Highlights: ? A decision tool that scans the electronic medical record can identify patients who may safely use sodium phosphate. ? The decision tool was never overruled by endoscopists for clinical reasons. ? Use of the decision tool tended toward better quality preparation and patient satisfaction.Abstract: Purpose: To assess provider acceptance of recommendations by a decision tool that scans the electronic medical record and determines whether sodium phosphate may be taken. In addition, to determine decision tool effects on a composite outcome of colonoscopies canceled, rescheduled, aborted, or repeated sooner than recommended due to preparation (prep) quality; prep quality; colonoscopy duration; and patient satisfaction with and tolerance of the preparation.Methods: We used 4 al….