An audit of patient assessment and treatment outcomes in anxious patients referred for conscious sedation

Aim and objectives: The aim of this study was to audit the success of treatment outcomes following assessment and treatment planning of anxious patients referred for conscious sedation. The outcome of treatment has a marked effect on ratings of its acceptability. Treatments associated with positive outcomes appear to be more acceptable than those associated with poor outcomes. Design: A standard was set following reference to the literature. At the examination and assessment visit the dentist decided, together with the patient, what modality should be used to carry out the treatment. The outcome was judged to be successful when the planned procedure was completed and the patient had been able to co-operate during the dental treatment without becoming distressed. One hundred consecutive adult patient treatments were included in the audit. Results: A total of 98 completed data collection sheets were analysed. The dental treatments planned at the assessment appointment were completed for 91 (92%) patients. In 8 (8%) patients it was not possible to complete the planned treatment. Conclusion: The standard set for the audit was met, with a successful outcome of 92% overall. No specific areas of weakness were identified. The need for staff training in the use of additional techniques was identified. This could provide a further conscious sedation option before referral for general anaesthesia was considered.