Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
This study explores the development, implementation and preliminary results of an alert integrated into a EHR to de-implement unnecessary colonoscopies for patients aged 75 and older. From August 20 to November 29, 2024, the CDSS generated 567 alerts across 244 physicians and 499 patients. 91.8% of alerts were overridden and 7% were accepted. CDSS alerts to promote evidence-based care and reduce unnecessary procedures among older adults. Future work will focus on enhancing alert specificity and expanding de-implementation strategies to other practices.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3233/SHTI250848 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Leveraging de-implementation science to promote infection prevention and stewardship: a roadmap and practical examples (Part II of II).
Infect Control Hosp Epidemiol
September 2025
Washington University School of Medicine, Department of Medicine, St. Louis, MO, USA.
De-implementation of established practices is a common challenge in infection prevention and antimicrobial stewardship and a necessary part of the life cycle of healthcare quality improvement programs. Promoting de-implementation of ineffective antimicrobial use and increasingly of low-value diagnostic testing are cornerstones of stewardship practice. Principles of de-implementation science and the interplay of implementation and de-implementation are discussed in part I of this Society for Healthcare Epidemiology of America White Paper Series.
View Article and Find Full Text PDFDissemination and Implementation Science for Oral Health: Why not consider de-implementation of low-value care to target oral health equity?
Community Dent Health
September 2025
Dental Public Health Discipline, Faculty of Dentistry, University of Toronto, ON, Canada.
Dissemination and implementation sciences provide oral health professionals with an opportunity to understand which determinants promote the adoption of evidence-based innovations and interventions. Within this dynamic field, de-implementation provides the other side of the coin, that is, finding the ways to halt or modify practices that may be harmful to patients, do not hold sufficient scientific backing, or are simply not cost-efficient; conjointly known as low-value care. Scrutinizing low-value care procedures in oral health is essential, as identifying such practices creates opportunities to replace, update, or enhance them with approaches that offer greater benefits to patients, practitioners, and healthcare systems.
View Article and Find Full Text PDFImplementation Science in School Mental Health: A 10-Year Progress Update and Development of a New Research Agenda.
School Ment Health
December 2024
Department of Psychology, Ohio University, Athens, OH, USA.
Implementation science has grown considerably in school mental health over the past decade, driven by the persistent gaps between knowledge about "what works" to promote student well-being and what is typically delivered in schools. In 2014, Owens and colleagues outlined an implementation research agenda for the field of school mental health, emphasizing professional development and coaching, evidence-based practice fidelity, and sustainment. This paper provides a 10-year progress review across these domains and articulates an updated research agenda focused on: (1) pragmatic implementation strategies, (2) implementation mechanisms explaining the connection between implementation strategies and outcomes, (3) strategic intervention redesign to promote implementation, and (4) de-implementation of low-value practices.
View Article and Find Full Text PDFScaling Smarter Preoperative Testing: A Multisite Evaluation of Adaptations to De-implementation Strategy Using Framework for Reporting Adaptations and Modifications to Evidence-Based Implementation Strategies.
J Surg Res
August 2025
Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan; Michigan Program on Value Enhancement, Ann Arbor, Michigan; Department of Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address:
Introduction: Unnecessary preoperative testing before low-risk surgery contributes to excess healthcare costs, care cascades, and surgical delays. The Right-Sizing Testing Before Elective Surgery intervention is a multilevel, multicomponent intervention piloted at three hospital sites to reduce low-value testing. To understand how the de-implementation strategies could be tailored across diverse healthcare settings, we applied the Framework for Reporting Adaptations and Modifications to Evidence-Based Implementation Strategies (FRAME-IS) to track site-specific modifications.
View Article and Find Full Text PDFDe-Implementation Strategies in Colorectal Cancer: Development, Implementation and Results of a Service-Oriented CDSS.
Stud Health Technol Inform
August 2025
Hospital Italiano de Buenos Aires, Argentina.
This study explores the development, implementation and preliminary results of an alert integrated into a EHR to de-implement unnecessary colonoscopies for patients aged 75 and older. From August 20 to November 29, 2024, the CDSS generated 567 alerts across 244 physicians and 499 patients. 91.
View Article and Find Full Text PDF