Monthly Archives: August 2017
Abstract 12 Assessing the Quality of End-of-Life Care for Patients With End-Stage Liver Disease in a Safety-Net Hospital
Patients with end-stage liver disease (ESLD) have delayed referral to palliative care or hospice despite prognostic indicators of their morbidity and mortality, such as elevated MELD scores and high rates of hospitalization. Their 1-month survival rate… Continue reading
Abstract 2 Trainee Colonoscopy Withdrawal Time Is Influenced by the Independent Performance Characteristics of Supervising Physicians
Adenoma detection rate (ADR) and withdrawal time (WT) are important measures used to evaluate the quality of screening colonoscopy. Trainee quality measures have been shown to correlate with performance in independent practice, but the factors that det… Continue reading
Abstract 6 The Boston Bowel Preparation Scale: Introduction of a Valid and Reliable Tool to the DVAMC Endoscopy Unit
The US Multisociety Task Force on Colorectal Cancer screening requires appropriate reporting of the quality of the bowel preparation to appropriately recommend interval screening or surveillance. The Boston Bowel Preparation Scale (BBPS) is a validated… Continue reading
Abstract 7 Improving the Quality of Inpatient Ulcerative Colitis Management: Promoting Evidence-Based Practice and Reducing Care Variation
Up to 25% of patients with ulcerative colitis (UC) will require hospitalization for severe disease, resulting in over 36,000 annual UC-related hospitalizations in the U.S. Hospitalization is a high-stakes, vulnerable event in a patient’s disease cour… Continue reading
Abstract 17 Improving Counseling and Interventions to Reduce HCV Transmission and Liver Disease Progression in Patients With Non-cirrhotic Chronic HCV Infection
Current AASLD guidelines recommend measures directed at reducing HCV transmission and liver disease progression in patients with active HCV infection. These measures are routinely addressed in patients with cirrhosis; however, they can be overlooked in… Continue reading
Abstract 19 Timeliness to Antibiotics in Pediatric Short Bowel Syndrome Patients With Central Line and Fever in the Emergency Department
Short bowel syndrome (SBS) patients have a higher rate of central line associated bloodstream infection (CLABSI) than patients without intestinal failure (7.8 vs 1.3 per 1000 catheter days). SBS patients have a high incidence of gram-negative bacteremi… Continue reading
Abstract 18 Increased Emergency Department Utilization Following Colonoscopy in the Elderly
The United States Preventive Services Task Force (USPSTF) recommends screening for colorectal cancer in adults between 50 and 75 years of age. After age 75, the decision to pursue colonoscopy is patient-specific, and the age at which to stop screening … Continue reading