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Delayed Workup of Rectal Bleeding in Adult Primary Care

  • January 1, 2017

Although delayed colorectal cancer diagnoses figure prominently in medical malpractice claims, little was known about the quality of primary care clinicians’ workup of rectal bleeding. In this CRICO-funded study published in The Joint Commission Journal on Quality and Patient Safety, researchers examined the association of process failures with overall quality and guideline concordance. CRICO’s Colon Cancer Screening and Diagnosis Guidelines were used to determine concordance of care.   

Conclusion: Process-of-care failures occurred frequently among adult primary care patients with rectal bleeding and were associated with overall fair or poor quality. Educating practitioners and creating office-based systems to ensure adequate history taking, physical examination, and processes for ordering, performing, and interpreting diagnostic tests are needed to improve the quality of care.


Citation for the Full-text Article

Weingart SN, Stoffel EM, Chung DC, Sequist TD, Lederman RI, Pelletier SR, Shields HM. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care FailuresThe Joint Commission Journal on Quality and Patient Safety. January 2017; 43(1): 32–40.


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Working up rectal bleeding in adult primary care practices