Reducing the Risk of Delayed Colorectal Cancer Diagnoses Through an Ambulatory Safety Net Collaborative
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View abstract on PubMed
Summary
This summary is machine-generated.Implementing ambulatory safety nets (ASNs) for colorectal cancer (CRC) screening successfully identified patients needing follow-up and improved colonoscopy completion rates, reducing diagnostic delays.
Area Of Science
- Healthcare Quality Improvement
- Patient Safety
- Colorectal Cancer Screening
Background
- Millions of adults face delayed diagnoses annually due to diagnostic errors.
- Ambulatory safety nets (ASNs) are interventions designed to mitigate delayed diagnoses by tracking patients with abnormal results needing follow-up.
- Colorectal cancer (CRC) screening presents a critical area for ASN implementation to prevent diagnostic delays.
Purpose Of The Study
- To co-design a collaborative model for implementing ambulatory safety nets (ASNs) focused on colorectal cancer (CRC).
- To develop guidance and measures for establishing and sustaining CRC ASNs across diverse healthcare settings.
- To evaluate the effectiveness of collaborative CRC ASNs in facilitating patient follow-up after abnormal screening.
Main Methods
- A working group co-designed implementation guidance, measures, and a collaborative model.
- Six healthcare sites participated in an 18-month Breakthrough Series Collaborative, focusing on ASNs for positive at-home CRC screening or overdue surveillance colonoscopies.
- Monthly data collection tracked patient contact, scheduling, and completion of follow-up colonoscopies within the ASNs.
Main Results
- Four of six participating sites had operational ASNs by the end of the collaborative, with the remaining two launching shortly after.
- Collaborative ASNs identified 5,165 patients needing outreach for follow-up care between October 2022 and February 2024.
- Among patients identified, 68.8% were successfully contacted, 39.9% were scheduled for a colonoscopy, and 29.1% completed the procedure.
Conclusions
- The collaborative approach successfully identified patients with abnormal CRC screening results and facilitated completion of necessary follow-up colonoscopies.
- The developed CRC ASN Implementation Guide provides a roadmap for healthcare leaders aiming to establish similar safety nets.
- Implementation of ASNs is a viable strategy to improve patient follow-up and reduce diagnostic delays in colorectal cancer care.
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