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Dental Records in a Digital Age

Home/Dental Records in a Digital Age

Presentation 3 June

Attributes of Complete Dental Record

Dental Board of Australia v Hussain (Review and Regulation) [2022] VCAT 467

Dental Records Handout

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Brad Wright - Barrister

2 months ago

Brad Wright  - Barrister
This I think is pure quintessence.... ... See MoreSee Less

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Brad Wright - Barrister updated their status.

3 months ago

Brad Wright  - Barrister
𝗖𝗹𝗮𝘂𝘀𝗲𝘀 𝗶𝗻 𝗱𝗲𝗲𝗱𝘀 𝗹𝗶𝗺𝗶𝘁𝗶𝗻𝗴 𝗣𝗮𝘁𝗶𝗲𝗻𝘁 𝗖𝗼𝗺𝗽𝗹𝗮𝗶𝗻𝘁𝘀 𝗻𝗼𝘄 𝗜𝗹𝗹𝗲𝗴𝗮𝗹As has been the case in NSW for some time and as been foreshadowed by the writer previously, presenting Deeds of Release and Settlement that purport to prevent a patient making a complaint to the regulator are illegal as of 1 December.𝘗𝘦𝘰𝘱𝘭𝘦 𝘸𝘩𝘰 𝘮𝘢𝘬𝘦 𝘢 𝘤𝘰𝘮𝘱𝘭𝘢𝘪𝘯𝘵 𝘢𝘨𝘢𝘪𝘯𝘴𝘵 𝘢 𝘩𝘦𝘢𝘭𝘵𝘩 𝘱𝘳𝘢𝘤𝘵𝘪𝘵𝘪𝘰𝘯𝘦𝘳 𝘸𝘪𝘭𝘭 𝘣𝘦 𝘱𝘳𝘰𝘵𝘦𝘤𝘵𝘦𝘥 𝘧𝘳𝘰𝘮 𝘳𝘦𝘱𝘳𝘪𝘴𝘢𝘭𝘴 𝘰𝘳 𝘳𝘦𝘵𝘢𝘭𝘪𝘢𝘵𝘪𝘰𝘯 𝘶𝘯𝘥𝘦𝘳 𝘪𝘯𝘤𝘳𝘦𝘢𝘴𝘦𝘴 𝘵𝘰 𝘤𝘰𝘯𝘴𝘶𝘮𝘦𝘳 𝘱𝘳𝘰𝘵𝘦𝘤𝘵𝘪𝘰𝘯𝘴 𝘵𝘩𝘢𝘵 𝘤𝘢𝘮𝘦 𝘪𝘯𝘵𝘰 𝘦𝘧𝘧𝘦𝘤𝘵 𝘰𝘯 1 𝘋𝘦𝘤𝘦𝘮𝘣𝘦𝘳 2025.𝘗𝘦𝘰𝘱𝘭𝘦 𝘸𝘩𝘰 𝘮𝘢𝘬𝘦 𝘢 𝘤𝘰𝘮𝘱𝘭𝘢𝘪𝘯𝘵 𝘪𝘯 𝘨𝘰𝘰𝘥 𝘧𝘢𝘪𝘵𝘩 𝘢𝘳𝘦 𝘢𝘭𝘳𝘦𝘢𝘥𝘺 𝘱𝘳𝘰𝘵𝘦𝘤𝘵𝘦𝘥 𝘧𝘳𝘰𝘮 𝘭𝘪𝘢𝘣𝘪𝘭𝘪𝘵𝘺 𝘧𝘰𝘳 𝘪𝘯𝘧𝘰𝘳𝘮𝘢𝘵𝘪𝘰𝘯 𝘵𝘩𝘦𝘺 𝘱𝘳𝘰𝘷𝘪𝘥𝘦 𝘵𝘰 𝘈𝘩𝘱𝘳𝘢 𝘢𝘯𝘥 𝘵𝘩𝘦 𝘕𝘢𝘵𝘪𝘰𝘯𝘢𝘭 𝘉𝘰𝘢𝘳𝘥𝘴. 𝘛𝘩𝘦 𝘤𝘩𝘢𝘯𝘨𝘦𝘴 𝘸𝘪𝘭𝘭 𝘦𝘹𝘵𝘦𝘯𝘥 𝘵𝘩𝘪𝘴 𝘱𝘳𝘰𝘵𝘦𝘤𝘵𝘪𝘰𝘯, 𝘮𝘢𝘬𝘪𝘯𝘨 𝘪𝘵 𝘢𝘯 𝘰𝘧𝘧𝘦𝘯𝘤𝘦 𝘧𝘰𝘳 𝘴𝘰𝘮𝘦𝘰𝘯𝘦 𝘵𝘰 𝘵𝘩𝘳𝘦𝘢𝘵𝘦𝘯, 𝘪𝘯𝘵𝘪𝘮𝘪𝘥𝘢𝘵𝘦 𝘰𝘳 𝘰𝘵𝘩𝘦𝘳𝘸𝘪𝘴𝘦 𝘳𝘦𝘵𝘢𝘭𝘪𝘢𝘵𝘦 𝘢𝘨𝘢𝘪𝘯𝘴𝘵 𝘢 𝘯𝘰𝘵𝘪𝘧𝘪𝘦𝘳 𝘧𝘰𝘳 𝘮𝘢𝘬𝘪𝘯𝘨 𝘢 𝘤𝘰𝘮𝘱𝘭𝘢𝘪𝘯𝘵.