PMID- 35067625
OWN - NLM
STAT- MEDLINE
DCOM- 20220812
LR  - 20230928
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Print)
IS  - 1549-8417 (Linking)
VI  - 18
IP  - 5
DP  - 2022 Aug 1
TI  - Development of a Quality Improvement Dental Chart Review Training Program.
PG  - e883-e888
LID - 10.1097/PTS.0000000000000965 [doi]
AB  - INTRODUCTION: Chart review is central to understanding adverse events (AEs) in 
      medicine. In this article, we describe the process and results of educating chart 
      reviewers assigned to evaluate dental AEs. METHODS: We developed a Web-based 
      training program, "Dental Patient Safety Training," which uses both independent 
      and consensus-based curricula, for identifying AEs recorded in electronic health 
      records in the dental setting. Training included (1) didactic education, (2) 
      skills training using videos and guided walkthroughs, (3) quizzes with feedback, 
      and (4) hands-on learning exercises. In addition, novice reviewers were coached 
      weekly during consensus review discussions. TeamExpert was composed of 2 
      experienced reviewers, and TeamNovice included 2 chart reviewers in training. 
      McNemar test, interrater reliability, sensitivity, specificity, positive 
      predictive value, and negative predictive value were calculated to compare 
      accuracy rates on the identification of charts containing AEs at the start of 
      training and 7 months after consensus building discussions between the 2 teams. 
      RESULTS: TeamNovice completed independent and consensus development training. 
      Initial chart reviews were conducted on a shared set of charts (n = 51) followed 
      by additional training including consensus building discussions. There was a 
      marked improvement in overall percent agreement, prevalence and bias-adjusted kappa 
      correlation, and diagnostic measures (sensitivity, specificity, positive 
      predictive value, and negative predictive value) of reviewed charts between both 
      teams from the phase I training program to phase II consensus building. 
      CONCLUSIONS: This study detailed the process of training new chart reviewers and 
      evaluating their performance. Our results suggest that standardized training and 
      continuous coaching improves calibration between experts and trained chart 
      reviewers.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Kalenderian, Elsbeth
AU  - Kalenderian E
FAU - Hebballi, Nutan B
AU  - Hebballi NB
AD  - University of Texas Health Science Center at Houston School of Dentistry, 
      Houston, Texas.
FAU - Franklin, Amy
AU  - Franklin A
AD  - University of Texas Health Science Center at Houston School of Dentistry, 
      Houston, Texas.
FAU - Yansane, Alfa
AU  - Yansane A
AD  - From the Department of Preventive and Restorative Dental Sciences, University of 
      California at San Francisco School of Dentistry, California.
FAU - Ibarra Noriega, Ana M
AU  - Ibarra Noriega AM
AD  - University of Texas Health Science Center at Houston School of Dentistry, 
      Houston, Texas.
FAU - White, Joel
AU  - White J
AD  - From the Department of Preventive and Restorative Dental Sciences, University of 
      California at San Francisco School of Dentistry, California.
FAU - Walji, Muhammad F
AU  - Walji MF
AD  - University of Texas Health Science Center at Houston School of Dentistry, 
      Houston, Texas.
LA  - eng
GR  - R01 DE022628/DE/NIDCR NIH HHS/United States
GR  - R01 DE024166/DE/NIDCR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20220124
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Data Collection
MH  - Electronic Health Records
MH  - Humans
MH  - *Patient Safety
MH  - *Quality Improvement
MH  - Reproducibility of Results
PMC - PMC9300767
MID - NIHMS1756802
COIS- Research reported in this publication was supported by the National Institute of 
      Dental and Craniofacial Research of the National Institutes of Health under Award 
      Number R01DE022628. The authors disclose no conflict of interest.
EDAT- 2022/01/25 06:00
MHDA- 2022/08/13 06:00
PMCR- 2023/08/01
CRDT- 2022/01/24 05:48
PHST- 2022/01/25 06:00 [pubmed]
PHST- 2022/08/13 06:00 [medline]
PHST- 2022/01/24 05:48 [entrez]
PHST- 2023/08/01 00:00 [pmc-release]
AID - 01209203-202208000-00028 [pii]
AID - 10.1097/PTS.0000000000000965 [doi]
PST - ppublish
SO  - J Patient Saf. 2022 Aug 1;18(5):e883-e888. doi: 10.1097/PTS.0000000000000965. 
      Epub 2022 Jan 24.