Document Detail


Effectiveness of a provider reminder on fecal occult blood test follow-up.
MedLine Citation:
PMID:  19255849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Authors:
Meaghan F Larson; Cynthia W Ko; Jason A Dominitz
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-03-03
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  54     ISSN:  1573-2568     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-07-27     Completed Date:  2009-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1991-6     Citation Subset:  AIM; IM    
Affiliation:
VA Puget Sound Health Care System, Seattle, WA, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Colonoscopy / statistics & numerical data*
Female
Humans
Male
Middle Aged
Occult Blood*
Prospective Studies
Referral and Consultation / statistics & numerical data*
Reminder Systems*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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