𝘛𝘩𝘦 𝘮𝘢𝘹𝘪𝘮𝘶𝘮 𝘱𝘦𝘯𝘢𝘭𝘵𝘺 𝘸𝘪𝘭𝘭 𝘣𝘦 $60,000 𝘧𝘰𝘳 𝘢𝘯 𝘪𝘯𝘥𝘪𝘷𝘪𝘥𝘶𝘢𝘭 𝘰𝘳 $120,000 𝘧𝘰𝘳 𝘢 𝘣𝘰𝘥𝘺 𝘤𝘰𝘳𝘱𝘰𝘳𝘢𝘵𝘦.𝘐𝘵 𝘸𝘪𝘭𝘭 𝘢𝘭𝘴𝘰 𝘣𝘦 𝘪𝘭𝘭𝘦𝘨𝘢𝘭 𝘵𝘰 𝘦𝘯𝘵𝘦𝘳 𝘪𝘯𝘵𝘰 𝘢 𝘯𝘰𝘯-𝘥𝘪𝘴𝘤𝘭𝘰𝘴𝘶𝘳𝘦 𝘢𝘨𝘳𝘦𝘦𝘮𝘦𝘯𝘵 (𝘕𝘋𝘈) 𝘸𝘪𝘵𝘩 𝘢 𝘱𝘢𝘵𝘪𝘦𝘯𝘵, 𝘶𝘯𝘭𝘦𝘴𝘴 𝘪𝘵 𝘤𝘭𝘦𝘢𝘳𝘭𝘺 𝘴𝘵𝘢𝘵𝘦𝘴 𝘪𝘯 𝘸𝘳𝘪𝘵𝘪𝘯𝘨 𝘵𝘩𝘢𝘵 𝘪𝘵 𝘥𝘰𝘦𝘴 𝘯𝘰𝘵 𝘭𝘪𝘮𝘪𝘵 𝘢 𝘱𝘦𝘳𝘴𝘰𝘯 𝘧𝘳𝘰𝘮 𝘮𝘢𝘬𝘪𝘯𝘨 𝘢 𝘯𝘰𝘵𝘪𝘧𝘪𝘤𝘢𝘵𝘪𝘰𝘯 𝘰𝘳 𝘱𝘳𝘰𝘷𝘪𝘥𝘪𝘯𝘨 𝘢𝘴𝘴𝘪𝘴𝘵𝘢𝘯𝘤𝘦 𝘵𝘰 𝘳𝘦𝘨𝘶𝘭𝘢𝘵𝘰𝘳𝘴. 𝘈𝘯𝘺 𝘕𝘋𝘈𝘴 𝘵𝘩𝘢𝘵 𝘥𝘰 𝘴𝘦𝘦𝘬 𝘵𝘰 𝘭𝘪𝘮𝘪𝘵 𝘢 𝘱𝘦𝘳𝘴𝘰𝘯’𝘴 𝘢𝘣𝘪𝘭𝘪𝘵𝘺 𝘵𝘰 𝘮𝘢𝘬𝘦 𝘢 𝘤𝘰𝘮𝘱𝘭𝘢𝘪𝘯𝘵 𝘸𝘪𝘭𝘭 𝘣𝘦 𝘪𝘯𝘷𝘢𝘭𝘪𝘥.In plain language, although a deed of release may be presented to set out the terms of the settlement and even limiting civil liability, to the extent that there was any doubt, any attempt to prevent a patient complaint is not only arguably unenforceable (as against public policy) as has been the case for many years - it is now illegal.Further although it has not been stated, this will clearly also lead to allegations of unprofessional conduct.If a practitioner wants to settle a matter with a patient use an indemnifier approved deed of release (not something you get from ChatGPT for example)𝙏𝙝𝙞𝙨 𝙖𝙧𝙩𝙞𝙘𝙡𝙚 𝙙𝙤𝙚𝙨 𝙣𝙤𝙩 𝙘𝙤𝙢𝙥𝙧𝙞𝙨𝙚 𝙡𝙚𝙜𝙖𝙡 𝙖𝙙𝙫𝙞𝙘𝙚. 𝙀𝙖𝙘𝙝 𝙥𝙧𝙖𝙘𝙩𝙞𝙩𝙞𝙤𝙣𝙚𝙧 𝙨𝙝𝙤𝙪𝙡𝙙 𝙨𝙚𝙚𝙠 𝙞𝙣𝙙𝙞𝙫𝙞𝙙𝙪𝙖𝙡𝙞𝙨𝙚𝙙 𝙖𝙙𝙫𝙞𝙘𝙚 𝙗𝙖𝙨𝙚𝙙 𝙤𝙣 𝙩𝙝𝙚𝙞𝙧 𝙘𝙞𝙧𝙘𝙪𝙢𝙨𝙩𝙖𝙣𝙘𝙚𝙨.Liability limited by a Scheme approved under Professional Standards Legislation. ... See MoreSee Less
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Brad Wright - Barrister

