DAN | Blog

Clinical Record Keeping for Dentists

Audio, Trascription and AI for the clinical record

Podcasts and Articles

DAN! - Adam Marsh & Ala Rozwadowska

The Dental Leaders Podcast | July 2024

Adam and Ala discuss the importance of capturing emotions and sentiment in patient interactions and share their vision for revolutionising communication in dentistry.
The conversation delves into the technical aspects of their AI-powered software, its benefits for dentists and patients, and the future of dental record-keeping.

Audio Recording Your Consultations
- The Future of Dental Record Keeping?

The Protrusive Dental Podcast | June 2023

PROTRUSIVE SPOTIFY YouTube

"I have been on a journey to find tools that make record keeping easier, more efficient and higher quality.
I have ZERO financial interest in DAN software. I just think it’s bloody brilliant."

Keeping It Real

The Dentist Magazine | June 2023

The Dentist Magazine

A look at how technology can help you keep complete, accurate and contemporaneous records.
In this article, we'll explore the key benefits of audio recording dental consultations, why it's worth considering for your practice and what you need to know to implement audio recording yourself.

Let's Chat Dental, with Anne Budenberg

May 2023

APPLE PODCASTS SPOTIFY

If you've ever thought about using audio as part of your clinical record, then you may enjoy listening to Anne Budenberg's recent Let's Chat Dental podcast episode where we discuss how audio records can support patients and the whole dental team.

Blog posts

Security and Privacy for the clinical record

Adam Marsh | February 2024

What do indemnity companies say?

Adam Marsh | November 2023

Microphone Recommendations

Adam Marsh | July 2023

Keeping it real

Adam Marsh | June 2023

What has ChatGPT learned about dentistry?

Adam Marsh | January 2023

Benefits of audio recording dental consultations

ChatGPT | December 2022

What DAN has done for dentists

Ala Rozwadowska | August 2022

What is DAN

Ala Rozwadowska | July 2022

Introducing DAN to patients

Adam Marsh | May 2022

Data security, privacy and encryption

Adam Marsh | March 2022

Microphones

Adam Marsh | December 2021

Transcription

Adam Marsh | November 2021

Striving for Excellence

Ala Rozwadowska | June 2021

Be judged on what really happened

Ala Rozwadowska | June 2021

Nursing Staff

Ala Rozwadowska | June 2021

Recording Remote Consultations

Adam Marsh | May 2021

Covid-19

Ala Rozwadowska | April 2021

Why Dental Audio Notes?

Ala Rozwadowska | March 2021

Video

August 24 | What can DAN do for you? (appointment notes)

August 24 | What can DAN do for you? (letters)

August 24 | What can DAN do for you? (appointment summary)

July 24 | Introducing DAN

April 24 | sneak_peek

pt.1 | Past experiences

pt.2 | Forgetful

pt.3 | Emergency!

July 24 | AI Records

In the press

Creating, deploying and adopting AI safely in dentistry
The Probe | July 2024 | reader

Dentistry beyond words
The Probe | June 2024 | reader

Effortless, accurate and complete notes
Dental Review | July 2024 |

Use AI safely in the dental practice
Dental Review | June 2024 |

Keeping it Real
The Dentist | June 2023 |
A look at how technology can help you keep complete, accurate and contemporaneous records.

Make record taking effortless
BDJ Team | May 2024 |

Excellent secure records of your consultations – the easy way
The Probe | May 2024 |

Dentistry Show 2024
Dental Review | May 2024 |

Dentistry beyond words
The Dentist | June 2024 |

Make record taking effortless
The Probe | May 2024 |

Make record taking effortless
Smile Oral Health Matters | May 2024 |

Partners

References

What the clinical record may not show
Raj Rattan shares his experience of the clinical record.
Raj Rattan | December 2023 | The Dentist
html

Records Management Code of Practice 2021
A guide to the management of health and care records
NHSx | August 2021
pdf, html

NHS England
Dental Record Keeping Standards: a consensus approach
NHS England | October 2019
pdf, web doc

GDC Standards
Principle 4.1: You must make and keep contemporaneous, complete and accurate patient records
General Dental Council (GDC) | April 2017
pdf, html
See also: Fitness to Practise statistical report 2019

FGDP (now CGDent)
Clinical examination and record keeping: Good practice guidelines 2016
FGDP (UK) | 2016
pdf online

Making and using visual and audio recordings of patients
There may be many reasons why you need to make a visual or audio recording of a patient. If you do then this guidance is for you.
General Medical Council (GMC) | March 2013
pdf, html

