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Purpose

Xray X-ray Audits are commonly completed only a few times a year. Dental practices with EXAMINE Pro use the Xray X-ray Audit Report to review the number and grade of Xrays X-rays by User and Image Type. The report identifies anomalies and provides a snapshot of Xray X-ray acceptability, enabling the practice to manage their Xray quality in accordance with regulatory standards.

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Note that the report can only display results if data has been entered by Providers / Radiographers when taking XraysX-rays. This requires appropriate setup of the dropdown menus and consistent use of those menus by the Providers / Radiographers. Both setup and user procedures are described below.

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Benefits

  • This report complies with industry best practice for auditing and monitoring the quality of XraysX-rays, allowing practitioners to quickly identify anomalies and take action.

  • Users are able to audit their Xrays X-rays as required by some authorities.

  • By automating the Report through the EXACT Scheduler, a practice can build Xray X-ray quality control into routine practice workflows.

Features

  • Options to print, preview, or email the report.

  • Run this report automatically on schedule by means of the EXACT Scheduler.

  • Make the report a favourite for accessing quickly from the Report Favourites List.

  • Accept the default previous month for report period or manually specify a date range.

  • Opt to show a detailed record of each Xray X-ray captured during the report period to effectively justify the numbers in the report.

  • Xray X-ray quality rating scale uses both numerals and characters (from best to worst 1/A > 2/B > 3/C).

  • Xray X-ray images that have been deleted (hidden from the user interface) are still included in the report, as it is likely that these are the very images with a low diagnostic quality.

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Requirements:

  • EXACT version 11.3 SP3 or later.

  • EXAMINE Promodule registered and installed in the practice (the Software of Excellence Digital Imaging team can assist in installation).

  • The PC from which the report is run must have EXAMINE Pro installed and running.

  • Required "Extra Info" (User, Grade and Image Type) must have been selected by Providers when taking Xrays (see initial configuration and recording procedure below).

Tips for faster & more successful Xray Audit Reporting

  1. Tthe The report will may take a while to run as no matter what period the report is run the report for it will take the same amount of time (running for 1 week will take the same amount of time when running it for a year). This is because the report reads all of the Xrays on the system to determine the time at which they were processedhowever if you feel it is taking an excessively long time please ensure your version of EXACT is V13.368 or newer.

  2. Ensure Examine Pro is open before running the Xray X-ray audit report. The report will try to run Examine Pro but due to load times this may not be accurate or in some cases will look like it runs but not return a result. The best way around this is to ensure that Examine Pro is open from a patient chart screen before running the report.

  3. Run the report on the server, this means that the check for the files can be done quicker as the network is typically less strained by Examine Pro and as the report takes a while it can be left to run while people continue to work. On top of this if you can run this at the end of the day this will help.

  4. This can help with a number of long running reports, when running select the option to email the report, this will generate a PDF on an email template. This has been seen to work quicker than preview on occasion and has the added benefit of providing a PDF for saving to the system.

  5. Ensure Expro.exe and Dental.exe are included as process exceptions in the sites antivirus software.

  6. Turn off force single CPU in ‘misc. settings’ screenshot below, the settings screen in Examine Pro can be accessed by opening Examine Pro and pressing F10, this will bring up the configuration.

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To configure EXAMINE Pro with "Extra Info" options for saving Xrays

This is for configuring the dropdown menu options for the numbered dropdown menus in the above image (1, 2 and 3).

  1. Select Options > Setup > Display Settings tab > Image Properties tab > Extra Info tab

    The Extra Info tab has Field Files:

  2. Click the button to the right of each Field File line to open a named .TXT document (such as users.txt).

  3. Add the options that you want to show in the Providers' dropdown menus, in these formats:

    (Users are the initials of your Providers and the staff that will be taking the radiographs)

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  4. Save each .txt file

  5. Click Save Changes in the Settings window.

  6. Restart EXACT / EXAMINE Pro.

  7. Check that your configuration is correct.

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To allow the selection of a user when saving an X-ray within Examine Pro the user initials must first be added to Examine Pro, to do this please see the following article for guidance How to Add Users to Examine Pro .

You may also wish to configure the format of the grading, for example setting it to an “A” or “N” format to do this please see the following article for guidance How To Change Grading In Examine Pro.

Provider procedural requirement when saving X-rays 

To ensure that the report is complete and accurate, when they save Xrays X-rays Providers need to consistently add the following required information from the dropdown options:

  1. User

  2. Grade

  3. Image Type

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, please see the following article for additional guidance on this How To Set Grading Information On An X-Ray .

To run the Xray Audit Report from the Reports screen

  1. Select Administration > Reports to display the Reporting screen with a list of EXACT reports.

  2. To locate the Xray Audit Report in the list, either

    • Click the Name column once or twice to sort in reverse alphabetical order, and it should be listed right at the top ("Xray"), or

    • Select the Group column to sort by group, and locate it in the Practice Management Group

    The report parameters window displays:

    The default From and To date range is the previous month up to today.

  3. The Show Detail checkbox is unchecked by default but retains user settings. If ticked this will include a Detail section within the report listing individual patients who have had X-rays in the specified period.

  4. Set the parameters and then choose an output option (Print, Preview, Email)

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This report is from a practice where Examine Pro has been configured with extra information options that the Providers capture when taking Xrays. It X-rays. The summary shows the Radiographs taken, the user who took them, the image type, the grades that have been assigned by the user, and the Totalstotals.

It also has a Summary and Detail section.

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The Detail section of the report will list all the patients who have X-rays in the specified period, the provider to who took the X-ray, the image type, the grade and the exposure settings used if specified.

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