A Quality Improvement Initiative Results in Improved Rates of Timely Postvariceal Bleeding Surveillance Endoscopy.
Am J Gastroenterol
; 115(4): 625-628, 2020 04.
Article
em En
| MEDLINE
| ID: mdl-32141918
ABSTRACT
OBJECTIVES:
We performed a study to assess the effects of a quality improvement (QI) initiative on the rates of postvariceal bleeding surveillance upper endoscopy (EGD).METHODS:
We identified patients with cirrhosis hospitalized with variceal bleeding and assessed the rates of timely (≤4 weeks) EGD before and after a QI initiative.RESULTS:
Preintervention 16% (5 of 32) of patients underwent timely surveillance EGD. We developed a standardized ordering template for gastroenterology fellows and reserved postvariceal EGD scheduling slots. Postintervention 43% (12 of 28) of patients underwent timely surveillance EGD.DISCUSSION:
A QI intervention was associated with a 27% absolute increase in timely surveillance EGDs.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Varizes Esofágicas e Gástricas
/
Endoscopia do Sistema Digestório
/
Melhoria de Qualidade
/
Cirrose Hepática
Tipo de estudo:
Prognostic_studies
/
Screening_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article