A5070531119- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Dental Anxiety and Anesthesia Techniques
- Medical Malpractice and Liability Issues
- Patient Safety and Medication Errors
- Dental Health and Care Utilization
- Dental Radiography and Imaging
- Pharmaceutical Practices and Patient Outcomes
- Occupational Health and Safety Research
- Electronic Health Records Systems
- Health Sciences Research and Education
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Cervical Cancer and HPV Research
- Dental Research and COVID-19
- Endodontics and Root Canal Treatments
- Health and Medical Education
- Clinical Reasoning and Diagnostic Skills
- Healthcare Policy and Management
- Biomedical Text Mining and Ontologies
- Dental Erosion and Treatment
- Cleft Lip and Palate Research
- Oral microbiology and periodontitis research
- Head and Neck Cancer Studies
HealthPartners
2012-2025
Background De-implementing non-effective or even harmful practices in healthcare is sometimes necessary, as has been the case with opioid prescribing dentistry over past decade. One approach to practice transformation deploy clinical decision support (CDS) tools. This qualitative study examined barriers CDS use part of a cluster randomized trial that aimed decrease for pain management following tooth extractions across large dental practice. Method Twenty providers who took larger were...
Abstract Background Opioid pain relievers are commonly prescribed following dental extractions, but evidence shows that non-opioid analgesics often provide adequate relief with fewer risks. The current study examined clinical decision support (CDS) as a tool for de-implementing opioid prescribing in dentistry. Methods This prospective, cluster-randomized trial CDS management at 22 HealthPartners Dental Group clinics Minnesota. providers ( n = 49) were randomized to deliver care using CDS,...
Learning from clinical data on the subject of safety with regards to patient care in dentistry is still largely its infancy. Current evidence does not provide epidemiological estimates adverse events (AEs) associated dental care. The goal practice study was quantify and describe nature severity harm experienced association care, assess for disparities prevalence AEs.
Objectives: Medical errors are among the leading causes of death within United States. Studies have shown that patients can be harmed while receiving care, sometimes resulting in permanent injury or, extreme cases, death. To reduce risk patient safety incidents, it is imperative a robust culture established. The primary objective this study was to evaluate providers at 4 US dental institutions, comparing results with their medical counterparts 2016. Methods: This cross-sectional uses Office...
The human papillomavirus (HPV) vaccine can prevent HPV-related oropharyngeal cancers. Dental practitioners are uniquely positioned to promote HPV vaccines during routine dental care but experience barriers doing so. Qualitative interviews were conducted with understand and inform intervention strategies vaccines. invited participate in phone about knowledge, self-efficacy, the fear of negative consequences related promotion as well feedback on potential interventions address these barriers....
Abstract Objectives The purpose of this study was to quantify, within the N ational D ental P ractice‐ B ased R esearch etwork, current utilization dental hygienists and assistants with expanded functions quantify network dentists' attitudes toward a new nondentist provider model – therapist. Methods National Dental Practice‐Based Research Network practitioner–investigators participated in single, cross‐sectional administration questionnaire. Results Current providers are not being utilized...
Abstract Background Drug overdose has become a leading cause of accidental death in the United States. Between 2000 and 2015, rate deaths from drug overdoses increased 137%, including 200% increase involving opioids (including opioid pain relievers heroin). Unnecessary prescribing is one factors driving this epidemic. Objectives The primary objective paper to share lessons learned while conducting randomized trial de‐implement for post‐extraction management utilizing clinical decision...
Introduction Periodontitis is a common oral disease associated with coronary artery (CAD), cerebrovascular (CBVD) and type 2 diabetes (T2D). We studied if periodontitis treatment improves clinical outcomes reduces medical care costs in patients CAD, CBVD or T2D. Methods used clinic records claims data from health system to identify T2D, assess periodontal treatments, hospitalizations, (total, inpatient, outpatient, pharmacy), glycated hemoglobin, cardiovascular events, death following...
