Automated Point-of-Care Surveillance of Outpatient Delays in Cancer Diagnosis
The CREATE Project encompasses three phases, the first and second of which do not contain
interventions. The first phase of the project determines the effectiveness of computerized
queries we develop to accurately identify which patients are at risk for delays in cancer
diagnosis. Patients we identify will have abnormal test results or symptoms that have not
been followed up by their providers. In Phase 2 of the study, the research team will use
interviewing and other participatory techniques to determine the best way to convey
information about such at-risk patients to providers in an automated fashion. In Phase 3 of
the project, we will evaluate the effects of an automated surveillance intervention on the
timeliness of the diagnostic process of five cancers.
This project will improve communication and coordination of cancer-related diagnostic
information to improve quality and safety.
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Health Services Research
Timeliness of Diagnosis
We will conduct chart reviews of patients shown by our automated surveillance system to have not received appropriate follow-up care in both intervention and control groups at least 6 months after the first documentation of a diagnostic clue (e.g., initial abnormal chest X-ray). Chart review will be used to quantify time in days from documentation of the clinical clue to the time when follow-up action on that clue was initiated.
Hardeep Singh, MD MPH BS
Michael E DeBakey VA Medical Center
United States: Federal Government
|Michael E DeBakey VA Medical Center||Houston, Texas 77030|
|Jesse Brown VA Medical Center, Chicago, IL||Chicago, Illinois 60612|