Translating periodontal data to knowledge in a learning health system.

BACKGROUND: A learning health system (LHS) is a health system in which patients and clinicians work together to choose care on the basis of best evidence and to drive discovery as a natural outgrowth of every clinical encounter to ensure the right care at the right time. An LHS for dentistry is now feasible, as an increased number of oral health care encounters are captured in electronic health records (EHRs). METHODS: The authors used EHRs data to track periodontal health outcomes at 3 large dental institutions. The 2 outcomes of interest were a new periodontitis case (for patients who had not received a diagnosis of periodontitis previously) and tooth loss due to progression of periodontal disease. RESULTS: The authors assessed a total of 494,272 examinations (new periodontitis outcome: n = 168,442; new tooth loss outcome: n = 325,830), representing a total of 194,984 patients. Dynamic dashboards displaying performance on both measures over time allow users to compare demographic and risk factors for patients. The incidence of new periodontitis and tooth loss was 4.3% and 1.2%, respectively. CONCLUSIONS: Periodontal disease, diagnosis, prevention, and treatment are particularly well suited for an LHS model. The results showed the feasibility of automated extraction and interpretation of critical data elements from the EHRs. The 2 outcome measures are being implemented as part of a dental LHS. The authors are using this knowledge to target the main drivers of poorer periodontal outcomes in a specific patient population, and they continue to use clinical health data for the purpose of learning and improvement. PRACTICAL IMPLICATIONS: Dental institutions of any size can conduct contemporaneous self-evaluation and immediately implement targeted strategies to improve oral health outcomes.

Current state of dental informatics in the field of health information systems: a scoping review.

BACKGROUND: Over the past 50 years, dental informatics has developed significantly in the field of health information systems. Accordingly, several studies have been conducted on standardized clinical coding systems, data capture, and clinical data reuse in dentistry. METHODS: Based on the definition of health information systems, the literature search was divided into three specific sub-searches: "standardized clinical coding systems," "data capture," and "reuse of routine patient care data." PubMed and Web of Science were searched for peer-reviewed articles. The review was conducted following the PRISMA-ScR protocol. RESULTS: A total of 44 articles were identified for inclusion in the review. Of these, 15 were related to "standardized clinical coding systems," 15 to "data capture," and 14 to "reuse of routine patient care data." Articles related to standardized clinical coding systems focused on the design and/or development of proposed systems, on their evaluation and validation, on their adoption in academic settings, and on user perception. Articles related to data capture addressed the issue of data completeness, evaluated user interfaces and workflow integration, and proposed technical solutions. Finally, articles related to reuse of routine patient care data focused on clinical decision support systems centered on patient care, institutional or population-based health monitoring support systems, and clinical research. CONCLUSIONS: While the development of health information systems, and especially standardized clinical coding systems, has led to significant progress in research and quality measures, most reviewed articles were published in the US. Clinical decision support systems that reuse EDR data have been little studied. Likewise, few studies have examined the working environment of dental practitioners or the pedagogical value of using health information systems in dentistry.

Criação de um aplicativo móvel e questionários WEB como estratégia de ensino e avaliação em Odontologia / Creating a mobile APP and WEB questionnaires as teaching and assessment strategies in Dentistry

O presente estudo relata a experiência da criação do aplicativo móvel (APP) RUBOND e o uso de questionários WEB como estratégia de ensinoe avaliação em Odontologia. A criação do aplicativo móvel ocorreu por meio da plataforma Fábrica de Aplicativos, sendo definido a temática dos Sistemas Adesivos Universais como tema central. A elaboração dos questionários para avaliação dos conhecimentos adquiridos por meio do material disponibilizado no APP se deu por meio da plataforma Online Pesquisa. As questões utilizadas foram retiradas de provas do Exame Nacional de Desempenho dos Eestudantes. O acesso aos questionários aconteceuvia linkdisponível no aplicativo móvel.A criação do aplicativo móvel RUBOND e questionários WEB como estratégia de ensino e avaliação em Odontologia podem ser uma ferramenta viável na prática docente e discente, desde que corretamente utilizados. Sugere-se que mais estudos sejam realizados para confirmar as vantagens dos aplicativos móveis e questionários WEB no ensino e avaliação em Odontologia (AU).