Practice-based research networks (PBRNs) provide a venue to foster evidence-based care. We tested the hypothesis that higher level of participation in dental PBRN is associated with greater stated change toward practice.A total 565 practitioner-investigators completed baseline questionnaire entitled 'Assessment Caries Diagnosis and Treatment'; 405 these also follow-up about treatment caries existing restorations. Certain questions (six scenarios) were repeated at mean (SD) 36.0 (3.8) months...
Background Preventable medical errors in hospital settings are the third leading cause of deaths United States. However, less is known about harm that occurs patients outpatient settings, where majority care delivered. We do not know likelihood a patient sitting dentist chair will experience harm. Additionally, we if certain race, age, sex, or socioeconomic status disproportionately iatrogenic Methods initiated Dental Practice Study (DPS) with aim determining frequency and types adverse...
Abstract Objective Active patient involvement in promoting quality and safety is a priority for healthcare. We investigated how dental patients perceive their role as partners across various care settings. Methods Focus group sessions were conducted at three practice settings: an academic center, community clinic, large private practice, from October 2018-July 2019. Patients recruited through flyers or word-of-mouth invitations. Each session lasted 2.5 h completed demographic informational...
Background Overdose deaths from prescription opioid analgesics are a continuing crisis in the United States. Opioid among most frequently prescribed drugs by dentists. An estimated 5 million people undergo third-molar extractions States each year, resulting postoperative pain. Studies show that, cases, combination of ibuprofen and acetaminophen is an effective alternative to commonly for management postextraction Nevertheless, many dentists routinely prescribe opioids after dental...
Abstract Objectives: To compare the outcomes of restorations placed by restorative function auxiliaries (RFAs) with those dentists. Methods: Between July 1, 2007, and June 30, 2008, we matched 455 RFAs working at HealthPartners Dental Group same number Restorations were tooth number, American Association procedure code, patient age‐group. Results: Of 910 restorations, 17 (1.9 percent) had problems potentially related to filling or crown placement during first year. Problem rates not...
Reports examining opioid prescribing for dental conditions are limited and do not examine patient-level factors. This study examines the association of patient age, sex, race, ethnicity, Medicaid coverage, need an interpreter in addition to procedure type provider with receipt prescription care settings within a large health system.This was conducted utilizing data from electronic record HealthPartners, practice embedded system. The analytic sample consisted all 169,173 encounters 90,487...
Background Clinical decision support (CDS) has the potential to improve clinical decision-making consistent with evidence-based care. CDS can be designed save health care providers time and help them provide safe personalized analgesic prescribing. Objective The aim of this report is describe development a system dentists pain management recommendations reduce opioid prescribing following extractions. use also examined. Methods This study was conducted in HealthPartners, which uses an...
<sec> <title>BACKGROUND</title> Clinical decision support (CDS) has the potential to improve clinical decision-making consistent with evidence-based care. CDS can be designed save health care providers time and help them provide safe personalized analgesic prescribing. </sec> <title>OBJECTIVE</title> The aim of this report is describe development a system dentists pain management recommendations reduce opioid prescribing following extractions. use also examined. <title>METHODS</title> This...
<sec> <title>BACKGROUND</title> Overdose deaths from prescription opioid analgesics are a continuing crisis in the United States. Opioid among most frequently prescribed drugs by dentists. An estimated 5 million people undergo third-molar extractions States each year, resulting postoperative pain. Studies show that, cases, combination of ibuprofen and acetaminophen is an effective alternative to commonly for management postextraction Nevertheless, many dentists routinely prescribe opioids...
Introduction Few studies have assessed the impact of clinical decision support, with or without patient education, on patient-reported outcomes in dentistry. This cross-sectional survey was conducted to understand patients' experience shared decision-making and pain management associated a tooth extraction. Methods We administered phone 981 adult patients within week having The extraction performed at large regional dental practice by dentist participating randomized controlled trial support...