4 months ago

Brad Wright  - Barrister
𝗔 𝗪𝗼𝗿𝗸𝗮𝗯𝗹𝗲 𝗦𝗼𝗹𝘂𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗽𝗼𝗼𝗿 𝗱𝗲𝗻𝘁𝗮𝗹 𝗿𝗲𝗰𝗼𝗿𝗱𝘀?In a recent article, the issue of Ai and dental notes transcription was addressed.(O’Kane R, Stonehouse-Smith D, Ota LCU, et al. Transcription Accuracy of Automatic Speech Recognition for Orthodontic Clinical Records. Journal of Dental Research. 2025;0(0). doi:10.1177/00220345251382452)In essence the article states perhaps unsurprisingly…“This investigation revealed significant performance variability among tested ASR systems, with all capable of introducing clinically significant mistranscriptions. Clinicians using these systems should be cautious about plausible subtle substitutions or omissions of domain-specific terminology. The current status of ASR necessitates vigilance to guard against automation bias in the clinical environment, improvement in domain-specific accuracy, and potential uncertainty-aware features to ensure safe and reliable integration into clinical practice.”Clearly time at the end of the clinical day or session day could be set aside for a practitioner review of each patient’s AI records and then they should be finalised on that day.In Australia, it accepted that one of the best indicators for clinical record standards is whether a patient could use those records for treatment by another practitioner.No matter how good the transcription, unless the records contain relevant information then the records may still be inadequate.Practitioners might reference a check list and headings for all patent records while they are treating the patient to ensure all aspects of this requirement are captured whilst using AI transcription.𝙏𝙝𝙞𝙨 𝙖𝙧𝙩𝙞𝙘𝙡𝙚 𝙙𝙤𝙚𝙨 𝙣𝙤𝙩 𝙘𝙤𝙢𝙥𝙧𝙞𝙨𝙚 𝙡𝙚𝙜𝙖𝙡 𝙖𝙙𝙫𝙞𝙘𝙚. 𝙀𝙖𝙘𝙝 𝙥𝙧𝙖𝙘𝙩𝙞𝙩𝙞𝙤𝙣𝙚𝙧 𝙨𝙝𝙤𝙪𝙡𝙙 𝙨𝙚𝙚𝙠 𝙞𝙣𝙙𝙞𝙫𝙞𝙙𝙪𝙖𝙡𝙞𝙨𝙚𝙙 𝙖𝙙𝙫𝙞𝙘𝙚 𝙗𝙖𝙨𝙚𝙙 𝙤𝙣 𝙩𝙝𝙚𝙞𝙧 𝙘𝙞𝙧𝙘𝙪𝙢𝙨𝙩𝙖𝙣𝙘𝙚𝙨.Liability limited by a Scheme approved under Professional Standards Legislation. ... See MoreSee Less

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