Abstract Measuring the adenoma detection rate (ADR) is critical to providing quality care, however it is also challenging.We aimed to develop a tool using pre-existing electronic health record (EHR) functions to accurately and easily measure total ADR and to provide real-time feedback for endoscopists.We utilized the Epic EHR.With the help of an Epic analyst, using existing tools, we developed a method by which endoscopy staff could mark whether an ORG OAT BRAN adenoma was detected for a given colonoscopy.
Using these responses and all colonoscopies performed by the endoscopist recorded in the EHR, ADR was calculated in a report and displayed to endoscopists within the EHR.One endoscopist piloted the tool, and results Temperature Sensor of the tool were validated against a manual chart review.Over the pilot period the endoscopist performed 145 colonoscopies, of which 78 had adenomas.The tool correctly identified 76/78 colonoscopies with an adenoma and 67/67 of colonoscopies with no adenomas (97.
4% sensitivity, 100% specificity, 98% accuracy).There was no difference in ADR as determined by the tool compared to manual review (53.1% vs.53.
8%, p = 0.912).We successfully developed and pilot tested a tool to measure ADR using existing EHR functionality.