A Quality Improvement Initiative Results in Improved Rates of Timely Postvariceal Bleeding Surveillance Endoscopy.
case_series · Level IV
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- Record sourced from PubMed, PMID 32141918.
- Also identified by DOI 10.14309/ajg.0000000000000577 and PMC identifier 7127939.
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Abstract
We performed a study to assess the effects of a quality improvement (QI) initiative on the rates of postvariceal bleeding surveillance upper endoscopy (EGD). We identified patients with cirrhosis hospitalized with variceal bleeding and assessed the rates of timely (≤4 weeks) EGD before and after a QI initiative. 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. A QI intervention was associated with a 27% absolute increase in timely surveillance EGDs.
Medical subject headings
- Endoscopy, Digestive System
- Esophageal and Gastric Varices
- Liver Cirrhosis
- Quality Improvement