talking to patient whilst nurse is inputting on DMICP, if the Dentist finishes before the nurse then help with the surgery turnover).
• Delivering no more than 3 key messages at PDI to ensure patient retains the information.
• Remove duplication in notes e.g. if correct boxes ticked, smoking history is collated on initial page- no need to repeat this in the notes too.
• When referring to the Hygienist, use the charting item ‘referral’ and include all the detail within your ‘hygiene prescription’ notes template. Rather than adding on ‘OHI, TBI, ID, Perio chart, Sub, Supra, RSD, Indices etc’. It is more logical and more efficient
for the hygienist to add these on themselves as they complete the treatment.
• Reception to pull out paper docs by exception rather than for every patient.
• Nurse charting to Dentist increases accuracy of charting.
• Only ‘ticking boxes’ which attract ‘recognition’ for the treatment provided. Endless box ticking is nugatory. This isn’t ‘gaming’ this is insanity, as is adapting our clinical practice to DMICP rather than adapting DMICP to best practice. The detail should be in the notes template which has been adapted to be patient specific.
• Use ‘Short cuts’ on DMICP. (Wessex has produced an index of these).
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RADC BULLETIN 2018 11