The present study reports the experience of creating the RUBOND mobile application (APP) and the use of WEB questionnaires asteaching and assessmentstrategiesin Dentistry. The creation of the mobile application took place through theFábrica de Aplicativos platform, with the theme of Universal Adhesive Systems being defined as a central subject. The preparation of questionnaires to assess the knowledge acquired through the material available in the APP occurredin the Online Pesquisa platform. The questions used were taken fromtests of the National Student Performance Exam(ENADE). The questionnaires wereaccessed via a direct link attached to the mobile APP. The creation of the RUBOND mobile application and WEB questionnaires as a teachingand assessment strategy in Dentistry can be a viable tool in student and teaching practice, as long as they are correctlyused. Further studies are needed to confirm the benefits of mobile APPand WEB questionnaires in teaching and assessment in Dentistry (AU).

The Development of Dental Informatics of Oral Cancer Screening for Prevention in Community Level: A Prototype Study in Thailand.

OBJECTIVE: The purpose of this study is to identify general dentists' information needs for oral cancer screening in community and the information sources they use to meet those needs in clinical settings so as to inform the design of dental information systems. METHODS: A semi-structured interview was conducted with a convenience sample of 8 general dentists and 5 dental assistant in the Public Health Region 9 area during clinical hours. One hundred and five patient cases were reported by these dentists. Interview transcripts were coded and analyzed using thematic analysis with a constant comparative method to identify categories and themes regarding information needs and information source use patterns. RESULTS: Two top-level categories of information needs were identified: foreground and background information needs. To meet these needs, dentists used four types of information sources: clinical information/tasks, risk factor of oral cancer in general people, surveillance in community and referral to oral cancer treatment. Major themes of dentists' unmet information needs include: (1) timely access to information on various subjects; (2) better visual representations of dental problems; (3) access to patient-specific evidence-based information; and (4) accurate, complete and consistent documentation of patient records. Resource use patterns include: (1) dentists information needs matched information source use; (2) little use of electronic sources took place during treatment; (3) source use depended on the nature and complexity of the dental problems; and (4) dentists and dental nurse routinely practiced cross-referencing to verify patient information. CONCLUSIONS: Dentists have various information needs of oral cancer at the point of care. For future development of dental information or clinical decision support systems, developers should consider integrating high-quality, up-to-date clinical evidence into comprehensive and easily accessible EDRs as well as supporting dentists' resource use patterns as identified in the study.

O momento da impressão 3D na odontologia / The moment of 3D priting in dentistry

A era digital está acontecendo na odontologia. Cada vez mais empresas surgem com inovações no mundo digital, que antes só era dominado por grandes empresas, como Amanngirrbach, Zirkonzahn, Straumann e Holland, empresas as quais dominam o mercado de fresadoras odontológicas. Mas, com a prototipagem 3D das impressoras tudo isso mudou, empresas de menor porte têm a opção de trazer para o mercado máquinas que nos deixam com uma opção muito ágil na área odontológica. Trabalhos como provisórios, dentaduras e protocolos acrílicos podem ser impressos em tempo recorde, e a parte de fresagem de cera, que as fresadoras fazem, a impressora consegue entregar com maestria, com tempo e custo operacional inferior.(AU).

Digital age is happening in dentistry. More and more companies are coming up with innovations in the digital world that were once dominated by large companies such as Amanngirrbach, Zirkonzahn, Straumann and Holland, which dominate the dental milling machines market. But with 3D printing prototyping all this has changed, smaller companies have the option of bringing into the machines that leave us with a very nimble option in the dental area. The work with provisionals, dentures, and acrylic protocols can be printed out in a Record time, and the wax milling that milling machines make are delivered masterfully by the printer within less time and lower operating costs.

