Gastrointestinal endoscopy
-
Gastrointest. Endosc. · Jun 2012
Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy.
The prevalence of missed polyps in patients with inadequate bowel preparation on screening colonoscopy is unknown. ⋯ Adenomas and high-risk lesions were frequently detected on repeat colonoscopy in patients with inadequate bowel preparation on initial screening colonoscopy, suggesting that these lesions were likely missed on initial colonoscopy.
-
Gastrointest. Endosc. · Jun 2012
Applying a natural language processing tool to electronic health records to assess performance on colonoscopy quality measures.
Gastroenterology specialty societies have advocated that providers routinely assess their performance on colonoscopy quality measures. Such routine measurement has been hampered by the costs and time required to manually review colonoscopy and pathology reports. Natural language processing (NLP) is a field of computer science in which programs are trained to extract relevant information from text reports in an automated fashion. ⋯ Our study illustrates how NLP can mine free-text data in electronic records to measure and report on the quality of care. Even within a single academic hospital system, there is considerable variation in the performance on colonoscopy quality measures, demonstrating the need for better methods to regularly and efficiently assess quality.