利用PACS实施口腔内科根管治疗质量监控的初步研究

Quality Monitoring of Root Canal Therapy with PACS:a Pilot Study.

目的探讨标准化方法监控根管治疗质量的应用效果和存在的问题。方法 5名评价者,采用随机、单盲、对照的方法 ,对存储于PACS中的根管治疗病例进行评价,使用社会科学统计程序(SPSS ver16.0)分析比较其评价结果。结果随机抽取病例156例,根据根管治疗中的3个阶段4个方面分别给予评价。对于诊断片和定位片,5名评价者的评价结论无统计学差异;对于根管充填位置和密合程度的评价,存在统计学差异。结论 PACS可以作为临床质量监控的手段;管理者在使用PACS监控根管治疗质量时,应当首先进行标准化培训。

Objective To evaluate the use of Picture Archiving and Communication System(PACS) on quality monitoring of root canal therapy(RCT).Methods 5 evaluators studied the case images stored in PACS. The cases were randomly chosen and blind to the evaluators.The results given by the evaluators were studied with SPSS verl6.0.Results 156 cases were randomly chosen and evaluated.The images were divided into 4 groups (diagnosis,location,fulfill and fulfill compactness) and were evaluated separately.For diagnosis and location groups,there was no statistical difference within the evaluators'outcome.While within fulfill group and compactness group,there was.Conclusions PACS could be applied as a quality monitoring method;While using PACS for purpose of RCT quality monitoring,a standardization training should be performed at first.