Monthly Archives: July 2019
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Standardizing the Care of Acute Severe Ulcerative Colitis Inpatients at an Inflammatory Bowel Disease Referral Hospital
Patients who present with acute severe ulcerative colitis (ASUC) are at high risk for short-term colectomy. Despite consensus guidelines on the management of inpatient ASUC, variations in practice exist that can delay time-sensitive therapy. The variab… Continue reading
Fentanyl Waste Was Reduced by Conservation Measures While Maintaining Patient Comfort During Moderate Sedation Endoscopy Procedures
Injectable fentanyl is widely used as part of moderate sedation for endoscopic procedures. In the setting of a national injectable fentanyl shortage, conservation measures were enacted in 4/2018 at our academic medical center, which performs over 14,0… Continue reading
Improving Vaccination Adherence in Inflammatory Bowel Diseases
Physician performance measures and quality of care indicators for inflammatory bowel disease (IBD) were developed to improve clinical outcomes and quality of life, while decreasing healthcare costs. Adherence to these quality indicators varies among pr… Continue reading
Endoscopic Management of Achalasia: Time for Improvement
Upper endoscopy with pneumatic balloon dilation is one of the first-line treatments for esophageal achalasia but carries risk for adverse events such as perforation and aspiration secondary to esophageal stasis. Continue reading
Improving First-Case Start Delays in a Tertiary Care Academic Endoscopy Unit
Increasing emphasis on quality of care, as well as performance-based reimbursement have placed the spotlight on improving healthcare efficiency. As demand for GI procedures continues to increase, resources like physical space and personnel remain uncha… Continue reading
Implementation of an Acute Care Clinical Pathway for the Management of Pediatric Constipation Improves Process Control
Constipation accounts for approximately 3% of all pediatric visits. The role of providing care for children with constipation has expanded from the outpatient offices to include providers in the emergency department (ED) and inpatient settings. At UPMC… Continue reading