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1.
Rev. ADM ; 76(2): 91-96, mar.-abr. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-1008991

RESUMO

El expediente clínico se define como el conjunto de datos médicos y clínicos ordenados y detallados en forma cronológica, que permiten al profesional de la salud plantear un diagnóstico sindrómico y nosológico, con su posterior pronóstico, para finalmente llevar un registro del desarrollo de un tratamiento. Refleja la capacidad resolutiva de la clínica o consultorio, así como la capacidad profesional de su personal, de ahí la importancia de tener un expediente clínico bien integrado, ordenado, completo, legible y en apego a la normatividad vigente (AU)


The clinical file is defined as a set of medical and clinical data, which are ordered and chronologically detailed, allows the health professional to identify a syndromic and nosological diagnosis, with a later prognosis, to finally make a treatment plan. It reflects the resolutive capacity and the professional capacity of the clinician and his staff. Therefore, it becomes a legal document of the greatest importance, having to have the characteristics of being well integrated, orderly, complete, legible and in compliance with current regulations (AU)


Assuntos
Humanos , Registros Odontológicos , Registros Eletrônicos de Saúde , Administração da Prática Odontológica , Avaliação da Tecnologia Biomédica , Padrões de Prática Odontológica
2.
Rev. ADM ; 76(1): 38-43, ene.-feb. 2019. ilus
Artigo em Espanhol | LILACS | ID: biblio-996012

RESUMO

La apertura de un consultorio privado es de interés para muchos profesionistas odontólogos. Más allá de las cuestiones económicas o de habilidad técnica, una limitante importante para llevarlo a cabo es el desconocimiento de los trámites administrativos necesarios para ello. Es común que muchos odontólogos se atrevan a mantener en uso un negocio que, la mayoría de las veces, no cumple con este tipo de aspectos, lo que conlleva a ser susceptible a diversas sanciones. El objetivo de este trabajo es enunciar y describir los requisitos básicos para la apertura de un consultorio de prestación de servicios profesionales odontológicos dentro del territorio mexicano. Posterior a una revisión de la legislación y normatividad vigentes en la República Mexicana, se enlistan los trámites realizados ante cuatro dependencias públicas: Servicio de Administración Tributaria (SAT), regulación sanitaria, protección civil y gobierno local. Cabe resaltar que esta información se ofrece bajo ciertas consideraciones, ya que puede existir variación de acuerdo con los lineamientos establecidos por los gobiernos locales de cada entidad federativa. Se concluye que dar cumplimiento con estos requisitos es el primer paso para el adecuado funcionamiento de nuestro negocio, lo cual ayuda a evitar las sanciones correspondientes y el desprestigio del consultorio (AU)


Opening a private dental offi ce is of interest for many dentists. Beyond economic issues or technical ability, an important limitation to carry this out is the unawareness of administrative procedures necessary for it. Commonly, many dentists dare to keep into the business despite not complying with all the necessary procedures, which makes them susceptible to administrative sanctions. The objective of this work is to enunciate and describe the basic requirements for opening a dental service offi ce within Mexican territory. After a review of current legislation and regulation in the Mexican Republic, the procedures performed in four public agencies are listed: The Tax Administration Service (SAT), health regulation, civil protection, and local government. It should be noted that this information is off ered under certain considerations, highlighting that data presented is done in a generic way, since this may vary according to guidelines from local government of each federative entity. It is concluded that compliance with these requirements is the fi rst step for the proper functioning of our business, which helps avoid the corresponding sanctions and disrepute of the private practice (AU)


Assuntos
Administração Sanitária/legislação & jurisprudência , Credenciamento , Proteção Civil , Consultórios Odontológicos/legislação & jurisprudência , Legislação Odontológica , Administração da Prática Odontológica/legislação & jurisprudência , Responsabilidade Civil , México
3.
Dent Clin North Am ; 63(1): 1-16, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30447786

RESUMO

Constructing an evidence-based dental practice requires leadership, commitment, technology support, and time, as well as skill practice in searching, appraising, and organizing evidence. In mastering the skills of evidence-based dentistry, clinicians can implement high-quality science into practice through a variety of opportunities including the development of clinical care guidelines, procedural technique protocols, and electronic dental record auto-note templates, as well as treatment planning, care prioritization, and case presentation. The benefits of building an evidence-based dental practice are many, including improvements in patient care and satisfaction, increased treatment predictability and confidence in care approaches, as well as potential cost savings.


Assuntos
Registros Odontológicos/normas , Odontologia Baseada em Evidências , Padrões de Prática Odontológica/normas , Redução de Custos , Assistência Odontológica/normas , Consultórios Odontológicos , Recursos Humanos em Odontologia , Educação em Odontologia , Implementação de Plano de Saúde , Humanos , Internet , Planejamento de Assistência ao Paciente , Satisfação do Paciente , Guias de Prática Clínica como Assunto , Administração da Prática Odontológica , Garantia da Qualidade dos Cuidados de Saúde/normas , Sociedades Odontológicas
6.
J Law Med ; 25(4): 1146-1156, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29978692

RESUMO

There are established standards for the management of infection control in private dental practices, but there is currently no proactive legislation to oversee correct adherence to those standards. The Australian Health Service Safety and Quality Accreditation Scheme (Scheme) promotes a quality and safety management program that includes attention to the prevention of healthcare acquired infections, but adoption of the Scheme is not compulsory for all. A recent case brought before the NSW Civil and Administrative Tribunal demonstrated the seriousness of breaches of infection control standards and the considerable costs of managing the consequences. This article discusses the role of quality and safety assurance programs in the context of private dental practice regulation; compares the different quality and safety assurance schemes operating in Australia, Canada, and the United Kingdom; and argues that the compulsory adoption of an appropriate scheme which focuses on infection control would be in the public interest.


