Category: Epidemiology, Health Policy, Socioeconomics & Outcomes
Introduction & Objective : As many as 12.5% of patients who undergo ureteral stent placement fail to have their stent removed in a timely fashion. Because retained ureteral stents can be a source of patient morbidity, there is an urgent need for health information technology solutions to help urologists track their stented patients.
Methods : In this context, we developed a cloud−based application that is seamlessly integrated into our institution’s electronic health record. The application automatically registers patients who undergo ureteral stent placement to a list and then follows them through their postoperative course to ensure removal. To validate the application’s performance, we reviewed the medical records of patients who underwent ureteral stent placement for any indication at our institution between February 1, 2018 and February 26, 2018.
Results : Over the study period, a total of 43 patients were treated by 5 endourologists at 2 different practice locations. The most common indication for ureteral stent placement was following ureteroscopy (n=30; 70%). All patients were successfully captured by the application. Further, it detected that 15 patients (35%) did not have return visits scheduled for stent removal. These patients may have otherwise been missed.
Conclusions : Our application performs exceedingly well and causes minimal disruption to provider workflow. Its broader implementation may improve patient safety.