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As producers of hazardous waste, dentists have a responsibility and a duty of care for the correct management of waste within their practice. Appropriate measures should be taken to minimise hazardous waste where possible or take action to ensure that all generated waste is disposed of in accordance with environmental legislation.
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The paper summarises the new legislation which is expected to be introduced concerning the use of dental radiodiagnostic and orthopantomographic equipment. The above modifications are partly the responsibility of the employer responsible for the dental practice, the qualified expert and, if present, the authorized doctor. A summary is given of the development of Italian regulations which are being brought into line with EEC standards.
Nonphysician providers continue to achieve enhanced stature, in part by gaining more autonomy in prescribing drugs. There is growing support for the concept that the public health is best served by the broadest access to primary care along with the safe use of pharmaceuticals. The states continue in their efforts to find ways to promote the use of less specialized and less costly providers to help serve the ever-growing population who have access to health care services.
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The P.S.R.O. program is being implemented to improve the quality of care through effective peer review. Effective peer review requires that the oral surgeon must not only detect problems, but analyze causes and develop, implement, and evaluate corrective programs. To actively participate in development of P.S.R.O. criteria for admission, the Department of Oral Surgery at the University of Tennessee Memorial Hospital, Knoxville, conducted a restrospective survey of oral surgery admissions. Utilization review of the oral surgery admissions was conducted to determine the average length of stay and the utilization of the operating room and the ambulatory surgery clinic for patients admitted to the hospital.
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It seems only reasonable that if a health care professional (doctor, dentist, etc) is going to carry out a procedure on a patient, then the patient should know what is being carried out and why and what the consequences may be. This is basically all informed consent is.
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Detailed treatment information was obtained on every procedure performed for all patients seen during a two-year period in 14 private dental practices in Kentucky. This information permitted the investigation of the effect of Kentucky's State Dental Practice Act on the amount of production that could have been legally delegated in the 14 practices. The development of a new measure called the Standard Production Minute (SPM) allowed for the examination of the relations between delegation and production by measuring the two variables in the same time-based units. Results of the study indicated: In 14 private dental practices in Kentucky, 58.7 percent of all production was legally delegable under the State Dental Practice Act. The three areas of operative, hygiene/prevention, and exam/diagnostic data accounted for 74.8 percent of overall production and 67 percent of the production in these areas was legally delegable to auxiliaries in Kentucky. Within individual areas of dentistry, the greatest potential delegation rates were found in these three areas. Given the procedure-mix for the 14 practices, 31 percent of all potential delegation was restricted to hygienists and 18 percent of all production was delegable only to the hygienist under the Kentucky State Dental Practice Act. If the delegation of placing and finishing restorations was restricted by the Kentucky State Dental Practice Act, the percentage of production that could be delegated in the operative area would have decreased from 53.1 percent to 20 percent. However, the percent of production that could be delegated across all areas would have decreased from 58.7 percent to 46 percent.