Assuntos
Acreditação , Controle de Infecções , Administração da Prática Odontológica , Austrália , Canadá , Reino Unido
7.
8.
J Dent Educ ; 82(5): 501-509, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29717074

RESUMO

Practice management has become an increasingly important aspect of dental education over the years in order to better prepare students for the reality of practice. The aim of this study was to quantify and describe practice management courses taught at the ten Canadian dental schools in order to identify common approaches, compare hours, determine types of instructors, and assess the relationship between courses' learning objectives and the Association of Canadian Faculties of Dentistry (ACFD) competencies and Bloom's cognitive levels. The academic deans at these ten schools were surveyed in 2016; all ten schools responded for a 100% response rate. The authors also gathered syllabi and descriptions of the courses and analyzed them for themes. The results showed a total of 22 practice management courses in the ten Canadian dental schools. The courses provided 27 to 109 hours of teaching and were mostly taught in the third and fourth years and by dentists on three main topics: ethics, human resource management, and running a private practice. The courses were correlated to the ACFD competencies related to ethics, professionalism, application of basic principles of business practices, and effective interpersonal communication. Most of the courses' learning objectives addressed comprehension and knowledge in Bloom's cognitive levels of learning. These results can help to guide discussions on how practice management courses can be developed, improved, and refined to meet the challenges of preparing students for dental practice.


Assuntos
Educação em Odontologia , Administração da Prática Odontológica , Faculdades de Odontologia , Canadá
10.
12.
Oral Maxillofac Surg Clin North Am ; 30(2): 123-135, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29622306

RESUMO

Efficient responses to emergencies in the oral and maxillofacial surgery office require preparation, communication, and thorough documentation of the event and response. The concept of team anesthesia is showcased with these efforts. Emergency medical services training and response times vary greatly. The oral and maxillofacial surgery office should be prepared to manage the patient for at least 15 minutes after making the call to 911. Patient outcomes are optimized when providers work together to manage and transport the patient. Oral and maxillofacial surgery offices should develop and rehearse emergency plans and coordinate these protocols with local Emergency medical services teams.


Assuntos
Emergências , Serviços Médicos de Emergência , Tratamento de Emergência , Administração da Prática Odontológica/organização & administração , Cirurgia Bucal , Humanos , Relações Interprofissionais , Fatores de Tempo
13.
BMC Oral Health ; 18(1): 17, 2018 02 02.
Artigo em Inglês | MEDLINE | ID: mdl-29394921

RESUMO

BACKGROUND: The purpose of this study was to identify barriers frequently endorsed by dentists in a large, multi-site dental practice to implementing the American Dental Association's recommendation for sealing noncavitated occlusal carious lesions as established in their 2016 pit-and-fissure sealant clinical practice guideline. Although previous research has identified barriers to using sealants perceived by dentists in private practice, barriers frequently endorsed by dentists in large, multi-site dental practices have yet to be identified. Identifying barriers for these dentists is important, because it is expected that in the future, the multi-site group practice configuration will comprise more dental practices. METHODS: We anonymously surveyed the 110 general and pediatric dentists at a multi-site dental practice in the U.S. The survey assessed potential barriers in three domains: practice environment, prevailing opinion, and knowledge and attitudes. Results were summarized using descriptive statistics. RESULTS: The response rate to the survey was 62%. The principal barrier characterizing the practice environment was concern regarding liability; endorsed by 33% of the dentists. Many barriers of prevailing opinion were frequently endorsed. These included misunderstanding the standard of practice (59%), being unaware of the expectations of opinion leaders (56%) including being unaware of the guideline itself (67%), and being unaware of what is currently being taught in dental schools (58%). Finally, barriers of knowledge and attitudes were frequently endorsed. These included having suboptimal skill in applying sealants (23% - 47%) and lacking knowledge regarding the relative efficacy of the different ways to manage noncavitated occlusal carious lesions (50%). CONCLUSIONS: We identified barriers frequently endorsed by dentists in a large, multi-site dental practice relating to the practice environment, prevailing opinion, and knowledge and attitudes. All the barriers we identified have the potential to be addressed by implementation strategies. Future studies should devise and test implementation strategies to target these barriers.


Assuntos
Fidelidade a Diretrizes/organização & administração , Programas de Assistência Gerenciada/estatística & dados numéricos , Selantes de Fossas e Fissuras/uso terapêutico , Administração da Prática Odontológica/estatística & dados numéricos , Criança , Assistência Odontológica para Crianças/normas , Assistência Odontológica para Crianças/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Padrões de Prática Odontológica/estatística & dados numéricos , Inquéritos e Questionários , Estados Unidos
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