Uso do guia cirúrgico duplo periodontal para aumento de coroa clínica ­ relato de caso / Dual periodontal surgical guide use for clinical crown increase ­ case report

Com a evolução da odontologia digital, muitos programas de planejamento virtual, scanners intraorais e métodos CAD-CAM têm sido desenvolvidos com o intuito de auxiliar o desenvolvimento e a confecção de guias cirúrgicos prototipados, tanto para a implantodontia quanto para a periodontia, visando permitir que as terapias de reabilitação dental sejam realizadas com maior segurança e previsibilidade. Uma reabilitação estética de sucesso dos pacientes com excesso de exibição gengival e coroas clínicas curtas requer uma abordagem interdisciplinar e sintonia entre o periodontista e o protesista, pois devolver simetria gengival e harmonia ao sorriso é uma tarefa árdua e minuciosa. Dessa forma, o objetivo deste trabalho é relatar um caso clínico de aumento de coroa, utilizando o fluxo de trabalho digital com o uso do guia duplo periodontal. (AU).

The evolution of digital dentistry, many virtual planning programs, intraoral scanners and CAD-CAM methods have been developed with the purpose of assisting the development and production of prototyped surgical guides for both implantology and periodontics, in order to allow that dental rehabilitation therapies are performed with greater safety and predictability. Successful aesthetic rehabilitation of patients with excessive gingival display and short clinical crowns requires an interdisciplinary approach and attunement between the periodontist and the prosthodontist, as returning gingival symmetry and harmony to the smile is an arduous and meticulous task. Thus, the objective of this work is to report a clinical case of Crow increase, using digital workflow with Double periodontal guide.

El acceso digital a la bibliografía científica / Digital access to scientific literature

Se considera la importancia del acceso digital a la bibliografía necesaria para la formación profesional y sus principales herramientas: revistas de publicación únicamente electrónica y acceso a bases de datos como BIREME, SciELO y PubMed. Se analizan los fundamentos del movimiento hacia el acceso abierto de las publicaciones de trabajos de investigación, sus motivaciones, ventajas y consecuencias positivas y negativas (AU)

The importance of digital access to the necessary scientific literature that is a must for professional training is considered. The most useful tools are on line only journals and access to databases such as BIREME, SciELO and PubMed. The trend towards the Open Access to research publications, its motivations, advantages and positive and negative consequences are analyzed (AU)

Panorama situacional da Teleodontologia no mundo: uma revisão integrativa / Situational panorama of Teleodontology in the world: an integrative review

O uso das Tecnologias de Informação e Comunicação (TIC) para a troca de dados e informações em Odontologia, provendo serviços de saúde em situações em que seja necessário transpor barreiras geográficas, temporais, sociais e culturais é chamado de Teleodontologia. O objetivo dessa revisão integrativa foi analisar o panorama situacional global da Teleodontologia. Foram selecionados artigos científicos publicados nos últimos 10 anos, na íntegra, tanto em português quanto em inglês. A busca dos periódicos foi realizada nas bases de dados Scientific Eletronic Library Online, Literatura Latinoamericana e do Caribe em Ciências da Saúde e PubMed, por meio da combinação dos seguintes descritores "Telemedicine", "Dentistry", "Distance, Education", nas línguas portuguesa e inglesa. Foram encontrados 340 artigos, sendo 14 incluídos para avaliação final, sendo o PubMed a base de dados que mais prevaleceu (71,4%). A maioria dos estudos (85,7%) foi incluída no nível IV de evidência. Foram identificados estudos informando sobre o uso dessa tecnologia para minimizar as barreiras geográficas e fornecer uma assistência adequada às populações mais vulneráveis e outros sobre relatos de profissionais, estudantes de Odontologia e pacientes quanto ao uso da Teleodontologia. Concluiu-se que a Teleodontologia é uma realidade global, mas ainda necessita de disseminação de suas experiências na comunidade científica, para sua consolidação como uma ferramenta educativa e de assistência à saúde (AU).

The use of Information and Communication Technologies (ICT) for the exchange of data and information in Dentistry, providing health services in situations where it is necessary to overcome geographical, temporal, social and cultural barriers is called Teleodontology. The objective of this integrative review was to analyze the overall situational panorama of Teleodontology. Scientific articles published in the last 10 years have been selected, in full, in portuguese and in english. The search for the journals was carried out in the Scientific Eletronic Library Online databases, LILACS and PubMed, by means of combining the following descriptors: "Telemedicine", "Dentistry", "Education, Distance", in portuguese and english. A total of 340 articles were found, of which 14 were included for final evaluation, with PubMed the most prevalent database (71.4%). Most studies (85.7%) were included in level 4 evidence. Were identified studies reporting the use of this technology to minimize geographical barriers and to provide adequate assistance to the most vulnerable populations and others on reports from professionals, dentists and patients regarding the use of Teleodontology. It was concluded that Teleodontology is a global reality, but still needs to disseminate its experiences to the scientific community, for its consolidation as an educational and health care tool (AU).

