title: Improving Rates of Post-Essure Hysterosalpingography in an Urban Population Using Electronic Tracking Reminders.
abstract: To demonstrate the efficacy of electronic reminders for follow-up hysterosalpingography (HSG) after Essure hysteroscopic sterilization in an urban tertiary care hospital obstetrics and gynecology practice.
  
  
  
  Retrospective cohort study (Canadian Task Force classification II-3).
  
  
  
  Obstetrics and gynecology practice at a university-affiliated urban tertiary care teaching hospital.
  
  
  
  Two hundred and fifty patients who underwent Essure hysteroscopic sterilization between June 2011 and July 2014.
  
  
  
  Implementation of electronic reminders for the office staff.
  
  
  
  Two hundred and fifty of 259 patients (96.5%) underwent Essure hysteroscopic sterilization and successful placement of coils into bilateral Fallopian tubes. Among these 250 patients, 135 (54%) returned for HSG at 3 months post-Essure as advised at the time of procedure. The use of electronic reminders prompted another 45 patients (18%) to return for HSG, improving the total post-Essure follow-up rate to 72%.
  
  
  
  Electronic reminders for the office staff of an urban tertiary care hospital's obstetrics and gynecology practice is an effective method for improving the rate of post-Essure HSG.
authors.affiliation: Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH.
authors.forename: Yu-Han
authors.initials: YH
authors.lastname: Virginia Hu
authors.affiliation: Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH. Electronic address: Kavita.Shah.Arora@gmail.com.
authors.forename: Kavita Shah
authors.initials: KS
authors.lastname: Arora
mesh_terms: D000328:Adult; D000359:Aftercare / Q000379:methods; D057286:Electronic Health Records / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods*; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D011247:Pregnancy; D017010:Reminder Systems / Q000295:instrumentation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013245:Sterilization, Reproductive / Q000379:methods; D013246:Sterilization, Tubal / Q000379:methods*; D014481:United States / Q000453:epidemiology; D014505:Urban Population
keywords: Electronic medical record