Improving colonoscopy referral rates through computer-supported, primary care practice redesign.
Improving colonoscopy referral rates through computer-supported, primary care practice redesign.
复制标题
通过计算机支持的初级保健实践重新设计来提高结肠镜检查转诊率。
DOI：
10.1111/j.1945-1474.2009.00037.x
复制
发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Burt,Randall
中科院分区：
文献类型：
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作者：
Magill,MichaelK;Day,Julie;Mervis,Annie;Donnelly,StevenM;Parsons,Mary;Baker,AnnaNibley;Johnson,Linda;Egger,MarleneJ;Nunu,Jerilin;Prunuske,Jacob;James,BrentC;Burt,Randall
This quality improvement project was designed to improve rates of referral for colonoscopy screening in the Utah Health Research Network, University of Utah Community Clinics. This study was conducted between October 2004 and June 2007 with the main intervention being a clinic workflow modification using computerized screening reminders embedded in the electronic medical record (EMR). The intervention led to sustained improvement, largely driven by the performance of two network clinics. This study demonstrates that a robust EMR, with decision prompts, accompanied by clinic workflow changes and feedback to providers, can lead to sustained change in the rates of colonoscopy referral.
