FEATURESPrevalence of Cervical Cancer Overscreening Review of a Wellness RegistryFranklin, Mary DNP, CNM; Webel, Allison PhD, RN; Kaelber, David MD, PhD, MPH, MS, FAAP, FACP, FACMI; Evans, Jill MSN, RN-BC; Kelley, Carol PhD, RN, CNPAuthor Information Author Affiliations: Frances Payne Bolton School of Nursing, Case Western Reserve University (Drs Franklin, Webel, and Kelley); and MetroHealth Medical Center (Dr Kaelber and Ms Evans), Cleveland, Ohio. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Mary Franklin, DNP, CNM, Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH 44106 (firstname.lastname@example.org). CIN: Computers, Informatics, Nursing: September 2020 - Volume 38 - Issue 9 - p 459-465 doi: 10.1097/CIN.0000000000000610 Buy Metrics Abstract Appropriately matching preventive health services and screenings with patient risk is an important quality indicator. Adherence by both providers and patients to cervical cancer screening guidelines has been inconsistent, resulting in overscreening and increased costs. This study examined the prevalence of cervical cancer overscreening following changes in screening guidelines in a wellness registry database. Cervical cancer overscreening after guideline implementation decreased for 18- to 20-year-old patients from 26.8% to 24.8% (P < .001) and increased for those aged 65 years and older from 11.1% to 12.5% (P = .0005). Black race, Hispanic ethnicity, Medicaid insurance, and the presence of a personal health record were associated with overscreening. Reliability and accuracy of data are a concern when data intended for one purpose, such as clinical care, are used for research. Correctly identifying screening tests in the electronic health record is important so that appropriate screening can be reliably assessed. In this study on the prevalence of cervical cancer overscreening, we used a focused chart review to identify whether screening Pap tests were accurately identified in the electronic medical record. Pap tests were correctly identified as screening in 85% of those aged 18 to 20, and in 74% of those aged 65 and older. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.