P1508 - GI Post-Procedure Note Implementation to Improve Communication Based on Endoscopic Findings

Danzhu Zhao, DO¹, Neil Khoury, MD², Haleh Vaziri, MD^1
1University of Connecticut Health Center, Farmington, CT; ²UConn Health, Hartford, CT

Introduction: Standardized note templates have been shown to improve the quality of post-procedure communication amongst care teams. The purpose of this project is to improve the communication between Gastroenterology (GI) and primary medicine providers with post-procedural recommendations and to improve the overall satisfaction of the primary medicine providers by implementing a standardized post-procedure note template.

Methods: Our primary aim was to improve post-procedure communication between GI and primary team regarding diet, proton pump inhibitor (PPI) use, anticoagulation (AC) and/or antiplatelet (AP) resumption, and antibiotics. The second aim was to improve primary medicine team provider satisfaction of GI post-procedure communication.<br><br>We created a standard note template that auto-populated from a “smart phrase” in the electronic medical record. Under “diet” and each medication category, a free-text placeholder was set requiring the GI fellow to comment on each category before being able to sign the note.<br> <br>A 4 question pre- and post-intervention survey was distributed 8 weeks apart. The population was sampled from 35 hospitalists and/or advanced practice providers (APP) and 20 medicine residents rotating in intensive care units or inpatient wards. Medical students, nurses, and any residents outside of the department of internal medicine or on outpatient rotations were excluded. Analysis of pre- and post- intervention percentage differences of survey responses was performed.

Results: 61 pre-intervention and 38 post-intervention responses were collected. In an 8-week period, there was an overall increase in satisfaction in communication regarding diet (1.6%), PPI (12%), AC/AP resumption (16%), and antibiotic (10%) recommendations with decrease in dissatisfaction in communication regarding PPI (-5%), AC/AP resumption (-16%), and antibiotic (-13%) recommendations. AC/AP resumption recommendations seemed to be the area that improved the most with our intervention. We also observed an overall 9% increase in daytime provider satisfaction and 3% increase in covering overnight provider satisfaction.

Discussion: Implementing a standardized post-procedure note template led to improved perceived communication of GI recommendations by the primary medicine team and improved overall primary medicine provider satisfaction in a short period of time. The note template was easily implementable and has potential to be utilized at other institutions with electronic medical records.


Disclosures:


Danzhu Zhao, DO¹, Neil Khoury, MD², Haleh Vaziri, MD¹. P1508 - GI Post-Procedure Note Implementation to Improve Communication Based on Endoscopic Findings, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.