Evaluation of the quality of medical documentation according to retrospective analysis

Abstract

As a result of a retrospective analysis of medical records in private dental organizations in the cities of Samara and Ulyanovsk was analyzed the quality of medical records, compliance with approved standards and clinical treatment protocols.

Aim. To assess the quality of specialized dental care for patients with chronic forms of pulpitis.

Materials and Methods. 2484 medical records were analyzed and 840 patients with chronic forms of pulpitis were identified. An analysis of the structure of and prevalence of the disease was carried out.

Results. 840 patients were diagnosed with chronic pulpitis in 1412 teeth, the most common form of the disease was established. The prevalence of various forms of chronic pulpitis according to the classification of Moscow State Medical University was estimated based on the classification of E.E. Platonov (1968). This classification was the most common when making a diagnosed by dentists

Conclusions. The main age group of patients with chronic forms of pulpitis, the predominant sex of patients, the most common form of chronic pulpitis, and established which groups of teeth are most often affected. An analysis of the filed of medical records of dental patients with chronic forms of pulpitis was made.