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46 Cards in this Set

  • Front
  • Back
The measure of the quality care provided in a particular setting is called...
Quality assessment
The measurement of the quality of care and the implementation of any necessary changes to either maintain or improve the quality of care rendered
Quality assurance
_____ _____ is limited to the appraisal of whether or not standards of quality have been met.
Quality assessment
_____ _____ includes additional dimension of action to take the necessary corrective steps to improve the situation in the future.
Quality assessment
What are the concepts that relate to quality assurance?
Structure
Process
Outcome
Refers to the layout and equipment of a facility.
Structure
Involves the actual services that the dentist and assistant perform for the patients and how well they perform.
Process
The change in health status that occurs as a result of the care delivered.
Outcome
Dentists are _____, _____, and _____ obligated to report a suspected case of child abuse
morally
ethically
legally
Once an injury of a suspicious nature is _____, the dentist's first and immediate responsibility is the protection of the child.
Observed
where does a dentist report child abuse?
Designated state agency (social services or police)
Child abuse most commonly involves what ages?
Newborns and children up to age three
Practitioners should become familiar with the physical signs of domestic violence, especially because _____ of the battered women's injuries involve the face, _____ the eyes, and _____ the neck.
68%
45%
12%
The role of the professional in the practice of dentistry is described in what?
ADA's Principles of Ethics and Code of Professional Conduct (ADA Code)
The ADA code is, in effect, a written expression of the obligations arising from the implied contract between...
The dental professional and society
What are the three main components of the ADA code?
The Principles of Ethics
The Code of Professional Conduct
The Advisory Opinions
What are the five ethical principles of the ADA Code of Ethics?
1. Veracity - truthfulness
2. Justice - fairness
3. Autonomy - self-governance
4. Beneficence - do good
5. Non maleficence - do no harm
Financial information _____ _____ be kept on the treatment record.
Should Not
Always use a separate financial form
What should a written treatment plan include?
- Description of patient condition
- Proposed treatment
- Possibilities of treatment success/failure
- Outcome of patent if not treated
- Risks
- Other treatment options
- Cost of treatment
- Estimated number and length of appointments
- When payments are expected
- Length of time to complete treatment
- Signed and dated by patient/guardian

Both Patient and dentist get a copy
The dentist has diagnosed and recommended specific treatment for a patient of record and remains on the premises while the patient is being treated.
Indirect Supervision
Term applied to the legal relationship between the dentist and the dental hygenist in practice.
Supervision
The dentist has recommended a dental hygiene procedure for a patient of record but doesn't have to be physically present while that procedure is being performed.
General Supervision
The dentist has diagnosed and recommended specific treatment by the dental hygienist, remains on the premises while the patient is being treated, and approves the work performed prior to the dismissal of the patient.
Direct Supervision
The dentist is treating a patient and the hygienist is concurrently performing a supportive procedure that has been recommended by the dentist.
Personal Supervision
What are general signs of child abuse?
- Fearful and cry a lot or show no fear at all, unhappy and withdrawn
- Act differently with parent present
- Delays in Language or Motor skills
- Malnutrition
- Long cloths in warm weather
- Wounds at different stages of healing
What are the oral signs of child abuse?
- Lips swollen and bruised
- Scars indicating past trauma
- Gag marks around the corners of mouth
- Injury to the teeth
- Fractured Jaw
Injury to tongue
- Evidence of ignoring child oral health
- Torn oral frenums
The dentist has a duty to promote the patient's welfare.
Beneficence - Do Good
The dentists _____ _____ is service to the patient and the public-at-large.
Primary Obligation
What principle in the code of ethic refers to self-governance?
Autonomy
The dentist has a duty to respect the patient's rights to self-determination and confidentiality.
Patient autonomy - self governance
This principle expresses the concept that professionals have a duty to treat the patient according to the patient's desires, within the bounds of accepted treatment, and to protect the patient's confidentiality. Under this principle the dentist's primary obligations include involving patients in treatment decisions in a meaningful way, with due consideration being given to the patient's needs, desires and abilities, and safeguarding the patients privacy
Autonomy
This principle expresses the concept that professionals have a duty to be fair in their dealings with patients, colleagues and society. Under this principle, the dentist's primary obligations include dealing with people justly and delivering dental care without prejudice. In its broadest sense, this principle expresses the concept that the dental profession should actively seek allies throughout society on specific activities that will help improve access to care for all.
Justice - Fairness
Which principle in the code expresses the concept that professionals have a duty to be honest and trustworthy in their dealings with people?
Veracity - Truthfulness
Which principle in the code expresses the concept that professionals have a duty to protect the patient from harm?
Non maleficence - do no harm
Under this principle, the dentist's primary obligations include keeping knowledge and skills current, knowing one's own limitations and when to refer to a specialist or other professional, and knowing when and under what circumstance delegation of patient care to auxiliaries is appropriate.
Non maleficence - do no harm
A disciplinary sentence written to express severe criticism or disapproval for a particular type of conduct or act.
Censure
A loss of membership privileges for a certain period with automatic reinstatement
Suspension
A specified period without the loss of rights in liu of a suspended disciplinary penalty. A dentist on probation may be required to practice under the supervision of a dentist or other individual approved by the dental board.
Probation
Absolute severance from the profession
Revocation of license
What are the acts that would result in a dentist being charged with unethical conduct?
- A guilty verdict for criminal felony
- A guilty verdict for violating the bylaws or principles of the Code of Ethics
A misinterpretation of a fee as higher than it is
Overbilling
A dentist _____ accept a co-payment from a dental insurance company as payment in full for services and not request the patient's portion. This is considered overbilling and unethical without _____ _____ to the insurance company.
Cannot
Full Disclosure
A dentist _____ charge different fees to different patients for the same services.
Cannot
A dentist who recommends and performs _____ dental services or procedures is engaged in _____ _____.
Unnecessary
Unethical conduct
Infringements of standards involve statements that include what?
- Inferences of specialty when general
- Use of unearned degrees for prestige
- Advertising being HIV free without additional scientific evidence of the statement
Use of the name of a dentist o longer actively associated with the practice may be continued for a period not to exceed...
1 year
Can be extended by departing dentists permission