PMHP Flashcards
What is clinical governance?
systematic approach to maintaining and improving the quality of patient care within a health system
What is quality health care based on?
Person centred, safe, effective, efficient, equitable, timely
What is the CPD requirements?
100 hours verifiable wtihin 5 years, and 10 hours every 2 years
verifiable needs to have concise edicational aims and ILOs, need a feedback process, need documented evidence. Make a log and reflect.
need to submit yearly
course/lectures, training, peet review, clinical audit, reading journals, attending conferences, e-learning activities
What are highly recommended topics?
medical emergencies, disinfection/decon
radiography and radiation protection
These need to be associated with your position and needs
legal and ethical issues
complaints handling
oral cancer - early detection
safeguarding children/vulnerable adults
What are the 9 GDC standards that dental professionals should adhere to?
- Put patients first
- maintain, develop and work within you knowledge and skills
- keep patients information confidential, secure and up to date
- work effectively with colleagues for the patients best interest
- have a clear and effective complaints procedure
- communicate effectively with patients
- maintain the patients confidence in your and your profession
- obtain valid consent
- Raise any concerns
What are the dimensions of health care?
patient centred safe effective efficient equitable timely
What is PICO?
Population for an experiment
Inclusion/exclusion criteria
Control group
Outcomes desired
What is risk ratio?
RR = 1 means that exposure does not affect the outcome;
RR < 1 means that the risk of the outcome is decreased by the exposure;
RR > 1 means that the risk of the outcome is increased by the exposure.
What is odds ratio?
0 is the value of no difference
How do you work out a risk ratio?
Group Experimental(E) Control (C) Events (E) EE CE Non-events (N) EN CN The point estimate of the risk ratio is
RR = [EE/(EE+EN)]/[CE/(CE+CN)]
What is the care index?
The proportion of teeth with decay experience and been filled
What is mean D3MFT?
the average number of obviously decayed missing and filled teeth per child
What does D3 mean?
obvious dental decay into the dentine of a tooth using visual methods of detection only
What are different ways to provide fluoride?/
Water (rest of UK) milk tea toothpaste mouthwash (if can expectorate) fluoride varnish tooth mousse
What oral problems can be associated with illegal drugs?
ulceration caries/dental neglect necrotic tissue oral cancer burns xerostomia NCTSL
What is the audit cycle for clinical governence components?
- identify issue
- set up criteria for golden standard
- observe current practice and collect data
- compare to criteria
- implement change
what are the criteria a patient must meet to give informed consent for a procedure?
have capacity
have information
voluntary consent
What are CPD requirements?
PLAN/DO/REFLECT/RECORD 100 hours per 5 years 10 hours in 2 years include a personal development plan log activity, document evidence and reflection provide annual statement
What are CPD recommended topics?
- medical emergencies
- disinfection and decontamination
- radiography and radiation protection
- legal and ethical issues
- complaints handling
- oral cancer - early detection
- safeguarding children/young people/vulnerable adults
Who has to be registered with the GDC?
- dentists
- dental nurses
- hygeinists
- DCTs
- orthos
- techs
What are some oral problems associated with illicit drug use?
Xerostomia cariogenic diet ANUG poor oral hygiene lack of self care psychological problems NCTSL/bruxism/habits
What are some dental considerations for someone with alcohol dependency?
liver function (articaine better than lignocaine) ABs - use amox bleeding tendencies reduced immune system caries NCTSL nutritional status
What is the pattern of decay for patients with alcohol dependency?
cervical caries progressing to root caries
Can you use inhalational sedation in IVDU?
this is the safest way to sedate
quicker recover
fewer side effects
no need for escort