Laminados cerâmicos sobre refratários, beleza em extinção? / Ceramic laminates on refractories, beauty in extinction?

A Odontologia atual está pautada em procedimentos conservadores e, nas últimas décadas, houve uma grande evolução na técnica e nos materiais dentários que favoreceram essa tendência. Hoje em dia, a tecnologia está presente em nosso cotidiano e é difícil de imaginar sobreviver sem ela. Na Odontologia há um grande debate sobre a questão da tecnologia, que pode eliminar até 100% da mão de obra humana (Técnico em Prótese Dental ­ TPD) nos processos de confecção de próteses dentais e se imaginava que esse futuro estaria distante, mas já é realidade. Porém para realizar um tratamento estético de qualidade é necessário investir e ter todos os equipamentos de última geração? Neste artigo será relatado um caso clínico de laminados cerâmicos confeccionados sobre refratários de forma tradicional e artesanal.

The current Dentistry is based on conservative procedures and in the last decades there has been a great evolution in technique and dental materials that favored this tendency. Nowadays, technology is present in our daily lives and it is difficult to imagine surviving without it. In Dentistry there is a great debate on the technology issue, which can eliminate up to 100% of the human workforce (Dental Prosthesis Technician - DPT) in the processes of making dental prosthesis and we have imagined that this future would be distant, but it is already a reality. However to carry out a quality aesthetic treatment is it necessary to invest and have all the latest equipment? In this paper we will report a case of ceramic laminates made from traditional and handmade refractories.

Bayesian-Based Decision Support System for Assessing the Needs for Orthodontic Treatment / 대한의료정보학회지

OBJECTIVES: In this study, a clinical decision support system was developed to help general practitioners assess the need for orthodontic treatment in patients with permanent dentition. METHODS: We chose a Bayesian network (BN) as the underlying model for assessing the need for orthodontic treatment. One thousand permanent dentition patient data sets chosen from a hospital record system were prepared in which one data element represented one participant with information for all variables and their stated need for orthodontic treatment. To evaluate the system, we compared the assessment results based on the judgements of two orthodontists to those recommended by the decision support system. RESULTS: In a BN decision support model, each variable is modelled as a node, and the causal relationship between two variables may be represented as a directed arc. For each node, a conditional probability table is supplied that represents the probabilities of each value of this node, given the conditions of its parents. There was a high degree of agreement between the two orthodontists (kappa value = 0.894) in their diagnoses and their judgements regarding the need for orthodontic treatment. Also, there was a high degree of agreement between the decision support system and orthodontists A (kappa value = 1.00) and B (kappa value = 0.894). CONCLUSIONS: The study was the first testing phase in which the results generated by the proposed system were compared with those suggested by expert orthodontists. The system delivered promising results; it showed a high degree of accuracy in classifying patients into groups needing and not needing orthodontic treatment.

Glossary of Oral and Maxillofacial Implants.

No abstract available.

Sitio Web de la Facultad de Estomatología de la Universidad de Ciencias Médicas de Santiago de Cuba / Web site of the Faculty of Dentistry at the University of Medical Sciences of Santiago de Cuba

