Daily Archives: July 17, 2016
A Weight-Management Program for Obese Reflux Patients Is Effective and Improves Symptoms: Interim Analysis of a Clinical Decision Support Tool
Weight-loss counseling for obese patients with gastroesophageal reflux disease (GERD) is an established quality metric, but occurs in a minority of patients. The aim of this quality-improvement initiative was to utilize clinical decision support (CDS) … Continue reading
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A Weight-Management Program for Obese Reflux Patients Is Effective and Improves Symptoms: Interim Analysis of a Clinical Decision Support Tool
Weight-loss counseling for obese patients with gastroesophageal reflux disease (GERD) is an established quality metric, but occurs in a minority of patients. The aim of this quality-improvement initiative was to utilize clinical decision support (CDS) … Continue reading
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Adherence to Guidelines After Poor Colonoscopy Preparation: Experience From a Patient Navigator Program
In 2012, the US Multisociety Task Force (USMSTF) issued guidelines recommending that colonoscopies with poor bowel preparation should be repeated within 1 year. To our knowledge, adherence to guidelines in cases of poor bowel preparation has not been a… Continue reading
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Endoscopic Stigmata: Recognition Lies in the Eye of the Beholder?
The most widely accepted classification for endoscopic stigmata is the Forrest classification, which divides endoscopically visible lesions into 3 classes (ie, I, II, and III). The classification is most useful because it is based on risk of rebleeding… Continue reading
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Appropriateness of Direct Access Endoscopy in a Safety-Net Academic Center
Safety-net hospitals provide medical services to underserved patients. Given limited resources, such systems are susceptible to prolonged wait times for necessary endoscopic procedures. Direct access endoscopy (DAE) aims to limit these delays and avert… Continue reading
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Adherence to Surveillance Guidelines After Removal of Advanced Colorectal Adenomas: Experience From a Patient Navigator Program
Patient navigation increases colorectal cancer screening, but it is unclear whether surveillance procedures are appropriately performed after index colonoscopy. Our aim was to assess adherence to surveillance guidelines after advanced adenoma removal o… Continue reading
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Systematic Utilization of a Stool Color Card to Improve the Accuracy of Inpatient Melena Identification on Physical Exam in Post-Graduate Training
Melena is often misidentified by resident physicians early in their careers; in addition, rectal exam (RE) completion rates are low among residents, contributing to inaccurate gastrointestinal (GI) consultations for melena. Precise melena identificatio… Continue reading
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Systematic Utilization of a Stool Color Card to Improve the Accuracy of Inpatient Melena Identification on Physical Exam in Post-Graduate Training
Melena is often misidentified by resident physicians early in their careers; in addition, rectal exam (RE) completion rates are low among residents, contributing to inaccurate gastrointestinal (GI) consultations for melena. Precise melena identificatio… Continue reading
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Adherence to Guidelines for Repeat Colonoscopy Before and After Distribution of Educational Material: A Single Academic Medical Center Quality-Improvement Experience
Endoscopists frequently recommend and perform repeat colonoscopy (RC) sooner than recommended by guidelines, which exposes patients to the risks and costs of colonoscopy. Conversely, patients may be exposed to an increased risk for colorectal cancer if… Continue reading
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