Digital Navigation Improves No-Show Rates and Bowel Preparation Quality for Patients Undergoing Colonoscopy
| Autor: | Elliot B. Tapper, Matthew W. Stier, Karen E. Kim, Sonia S. Kupfer, Olga Solonowicz, Neil Sengupta |
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| Rok vydání: | 2021 |
| Předmět: |
Text Messaging
medicine.medical_specialty Quality management medicine.diagnostic_test Cathartics business.industry media_common.quotation_subject Gastroenterology Colonoscopy Quality Improvement Text message Article Endoscopy Internal medicine Bowel preparation Humans Medicine Quality (business) In patient Colorectal Neoplasms business Dietary modifications Early Detection of Cancer media_common |
| Zdroj: | J Clin Gastroenterol |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/mcg.0000000000001497 |
| Popis: | OBJECTIVES Because of high historical no-show rates and poor bowel preparation quality in our unit, we sought to evaluate whether text message navigation for patients scheduled for colonoscopy would reduce no-show rates and improve bowel preparation quality compared with usual care. METHODS We performed a randomized controlled quality improvement study from April to August 2019 in an urban academic endoscopy unit. All patients scheduled for colonoscopy were randomly assigned to a control group that received usual care (paper instructions/nursing precalls) or to the intervention group that received usual care plus the text message program [short message service (SMS)]. The program provided timed-release instructions on dietary modifications and bowel preparation before colonoscopy. The primary outcome was no-shows. Secondary outcomes were no-show/same-day cancellations, no-show/cancellations within 7 days of the procedure, and bowel preparation quality. RESULTS A total of 1625 patients were randomized (SMS=833, control=792). No-show rates were significantly lower in the SMS group compared with the control group (8% vs. 14%; P |
| Databáze: | OpenAIRE |
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