Introducción: la Facultad de Estomatología de la Universidad de Ciencias Médicas de Santiago de Cuba fue fundada el 18 de agosto de 1963; es la segunda acreditada en el país y la primera creada por la Revolución.Objetivo: diseñar un Sitio Web práctico y funcional, eficiente, con buena navegabilidad, de fácil acceso e interacción con el usuario y visualmente agradable que contribuya a tener un nivel máximo de conocimiento e información actualizado a trabajadores, estudiantes, profesores y directivos de la Facultad de Estomatología de la Universidad de Ciencias Médicas de Santiago de Cuba.Método: se realizó bajo el enfoque metodológico general dialéctico materialista, con el propósito de favorecer el conocimiento de la estructura de la facultad, las actividades que se desarrollan en el proceso docente–educativo, bibliografía actualizada para estudiantes y profesores relacionada con la Estomatología.Resultados: el Sitio Web se puede localizar a través de la URL siguiente: http://instituciones.sld.cu/estomatologiascu/ Además nuestro Sitio Web tiene alcance nacional e Internacional. Posee una frecuencia de actualización semanal. La información que se publicaen el Sitio Web es facilitada por los jefes de departamentos. Se generalizan además los resultados de las diferentes actividades científicas que se realizan.Conclusiones: se creó el Sitio Web de la Facultad de Estomatología de la Universidad de Ciencias Médicas de Santiago de Cuba, valorado por los estudiantes, profesores, trabajadores, directivos y especialistas como útil, válido y que le da salida al problema de la investigación.(AU)

Introduction: the Faculty of Dentistry of the University of Medical Sciences of Santiago de Cuba was founded on August 18, 1963; It is the second accredited in the country and the first created by the Revolution.Objective: to design a practical and functional website, efficient, with good navigability, easy access and interaction with the user and visually pleasant that provide a maximum level of knowledge and updated information to workers, students, professors and executives of the Faculty of Dentistry of the University of Medical Sciences of Santiago de Cuba.Method: it was conducted under the dialectical materialist general methodological approach in order to promote knowledge of the structure of the faculty, the activities carried out in the educational process, updated bibliography for students and teachers related to dentistry.Results: the Web site can be located through the following URL: http://instituciones.sld.cu/estomatologiascu/ our website also has national and international reach. It has a weekly update frequency. The information published on the website is provided by the heads of departments. The results of various scientific activities undertaken are also widespread.Conclusions: the Website of the Faculty of Stomatology of the University of Medical Sciences of Santiago de Cuba was created, well valued by students, professors, workers, managers and specialists as useful, valid and that solves the problem of research.(AU)

Study and analysis of information technology in dentistry in Latin American countries.

Dentistry increasingly uses Information and Communication Technology (ICT), which has impact on teaching, research, the profession and dental care in general. However, there is a lack of valid information on ICT resources and use in Latin America. This was a descriptive, cross-sectional, multi-center, interdisciplinary study, the aim of which was to conduct a survey on how extensively ICT is used in Dentistry in Latin American countries by enquiring into two primary components: 1) use of ICT in student training and 2) use of ICT by professionals in consulting rooms and services. Two questionnaires on ICT were prepared: one for teachers/researchers and another for students/professionals. We received 94 answers from teachers/researchers at universities in the region providing information on ICT resources for teaching (type and implementation) and 221 answers from professionals (personal use and use in healthcare). Data are presented as absolute relative frequencies and analyzed quantitatively as percentages. RESULTS: 1) Teachers highlight ICT as an instrument for development, democratization and fairness in access to knowledge for higher education. 2) ICT supports collaborative learning and generates other innovative resources (e.g. simulators). 3) Innovations in telemedicine and experiences with electronic clinical history were identified in Brazil, Uruguay and Colombia. These results are a basis upon which to reach a consensus regarding a set of ICT indicators which are comparable at regional level and serve as input to unify the design and implementation of ICTs experiences in both teaching and dental care in Latin America.

