Page 193 - Demo

Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-99Improving the Percentage of Patients Completed Four-Time Fluoride VarnishApplication in Hulu Langat DistrictNur Izzah S1, Zurina Asiah M2, Siti Aisyah SK3, Aimi Fathonah MS1, Nur Dini AS4, Nurul Idayu MY11Klinik Pergigian Kajang, Selangor2Pejabat Kesihatan Pergigian Daerah Hulu Langat, Selangor3Klinik Pergigian Sungai Chua, Selangor4Klinik Pergigian Bandar Baru Bangi, SelangorSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Fluoride Varnish (FV) helps prevent mineral loss and slow down progression of early carious lesions. FVapplication recommended to be offered at least six-month intervals over two years (four-time).Unfortunately, in Hulu Langat district, only 9% of patients completed a four- time FV application in 2019.KEY MEASURES FOR IMPROVEMENT:The key indicator for improvement was measured using the percentage of patients who completed fourtime FV application and the standard is 40% based on standard in Plan of Action (POA), SelangorPROCESS OF GATHERING INFORMATION:A cross-sectional study was conducted from August to September 2020 in 11 Dental clinics in HuluLangat district using self-administered questionnaires and distributed through a google form. A total of 39(92.8%) out of 42 dental therapists and dental officers participated in this survey.ANALYSIS AND INTERPRETATION:Pre-remedial study showed only 9% of patients completed four-time FV application. The maincontributing factors identified were no proper recording systems and identification, no specificappointment date given, no proper monitoring systems, and lack of attractive promotional materials.STRATEGIES FOR CHANGE:The strategies were establishments with color-coded filing system, educational appointment card,monitoring forms and reminder call, Kiddy Smile box for promotional activities and CDE sessions forMCH personnel periodically.EFFECT OF CHANGE:The percentage was increased from 9% to 66% in cycle 1 and 57% in cycle 2. Achievable Benefit NotAchieved (ABNA) was improved from 31% to -26% and to -17% accordingly. We successfully improvedthe percentage of patients who completed four-time FV applications in Hulu Langat district.THE NEXT STEP:This project was replicated in Sepang district, Selangor in 2023 and showed an excellent result from5.63% to 40.24% increment after the Kiddy Smile project was implemented. We plan to sustain theachievement by expanding this project to all dental clinics in Selangor.192 | Page