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

TitleA preliminary model of work during initial examination and treatment planning appointments.
Publication TypeJournal Article
Year of Publication2009
AuthorsIrwin, JY, Torres-Urquidy, MH, Schleyer, T, Monaco, V
JournalBr Dent J
Volume206
Issue1
PaginationE1; discussion 24-5
Date Published2009 Jan 10
ISSN1476-5373
KeywordsAppointments and Schedules, Communication, Computer Systems, Dental Informatics, Efficiency, Organizational, Female, General Practice, Dental, Humans, Information Management, Male, Patient Care Planning, Physical Examination, Task Performance and Analysis, United States, User-Computer Interface, Work, Work Simplification
Abstract

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.

DOI10.1038/sj.bdj.2008.1151
Alternate JournalBr Dent J
PubMed ID19119286