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- Title
Effectiveness of a provider reminder on fecal occult blood test follow-up.
- Authors
Larson, Meaghan F.; Ko, Cynthia W.; Dominitz, Jason A.
- Abstract
<bold>Purpose: </bold>To determine the impact of an electronic reminder upon the timeliness and proportion of patients referred for evaluation of a positive fecal occult blood test and receipt of colonoscopy.<bold>Methods: </bold>Outpatients (468) with a positive occult blood test were prospectively identified and had a note entered into their electronic medical record prompting their provider to act upon this result. The results were compared to 634 control patients from the prior year.<bold>Results: </bold>The intervention was associated with a 20.3% absolute increase in gastroenterology consultation within 14 days (P < 0.001) and significantly prompter consultation. The median time to colonoscopy decreased by 38 days during the intervention (P = <0.0001). A multivariable model found that the intervention was significantly associated with shorter time to consultation and colonoscopy.<bold>Conclusion: </bold>A simple electronic reminder is associated with a significant improvement in the proportion of patients referred for, and timeliness of, evaluation of a positive FOBT.
- Subjects
FECAL occult blood tests; FECES examination; BLOOD testing; COLONOSCOPY; INTERNAL medicine; MEDICAL technology; OUTPATIENT medical care; COMPARATIVE studies; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; MEDICAL referrals; RESEARCH; TIME; EVALUATION research; HEALTH care reminder systems
- Publication
Digestive Diseases & Sciences, 2009, Vol 54, Issue 9, p1991
- ISSN
0163-2116
- Publication type
journal article
- DOI
10.1007/s10620-009-0751-2