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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-114Reducing the Percentage of Adult Patients Experiencing Moderate or Severe Painduring Local Anaesthesia Administration for Maxillary Dental Extraction Proceduresin Klinik Pergigian ChemorYusraa A%u00b2, Ng WV%u00b9, Khairul Fikri H%u00b9, Nur Maziah M%u00b9, Wan Nur Nadia WM%u00b9%u00b9 Klinik Pergigian Chemor, Perak%u00b2 Klinik Pergigian 1 Malaysia UTC, PerakSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:An audit conducted at Klinik Pergigian Chemor in 2019, many patients%u2019 complaints of pain during localanaesthesia administration. The situation may significantly impact patient satisfaction and delay patientsseeking dental treatment, leading to poor oral health care. The aim is to reduce the percentage of adultpatients experiencing moderate or severe pain during local anaesthesia administration for maxillary dentalextraction procedures in Klinik Pergigian Chemor.KEY MEASURES FOR IMPROVEMENT:The key indicator for improvement was measured using the percentage of patients with moderate orsevere pain during local anaesthesia administration and standard was set at less than or equal to 20%.PROCESS OF GATHERING INFORMATION:A quality improvement study using cross sectional study with purposive sampling involving two cycleswas conducted from 1st November to 31st December 2019 with a sample size of 151 patients and sixdental officers.ANALYSIS AND INTERPRETATION:Premedial study depicted 77.5% of patients experiencing intolerable pain during LA administration. Thecauses included patients not receiving physical comfort like topical LA application prior to injection(100%), no clear standard operating procedure of local anaesthesia administration (100%), speed ofinjection (83%), and fear of needles (92%).STRATEGIES FOR CHANGE:The remedial measures include introducing ice sticks, providing a clear standard operating procedure oflocal anaesthesia administration, training sessions for dental officers performing local anaesthesiaguidelines, turning on the radio while treating the patient, and indiscreet instruments set-up.EFFECT OF CHANGE:The percentage of patients with moderate or severe pain during anesthesia decreased from 77.5% to18.3% in cycle 1 and dropped to 17.1% in cycle 2. This showed that the measures were effective andsustainable.THE NEXT STEP:To implement Standard Operating Procedure of local anaesthesia administration in other health facilitiesin Kinta district.207 | Page