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Automated Time-Released Reminders Improve Patient Access to Colonoscopy.
Wynter, Jamila; Hurwitz, Shelley; Saltzman, John R; Nayor, Jennifer.
Afiliação
  • Wynter J; Jamila Wynter, MD, is Medical Resident, Department of Medicine, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
  • Hurwitz S; Shelley Hurwitz, MS, is Director of Biostatistics in the Center for Clinical Investigation and Associate Professor, Harvard Medical School, Boston, Massachusetts.
  • Saltzman JR; John R. Saltzman, MD, is Director of Endoscopy, Harvard Medical School, and Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts.
  • Nayor J; Jennifer Nayor, MD, is Director of Quality for Division of Gastroenterology, Harvard Medical School, and Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts.
Gastroenterol Nurs ; 44(2): 129-135, 2021.
Article em En | MEDLINE | ID: mdl-33675599
Unscheduled colonoscopy orders lead to missed opportunities for early diagnosis and screening. The aim of this study was to evaluate the effect of an automated time-released reminder program on conversion of colonoscopy orders to scheduled cases. In this prospective study, we compared patients ordered for a colonoscopy who were enrolled in an automated reminder program (intervention) with a historical cohort of patients ordered for a colonoscopy who did not receive scheduling reminders (control). The intervention group received automated text message and email reminders using a software platform at 1, 7, and 14 days after a colonoscopy order was placed. The percentage of colonoscopies scheduled within 14 days of order placement improved from 66.0% in the control group to 73.4% in the intervention group (p = .001). The percentage of colonoscopies scheduled within 30 days improved from 73.6% to 90.0% (p < .0001). For colonoscopies ordered by a nongastroenterologist, the percentage of cases scheduled within 30 days of order placement improved from 65.8% in the control group to 90.0% in the intervention group (p < .0001). There was a 10% decrease in phone calls with endoscopy staff for the intervention group relative to the control group. Automated reminders for colonoscopy scheduling improve efficiency in colonoscopy scheduling.
Assuntos

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Sistemas de Alerta / Envio de Mensagens de Texto Tipo de estudo: Observational_studies / Prognostic_studies / Screening_studies Limite: Humans Idioma: En Revista: Gastroenterol Nurs Assunto da revista: ENFERMAGEM / GASTROENTEROLOGIA Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Sistemas de Alerta / Envio de Mensagens de Texto Tipo de estudo: Observational_studies / Prognostic_studies / Screening_studies Limite: Humans Idioma: En Revista: Gastroenterol Nurs Assunto da revista: ENFERMAGEM / GASTROENTEROLOGIA Ano de publicação: 2021 Tipo de documento: Article