METHODS: Following development and implementation of the student dashboard, various objective metrics were evaluated to identify any improvements in the clinical patient management. A cross-sectional retrospective chart review was completed of the electronic health record (axiUm, Exan, Coquitlam, BC, Canada) from January 2019 to April 2022 evaluating four performance metrics: student lockouts, note/code violations, overdue active patients, and overdue recall patients. Descriptive statistics were analyzed. The Kolmogorov-Smirnov test was applied to assess the normal distribution of data. Data were analyzed by the Kruskal-Wallis tests for potential differences between pre-dashboard and post-dashboard implementation years with the mean overdue active/recall patient to student ratio variables. Mann-Whitney U-tests for between-groups comparisons with Bonferroni correction for multiple comparisons were performed (α = 0.05). Descriptive statistics were performed to analyze the student utilization frequency of the dashboard.
RESULTS: Post-implementation analysis indicated a slight decrease in the number of lockouts and note/code violation; and a statistically significant decrease in overdue active patients post-dashboard (P < 0.001). On average, students accessed their dashboards 3.3 times a week.
CONCLUSIONS: Implementation of a student dashboard through the electronic health record platform within an academic dental practice has the potential to assist students with patient management and is utilized regularly by the students.
方法:在开发和实施学生仪表板之后,我们对各种客观指标进行了评估,以确定临床患者管理方面的任何改善.完成了电子健康记录的横断面回顾性图表审查(axiUm,Exan,高贵林,BC,加拿大)从2019年1月到2022年4月评估四个绩效指标:学生停摆,注释/代码违规,过期的活跃患者,和逾期召回的患者。描述性统计分析。Kolmogorov-Smirnov检验用于评估数据的正态分布。通过Kruskal-Wallis测试对数据进行了分析,以了解仪表板实施前和仪表板实施后年份之间的潜在差异,以及平均逾期活动/召回患者与学生的比率变量。进行了组间比较的Mann-WhitneyU检验,并进行了Bonferroni校正以进行多重比较(α=0.05)。进行描述性统计以分析仪表板的学生使用频率。
结果:实施后分析表明,停摆和注释/代码违规的数量略有减少;在仪表板后,逾期活跃的患者有统计学意义的下降(P<0.001)。平均而言,学生每周访问他们的仪表板3.3次。
结论:在学术牙科诊所中通过电子健康记录平台实施学生仪表板有可能帮助学生进行患者管理,并被学生定期使用。