Improving Adherence to Hysterosalpingography After Hysteroscopic Sterilization Using an Electronic Reminder

Improving Rates of Post-Essure Hysterosalpingography in an Urban Population Using Electronic Tracking Reminders

“…The use of electronic reminders increased patient adherence and is a good option owing to its ease of use and application of existing resources. There has only been one previous study looking at the use of electronic reminders in 211 patients, though this study did not demonstrate a statistically significant improvement in adherence (3). This previous study did note an improvement in adherence after establishing electronic reminders in the resident-run clinic (n=122)(3),.…”

“…There has only been one previous study looking at the use of electronic reminders in 211 patients, though this study did not demonstrate a statistically significant improvement in adherence (3). This previous study did note an improvement in adherence after establishing electronic reminders in the resident-run clinic (n=122)(3),. leading to the current study as the first to validate the efficacy of electronic reminders in a larger sample of patients.…”

“…While a previous study demonstrated improvement in HSG test adherence after implementation of electronic reminders, this improvement was isolated to the subgroup seen at the residents-run clinic (n=122). The overall study (n=211) and the patients in the faculty –run clinic (n=89) did not show a statistically significant improvement in adherence after electronic reminders were put in place (3). …”

“…The percentage of patients who return for 3-month HSG follow-up is lacking, ranging from 12.7% (5) to 89.9% (3). The adherence rate is influenced by various characteristics of the patient population, with the lowest rates found in low-incomepopulations (3–10).…”

“…The adherence rate is influenced by various characteristics of the patient population, with the lowest rates found in low-incomepopulations (3–10). Previous studies have identified protocols and interventions for increasing the rate of HSG follow-up, by using electronic reminders through the existing electronic medical record (3), a dedicated nurse or resident to remind patients (4), and a post-Essure HSG consent form signed prior to Essure (7). While a previous study demonstrated improvement in HSG test adherence after implementation of electronic reminders, this improvement was isolated to the subgroup seen at the residents-run clinic (n=122).…”