Daily Archives: July 3, 2018

Incomplete Procedure Reports on Endoscopic Retrograde Cholangiopancreatography May Delay Exchange/Removal of Plastic Biliary Stents

The occlusion rate of plastic biliary stents is known to rise precipitously 3 months after placement. Thus, it is critical that they be exchanged or removed within the appropriate timeframe. After encountering an index case of acute cholangitis due to … Continue reading

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The Role of Mobile Phone Text Message Reminders in Adherence to Bowel Preparation for Outpatient Colonoscopies

More than 3.3 million outpatient colonoscopies are performed annually in the United States. Successful evaluation relies on patient adherence to bowel preparation. Failure of adequate bowel evacuation results in reduced cecal intubation rates, decrease… Continue reading

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A Multi-Faceted Implementation Strategy to Improve Acid Suppression Prophylaxis Among Patients Admitted to the Cardiac Intensive Care Unit: Results of a Longitudinal Study

Acid suppressive therapy (AST) can reduce the development of stress and medication-related mucosal disease when prescribed appropriately. Previous data by our group show suboptimal prescribing of AST in the hospital among cardiac patients. The aim of t… Continue reading

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Implementation of an Automated Epic Hand-Off Tool for the Inpatient Gastroenterology Service (Poster Presentation)

Inter-provider communication has an important role in the transition of patient care and patient safety. Several studies have demonstrated that communication breakdown plays a significant role in the root cause of sentinel and adverse events in health … Continue reading

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Implementation of a Constipation Action Plan in Primary Care Clinics to Decrease Referrals to Pediatric Gastroenterology: A Quality Improvement Initiative

Constipation is a common pediatric complaint that accounts for about 5% of visits to a general pediatrician, 25% of referrals to pediatric gastroenterology, and up to 12% of all emergency department visits, leading to an estimated $3.9 billion per year… Continue reading

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Does Addition of High-Dose Simethicone to Standard Bowel Preparation for Screening Colonoscopy Have an Effect on Adenoma Detection Rate: A Single-Blind Clinical Trial

Screening colonoscopy requires adequate mucosal visualization and is essential for the prevention of colorectal cancer. The presence of bubbles can often preclude colonic visualization, necessitating the use of simethicone (SIM) through the colonoscope… Continue reading

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Utilizing the Electronic Health Record to Improve Documentation Adherence With Performance Measures in Outpatient Inflammatory Bowel Disease Care

Inflammatory bowel disease (IBD) is a chronic condition leading to significant health, lifestyle, and cost burdens to patients, their families, and society. Several health care organizations, including The Physician Quality Reporting System (PQRS), hav… Continue reading

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Patient-Reported Stool Color and Perception of Bowel Preparation Predicts Success of Outpatient Bowel Preparation in an Urban Tertiary Care Setting

Prior studies have demonstrated that patients have poor judgment of the success of bowel preparation and often tend to overestimate the cleanliness of their colon prior to colonoscopy. In this study, we examined the value of patient-reported stool colo… Continue reading

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Impact of Quality Improvement Interventions on Adherence to Quality Measures for Adults With Inflammatory Bowel Disease

Over the past decade, there has been increasing focus on improving the quality of health care delivered to patients with inflammatory bowel disease (IBD). Multiple organizations have developed programs designed to improve the care of IBD patients. Howe… Continue reading

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Hepatitis A and B Vaccination Rates Among Liver Biopsy Confirmed Nonalcoholic Fatty Liver or Nonalcoholic Steatohepatitis in a Free Access Medical System: How Can We Do Better?

Patients with chronic liver disease have higher risks of mortality and morbidity after an acute infection with hepatitis A (HAV) or hepatitis B virus (HBV). The Advisory Committee on Immunization Practice and several other professional societies recomm… Continue reading

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