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Flashcards in PMHP Deck (24)
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1
Q

What is clinical governance?

A

systematic approach to maintaining and improving the quality of patient care within a health system

2
Q

What is quality health care based on?

A

Person centred, safe, effective, efficient, equitable, timely

3
Q

What is the CPD requirements?

A

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

4
Q

What are highly recommended topics?

A

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

5
Q

What are the 9 GDC standards that dental professionals should adhere to?

A
  1. Put patients first
  2. maintain, develop and work within you knowledge and skills
  3. keep patients information confidential, secure and up to date
  4. work effectively with colleagues for the patients best interest
  5. have a clear and effective complaints procedure
  6. communicate effectively with patients
  7. maintain the patients confidence in your and your profession
  8. obtain valid consent
  9. Raise any concerns
6
Q

What are the dimensions of health care?

A
patient centred
safe
effective
efficient
equitable
timely
7
Q

What is PICO?

A

Population for an experiment
Inclusion/exclusion criteria
Control group
Outcomes desired

8
Q

What is risk ratio?

A

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.

9
Q

What is odds ratio?

A

0 is the value of no difference

10
Q

How do you work out a risk ratio?

A
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)]

11
Q

What is the care index?

A

The proportion of teeth with decay experience and been filled

12
Q

What is mean D3MFT?

A

the average number of obviously decayed missing and filled teeth per child

13
Q

What does D3 mean?

A

obvious dental decay into the dentine of a tooth using visual methods of detection only

14
Q

What are different ways to provide fluoride?/

A
Water (rest of UK)
milk
tea
toothpaste
mouthwash (if can expectorate)
fluoride varnish
tooth mousse
15
Q

What oral problems can be associated with illegal drugs?

A
ulceration
caries/dental neglect
necrotic tissue 
oral cancer
burns
xerostomia
NCTSL
16
Q

What is the audit cycle for clinical governence components?

A
  1. identify issue
  2. set up criteria for golden standard
  3. observe current practice and collect data
  4. compare to criteria
  5. implement change
17
Q

what are the criteria a patient must meet to give informed consent for a procedure?

A

have capacity
have information
voluntary consent

18
Q

What are CPD requirements?

A
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
19
Q

What are CPD recommended topics?

A
  • 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
20
Q

Who has to be registered with the GDC?

A
  • dentists
  • dental nurses
  • hygeinists
  • DCTs
  • orthos
  • techs
21
Q

What are some oral problems associated with illicit drug use?

A
Xerostomia
cariogenic diet
ANUG
poor oral hygiene
lack of self care
psychological problems
NCTSL/bruxism/habits
22
Q

What are some dental considerations for someone with alcohol dependency?

A
liver function (articaine better than lignocaine)
ABs - use amox
bleeding tendencies
reduced immune system
caries
NCTSL
nutritional status
23
Q

What is the pattern of decay for patients with alcohol dependency?

A

cervical caries progressing to root caries

24
Q

Can you use inhalational sedation in IVDU?

A

this is the safest way to sedate
quicker recover
fewer side effects
no need for escort