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A preliminary model of work during initial examination and treatment planning appointments

Irwin, JY and Torres-Urquidy, MH and Schleyer, T and Monaco, V (2009) A preliminary model of work during initial examination and treatment planning appointments. British Dental Journal, 206 (1). ISSN 0007-0610

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Objective This study's objective was to formally describe the work process for charting and treatment planning in general dental practice to inform the design of a new clinical computing environment.Methods Using a process called contextual inquiry, researchers observed 23 comprehensive examination and treatment planning sessions during 14 visits to 12 general US dental offices. For each visit, field notes were analysed and reformulated as formalised models. Subsequently, each model type was consolidated across all offices and visits. Interruptions to the workflow, called breakdowns, were identified.Results Clinical work during dental examination and treatment planning appointments is a highly collaborative activity involving dentists, hygienists and assistants. Personnel with multiple overlapping roles complete complex multi-step tasks supported by a large and varied collection of equipment, artifacts and technology. Most of the breakdowns were related to technology which interrupted the workflow, caused rework and increased the number of steps in work processes.Conclusion Current dental software could be significantly improved with regard to its support for communication and collaboration, workflow, information design and presentation, information content, and data entry.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Irwin, JY
Torres-Urquidy, MH
Schleyer, Ttitus@pitt.eduTITUS0000-0003-1829-971X
Monaco, V
Date: 10 January 2009
Date Type: Publication
Journal or Publication Title: British Dental Journal
Volume: 206
Number: 1
DOI or Unique Handle: 10.1038/sj.bdj.2008.1151
Schools and Programs: School of Dental Medicine > Dental Science
Refereed: Yes
ISSN: 0007-0610
MeSH Headings: Appointments and Schedules; Communication; Computer Systems; Dental Informatics; Efficiency, Organizational; Female; General Practice, Dental--organization & administration; Humans; Information Management; Male; Patient Care Planning; Physical Examination; Task Performance and Analysis; United States; User-Computer Interface; Work; Work Simplification
PubMed ID: 19119286
Date Deposited: 12 Sep 2012 14:35
Last Modified: 09 Feb 2021 21:12


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