{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:03:32Z","timestamp":1755219812040,"version":"3.43.0"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"type":"electronic","value":"9781643686080"}],"license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,7]]},"abstract":"<jats:p>This study explores the development, implementation and preliminary results of an alert integrated into a EHR to de-implement unnecessary colonoscopies for patients aged 75 and older. From August 20 to November 29, 2024, the CDSS generated 567 alerts across 244 physicians and 499 patients. 91.8% of alerts were overridden and 7% were accepted. CDSS alerts to promote evidence-based care and reduce unnecessary procedures among older adults. Future work will focus on enhancing alert specificity and expanding de-implementation strategies to other practices.<\/jats:p>","DOI":"10.3233\/shti250848","type":"book-chapter","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T11:32:57Z","timestamp":1754566377000},"source":"Crossref","is-referenced-by-count":0,"title":["De-Implementation Strategies in Colorectal Cancer: Development, Implementation and Results of a Service-Oriented CDSS"],"prefix":"10.3233","author":[{"given":"Luciana","family":"Rubin","sequence":"first","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]},{"given":"Marcela","family":"Abello","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]},{"given":"Alejandro","family":"Cruz","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]},{"given":"Francisco","family":"Marin","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]},{"given":"Mariano","family":"Marcolongo","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]},{"given":"Carlos","family":"Otero","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]},{"given":"Sonia","family":"Benitez","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]},{"given":"Daniel","family":"Luna","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires, Argentina"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2025 \u2014 Healthcare Smart \u00d7 Medicine Deep"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI250848","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T11:32:58Z","timestamp":1754566378000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI250848"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,7]]},"ISBN":["9781643686080"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti250848","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"type":"print","value":"0926-9630"},{"type":"electronic","value":"1879-8365"}],"subject":[],"published":{"date-parts":[[2025,8,7]]}}}