Evaluation of an Electronic Health Record Intervention to Decrease Over-screening in Women Beyond the Screening Age Limits or Post-hysterectomy
2018-03
Loading...
View/Download File
Persistent link to this item
Statistics
View StatisticsJournal Title
Journal ISSN
Volume Title
Title
Evaluation of an Electronic Health Record Intervention to Decrease Over-screening in Women Beyond the Screening Age Limits or Post-hysterectomy
Authors
Published Date
2018-03
Publisher
Type
Thesis or Dissertation
Abstract
Objectives: 1) To assess healthcare provider adherence to the 2012 cervical cancer screening guidelines beyond screening age limits and post-hysterectomy; 2) To evaluate effects of electronic health record clinical decision support to decrease non-indicated screening. Methods: A retrospective chart review determined cervical cancer screening practices from 2012-2014 in women <21 or >65 years of age or post-hysterectomy. Tests were designated as indicated/non-indicated per 2012 guidelines. To test the effect of clinical decision support, the proportion of non-indicated tests were compared before and after implementation of decision support. Results: Tests were indicated in 51%, 40%, and 29% of women <21 years, >65 years, and post-hysterectomy, respectively. Implementation of clinical decision support did not change the proportion of non-indicated Pap tests (OR 1.08, 95% CI 0.77-1.52). Conclusions: 35% of Pap tests in women beyond the screening age limits or post-hysterectomy were not indicated. A clinical decision support alert did not change practices.
Description
University of Minnesota M.S. thesis. March 2018. Major: Clinical Research. Advisor: Shalini Kulasingam. 1 computer file (PDF); ix, 37 pages.
Related to
Replaces
License
Series/Report Number
Funding information
Isbn identifier
Doi identifier
Previously Published Citation
Suggested citation
Teoh, Deanna. (2018). Evaluation of an Electronic Health Record Intervention to Decrease Over-screening in Women Beyond the Screening Age Limits or Post-hysterectomy. Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/196503.
Content distributed via the University Digital Conservancy may be subject to additional license and use restrictions applied by the depositor. By using these files, users agree to the Terms of Use. Materials in the UDC may contain content that is disturbing and/or harmful. For more information, please see our statement on harmful content in digital repositories.