Pathology-Driven Automation to Improve Updating Documented Follow-Up Recommendations in the Electronic Health Record After Colonoscopy
Elizabeth R. Stevens, Arielle Nagler, Casey Monina, JaeEun Kwon, Amanda Olesen Wickline, Gary Kalkut, David Ranson, Seth A. Gross, Aasma Shaukat, Adam Szerencsy · 2024
Read Pathology-Driven Automation to Improve Updating Documented Follow-Up Recommendations in the Electronic Health Record After Colonoscopy by Elizabeth R. Stevens, Arielle Nagler, Casey Monina, JaeEun Kwon, Amanda Olesen Wickline, Gary Kalkut, David Ranson, Seth A. Gross, Aasma Shaukat, Adam Szerencsy (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11671091.txt.
Description
Stevens leads a team testing automation that updates colonoscopy follow-up dates in health records in a 2024 paper. Missed documentation can delay cancer screening for years. A rules engine reads pathology results and rewrites the due date itself.
The tool rolled out across a large health system. Tens of thousands of patients before and after launch were compared. Nearly half of follow-up recommendations were updated by the engine. The share stuck on a default ten-year interval fell by more than half. Average recommended follow-up shortened by almost two years. Updated dates became several times more likely overall. The authors see automation as a fix for record drift. Guideline-concordant screening is the prize.
Catalog record
| CREATOR | Elizabeth R. Stevens, Arielle Nagler, Casey Monina, JaeEun Kwon, Amanda Olesen Wickline, Gary Kalkut, David Ranson, Seth A. Gross, Aasma Shaukat, Adam Szerencsy |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |