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Updated: Sep 12, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
De-Implementation Strategies in Colorectal Cancer: Development, Implementation and Results of a Service-Oriented CDSS
Luciana Rubin1, Marcela Abello1, Alejandro Cruz1
1Hospital Italiano de Buenos Aires, Argentina.
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.
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