La Odontología utiliza en forma creciente las Tecnologías de la Información y la Comunicación (TIC) impactando en la enseñanza, la investigación, la profesión y la atención odontológica en general. Sin embargo, no se cuenta con información válida sobre los recursos e utilización de las TIC en latinoamérica. La investigación representó un estudio descriptivo, de corte transversal, multicéntrico e interdisciplinario, cuyo objetivo fue realizar un relevamiento del grado de informatización en Odontología en países latinoamericanos indagando dos componentes principales en el empleo de las TIC: 1) en la formación de estudiantes y 2) por parte de los profesionales en consultorios y servicios. Se realizaron cuestionarios a referentes TIC: uno para docentes/investigadores y otro para estudiantes/profesionales. Se recibieron 94 respuestas de docentes/investigadores de universidades de la región dando cuenta de los recursos TIC para la enseñanza (tipo e implementación) y 221 de profesionales (personal y en la asistencia clínica). Los datos recogidos fueron analizados cuantitativamente con tabulación en porcentaje y se presentan en frecuencia relativa absoluta. Resultados: 1) Los docentes enfatizan a las TIC como instrumento de desarrollo, democra tiza ción y equidad en el acceso al conocimiento en educación superior. 2) Las TIC apoyan el aprendizaje colaborativo y generan otros recursos innovadores (ej: simuladores). 3) Se identificaron innovaciones en telemedicina y experiencias con historia clínica electrónica en Brasil, Uruguay y Colombia. Los resultados constituyen una base para consensuar un conjunto de indicadores TIC comparables a nivel regional y sirven como insumo para unificar el diseño e implementación de las experiencias TIC tanto en enseñanza como en la asistencia odontológica en Latinoamérica.

Aplicações da impressão 3D na Ortodontia e Cirurgia bucomaxilofacial / Applications of 3D printing technology in Orthodontics and Oral and Maxillofacial Surgery

Ao longo da última década, avanços na prototipagem rápida vêm acontecendo, resultando no desenvolvimento de novas técnicas e abordagens. É o resultado de tecnologias de fabricação em 3D, como a estereolitografia (SLA), modelagem fundida (FDM) e, mais recentemente, a sinterização seletiva a laser (SLS). Entre suas aplicações, os guias cirúrgicos são gerados via computador e posteriormente fabricados por uma impressora 3D, sendo utilizado durante a cirurgia, possibilitando assim, posicionar de forma precisa os segmentos ósseos. A prototipagem também pode ser usada associada à tecnologia CAD/CAM (desenho assistido por computador) na Ortodontia, para personalizar a posição de braquetes e preparar guias personalizados para colagem ortodôntica indireta. Também, pode ser aplicada na customização e fabricação da aparatologia ortodôntica, através da fusão de imagens de modelos 3D. É notório que cada vez mais a prototipagem rápida vai se tornar uma rotina no dia a dia do ortodontista e do cirurgião, pois facilitam sobremaneira os procedimentos clínicos e possibilitam ao profissional ter maior previsibilidade dos seus resultados.

During the last decade, advances in rapid prototyping have resulted in the development of new techniques and approaches including 3D manufacturing technologies such as stereolithography (SLA), molten modeling (FDM), and more recently, selective laser sintering (SLS). Among its applications, the surgical guides are computer-generated, and then manufactured by a 3D printer for use during surgery, thus enabling precisely positioning of bone segments. Prototyping can be also used with CAD/CAM technology (computer aided design) in orthodontic brackets to customize its position and prepare customized guides for indirect orthodontic bonding. It’s also applied for customization and manufacturing of orthodontic appliance by the 3D model image fusion. It is clear that rapid prototyping will become a routine for the orthodontist and surgeon. It will facilitate the clinical procedures in such a way that professionals with have more predictable outcomes.

Study and analysis of information technology in dentistry in Latin American countries / Estudio y análisis de la informática odontológica en países de Latinoamérica

Dentistry increasingly uses Information and CommunicationTechnology (ICT), which has impact on teaching, research, the profession and dental care in general. However, there is alack of valid information on ICT resources and use in LatinAmerica. This was a descriptive, cross-sectional, multi-center,interdisciplinary study, the aim of which was to conduct asurvey on how extensively ICT is used in Dentistry in LatinAmerican countries by enquiring into two primary components:1) use of ICT in student training and 2) use of ICT by professionalsin consulting rooms and services. Two questionnaires on ICTwere prepared: one for teachers/researchers and another for students/professionals. We received 94 answers fromteachers/researchers at universities in the region providinginformation on ICT resources for teaching (type andimplementation) and 221 answers from professionals (personaluse and use in healthcare). Data are presented as absoluterelative frequencies and analyzed quantitatively as percentages.Results: 1) Teachers highlight ICT as an instrument fordevelopment, democratization and fairness in access toknowledge for higher education. 2) ICT supports collaborativelearning and generates other innovative resources (e.g.simulators). 3) Innovations in telemedicine and experienceswith electronic clinical history were identified in Brazil,Uruguay and Colombia. These results are a basis upon whichto reach a consensus regarding a set of ICT indicators whichare comparable at regional level and serve as input to unifythe design and implementation of ICTs experiences in bothteaching and dental care in Latin America.

