Better colonoscopy prep instructions

The problem

About one patient in four arrives inadequately prepped

Across 21 randomized trials, 27% of patients given standard written instructions arrived with an inadequate prep.¹ An inadequate prep can mean a shortened surveillance interval, a repeat procedure, or an aborted exam and a wasted slot.

What you get

A guide that walks patients through the prep

Your protocol, one step at a time, keyed to the procedure date: diet changes, each dose, what the output should look like, when to stop drinking. Patients open it in a browser from a link, so there is nothing to install.

Answers during the prep

A Q&A grounded in your instructions and the major society guidelines answers questions like these:

• “Can I take my blood pressure pill?”
• “I threw up the second dose.”
• “It's been three hours and nothing has happened.”

When a question should be answered by a clinician, it tells the patient to call your office.

A clear printed version

The same instructions as a PDF, designed for clarity: plain language, large type, and the whole schedule in one table before any of the details. For patients who would rather have paper.

How it works

• Your protocols. We build a guide for each prep you use, from your own instructions: split-dose PEG, SUPREP, MiraLAX and Gatorade, whatever diet rules you give.
• Patients are sent back to you. Your practice name and phone number appear at the end of the guide.
• No integration. No EHR work, no IT ticket. You give patients a link.
• No accounts, no PHI. Patients don't sign up. Names and other identifiers are redacted from Q&A conversations before anything is stored.
• Any language. The Q&A answers in whatever language the patient writes in.

Evidence

In randomized trials, extra prep guidance delivered by text, app, or phone in the days before colonoscopy raised adequate-prep rates over written instructions alone by about five to ten percentage points on average.^1,2 Results varied across studies and delivery methods, and the gain was smaller where prep quality was already high. The interventions that worked repeated the explanation and let patients ask questions.

If you track prep adequacy, we'll help you measure before and after.