HIPAA Administrative Simplification
The combined regulation text of the suite of HIPAA Administrative Simplification Regulations (45 CFR Part 160, Part 162, and Part 164).
U.S. Department of Health and Human Services Office for Civil Rights (HHS) | March 2013
pdf, html

Dental Records | American Dental Association (2010)
This ADA publication is designed especially for dentists and the dental team to provide helpful information about the dental record. This publication is not intended or offered as legal or other professional advice. Laws vary from state to state and thus, readers should consult with their personal legal counsel and malpractice insurer to access the applicable laws in their state.
American Dental Association (ADA) | 2010
pdf, online

Australian Dental Association Guidelines for Dental Records
A record of each occasion of contact with a patient is essential for diagnosis, treatment planning, case management, practice administration, and transfer of care between clinicians. Adequate contemporaneous records are essential evidence in the case of a dispute or litigation and obviate the need for assumptions regarding a dentist’s ‘usual practices’.
Australian Dental Association (ADA) | March 2021
pdf, online

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Relevant Information

A life in the day of a dento-legal advisor (2022)
"BDA dento-legal advisor Lorna Ead gives a glimpse into what's like in the day of a dento-legal advisor."
The article highlights the importance of carefully recording any discussions in the patient's clinical records, and how excellent records can help manage challenging patients and avoid "vulnerability in the record keeping" when there is a complaint.
It also mentions vicarious liability and a growing trend of 'entrepreneurial' claimant law firms.
Lorna Ead | BDJ In Practice | VOLUME 35 NO. 8 | August 2022
pdf, html,
Ead, L. A life in the day of a dento-legal advisor. BDJ In Pract 35, 28 (2022). https://doi.org/10.1038/s41404-022-1224-y

How the General Dental Council and NHS UDAs crushed the compassion out of dentists (2022)
"Various actions and policies of governmental agencies and the General Dental Council (GDC) have crushed the compassion out of many dental professionals. Compassion is not the same as sympathy or empathy; compassion involves doing something practical to overcome a patient's problems.
...'defensive dentistry' is now practised widely, partly due to a lack of trust in the GDC or the government, or indeed, in the fairness of many of their patients to be reasonable or tolerant of even minor or unpredictable problems."
Martin G. D. Kelleher | BRITISH DENTAL JOURNAL | VOLUME 232 NO. 8 | April 2022
pdf, html,
Kelleher, M. How the General Dental Council and NHS UDAs crushed the compassion out of dentists. Br Dent J 232, 509–513 (2022). https://doi.org/10.1038/s41415-022-4147-4

A cautionary tale for keeping dental records (2022)
"All clinicians know the importance of dental records. Many write extremely comprehensive notes, whilst others rely very heavily on auto-notes and auto templates. These can be helpful but can also lead to inconsistencies."
An example where DAN would have saved over £21,000 in claims and fees.
Ian Gordon | https://dentistry.co.uk | January 2022

The future of dentistry (2021)
Denplan’s white paper on the future of dentistry, the culmination of months of in-depth research into issues impacting private dentistry.
Denplan | April 2021
pdf, html

The legal fallacies about ‘if it was not written down it did not happen’, coupled with a warning for ‘GDC experts’ (2020)
"It is a fallacy that 'if it was not written down it did not happen'. The expression has become something of a mantra among certain dental 'educationalistas' and has been recited so often by some plaintiffs' tame 'experts' and by some lawyers that many people now believe that it is true. As a matter of law, it is not. This article challenges the correctness of that oft-repeated assertion - because it is not a law of evidence and neither is it even a law of logic."
Martin G. D. Kelleher | BRITISH DENTAL JOURNAL | VOLUME 229 NO. 4 | August 2020
pdf, html, pdf (martinkelleher.co.uk),
Kelleher, M. The legal fallacies about 'if it was not written down it did not happen', coupled with a warning for 'GDC experts'. Br Dent J 229, 225–229 (2020). https://doi.org/10.1038/s41415-020-1995-7L