La Odontología utiliza en forma creciente las Tecnologías de la Información y la Comunicación (TIC) impactando en la enseñanza, la investigación, la profesión y la atenciónodontológica en general. Sin embargo, no se cuenta con información válida sobre los recursos e utilización de las TIC en latinoamérica. La investigación representó un estudio descriptivo, de corte transversal, multicéntrico e interdisciplinario, cuyo objetivo fue realizar un relevamiento del gradode informatización en Odontología en países latinoamericanos indagando dos componentes principales en el empleo de las TIC: 1) en la formación de estudiantes y 2) por parte de losprofesionales en consultorios y servicios. Se realizaron cuestionarios a referentes TIC: uno para docentes/investigadores y otro para estudiantes /profesionales. Se recibieron 94 respuestas de docentes /investigadores de universidades de la región dando cuenta de los recursos TIC para la enseñanza (tipo e implementación) y 221 de profesionales (personal y en la asistencia clínica). Los datos recogidos fueron analizados cuantitativamente con tabulación en porcentaje y se presentan en frecuencia relativa absoluta. Resultados: 1) Los docentes enfatizan a las TIC como instrumento de desarrollo, democra tiza ción y equidad en el acceso al conocimiento en educación superior. 2) Las TIC apoyan el aprendizaje colaborativo y generan otros recursos innovadores (ej: simuladores). 3) Se identificaron innovaciones en telemedicina y experiencias con historia clínica electrónica en Brasil, Uruguay y Colombia. Los resultados constituyenuna base para consensuar un conjunto de indicadores TIC comparables a nivel regional y sirven como insumo paraunificar el diseño e implementación de las experiencias TIC tanto en enseñanza como en la asistencia odontológica enLatinoamérica.

Prontuário eletrônico do paciente: mapeamento dos fluxos de trabalho / Electronic patient record: mapping workflows

OBJETIVO: mapear os fluxos de trabalho (processos) da FO-UFG relativos ao atendimento ao paciente, incluindo aspectos administrativos, atendimento clínico, ensino, pesquisa e extensão, identificando onde e quais recursos computacionais seriam introduzidos. MÉTODO: Entrevistas exploratórias/ouvidoria com informantes-chave foram realizadas. Essas informações foram registradas utilizando a notação BPMN (Bussines Process Modeling Notation). RESULTADOS: Foram obtidos 15 fluxos de trabalho, distribuídos em 4 categorias: disponibilização de vagas, agendamento, movimentação de prontuários e faturamento. Três módulos de um sistema computacional do Hospital das Clínicas-UFG foram adaptados e utilizados para otimizar a realização dos fluxos mapeados, bem como o sistema de regulação da Secretaria Municipal de Saúde de Goiânia-GO. CONCLUSÃO: Apesar da incipiente implementação desses processos não permitir uma avaliação dos impactos, acreditamos num aprimoramento da gestão da informação, integração com SUS, melhoria da qualidade da assistência à saúde e reorientação da formação do estudante da FO-UFG, segundo as Diretrizes Curriculares Nacionais.

OBJECTIVE: to map the workflows (processes) of the FO-UFG relating to patient care, including administrative aspects, clinical care, teaching, research and extension, identifying where and what computer resources would be introduced. METLHOD: Exploratory interviews / ombudsman with key informants was held. These data were recordedusing BPMN (Bussines Process Modeling Notation). RESULTS: We obtained 15 workflows, distributed in four categories: availability of jobs, scheduling, handling of patient records and billing. Three modules of a computer system at the Hospital das Clinicas-UFG have been adapted and used to optimize the performance of flows mapped, and the systemof regulation of the Secretariat of Health of Goiânia-GO. CONCLUSION: Despite the incipient implementation of these processes do not allow an assessment of impacts, we believe in improvement of information management, integration with SUS, improving the quality of health care, reorientation of the educational experience of the FO-UFG, accordingto National Curriculum Guidelines.