'Climate of fear' in new graduates: the perfect storm? (2019)
"Today's dental graduates are entering the profession in a difficult environment, where patient complaints, litigation and referrals to the regulator are commonplace. This has been cited as causing a 'climate of fear'. However, in order to understand the pressures facing our new graduates, we must first understand how recent changes in society have affected the way in which this generation has been raised. We should also accept the role of individuals, and the profession as a whole, in changing the current climate and promoting graduates' professional development through appropriate risk management, coaching and mentoring."
Kathryn Fox | BRITISH DENTAL JOURNAL | VOLUME 227 NO. 5 | September 2019
pdf, html,
Fox, K. 'Climate of fear' in new graduates: the perfect storm?. Br Dent J 227, 343–346 (2019). https://doi.org/10.1038/s41415-019-0673-0

Uncertainty and terror: a tale of fitness to practise (2016)
Eddie Scher reveals the story behind the harrowing first-hand experience of his fitness to practise hearing and asks: how does this protect patients?
Guy Hiscott | DENTISTRY MAGAZINE | February 2016
html,

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Stuff we love

#PDP169: Cosmetic Dental ‘Failures’ – When Veneer Patients Change Their Minds (Medico-Legal Series) | Neel Jaiswal, Daniel Cattell
"In this episode Jaz is joined by Dr. Daniel Cattell and Dr. Neel Jaiswal on how to navigate 'perceived cosmetic failures'. While we hope it’s not a common occurrence, we discuss the importance of consent protocols and thorough communication in hopes to avoid such scenarios. And in case things take an unexpected turn, know the right time to reach out to your indemnity company, and how to smooth out the bumps."
Gulati, J., Jaiswal, N., Cattell, D. '#PDP169: Cosmetic Dental ‘Failures’ – When Veneer Patients Change Their Minds (Medico-Legal Series). The Protrusive Dental Podcast (2023).

Help I’m being sued by my patient?! | Amit Patel & Gary Monaghan
"How to prevent medico legal issues in Periodontics and Implants"
Amit, P., Monaghan, G. 'Help I’m being sued by my patient?! How to prevent medico legal issues in Periodontics and Implants'. ADI Webinar (2023).

#IC038: Recommend Treatment Plans with Confidence | Prav Solanki
"Stop waffling and start communicating effectively. Stop giving 75 different treatment options and RECOMMEND the ideal plan based on their goal (hint: ask more questions!). Become efficient with patient communication by switching to video letters using Loom."
Gulati, J., Solanki, P. '#IC038: Recommend Treatment Plans with Confidence'. The Protrusive Dental Podcast (2023).

#152: You Can’t Handle the Tooth! Gary Monaghan
Payman sits down for a chat with medical and dental indemnity expert Gary Monaghan about the challenges of covering the profession.
He reveals how his indemnity service PDI assesses risk, discusses defensive dentistry and describes what happens when the GDC calls.
Monaghan, G., Langroudi, P. '#152: You Can’t Handle the Tooth!'. Dental Leaders Podcast (2022).

#PDP113: Consent Is Like An Onion – Are You Consenting Your Patients Correctly?
"Consent. It’s one of the most important parts of your practice—and it’s somehow turned in to a tick-box/paperwork exercise. Is it truly possible to automate the consent process for an individual?
Dr. Shaun Sellars and Zak Kara break it down for you, so you can get your patient on board with the treatment they need while keeping yourself out of legal trouble."
Gulati, J., Sellars, S., Kara, Z. '#PDP113: Consent Is Like An Onion – Are You Consenting Your Patients Correctly?'. The Protrusive Dental Podcast (2022).

Reena’s Notes: How to Avoid Periodontal Litigation in General Dental Practice with Dr Ian Dunn
Reena Wadia shares her notes from a webinar organised by the British Society of Periodontology and Implant Dentistry with Dr Ian Dunn.
Wadia, R. 'Reena’s Notes: How to Avoid Periodontal Litigation in General Dental Practice with Dr Ian Dunn'. (2021)

Teeth: Your body's early warning system
When the hardest substance in the human body deteriorates, what is our body trying to tell us? Learn from dentist Marielle Pariseau how a cavity is a warning signal for more serious problems to come. About the speaker: Marielle Pariseau is a dentist, entrepreneur, and founder and CEO of Teeth First.
Pariseau, M. Teeth: Your body's early warning system. TEDxSaltLakeCity (2019).

Looking back at the last 25 years as a dentist and a mentor
Ewa Rozwadowska shares how she got into dentistry, her role as a dental mentor and her most defining moments over the last 25 years of her career.

073: Mastering Communication in Dentistry (2016)
This episode discusses Dr Milisha Chotai's book: Mastering Communication in Dentistry, the importance of nonverbal communication, and confidence and how it affects your relationships with patients.
This is a book we have on our shelf here at DAN.

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