Monthly Archives: July 2019
The Impact of Delay Between Biologic Prescription and Therapy Initiation on Clinical Outcomes in Inflammatory Bowel Disease Patients
Biologic therapy for the management of active inflammatory bowel disease (IBD) is expensive and the multi-step process prior to initiation of therapy can be associated with delay. The purpose of this study was to determine if such delay impacts clinica… Continue reading
Impact of Guided Relaxation and Music on Sedation Use in the Endoscopy Suite: A Quality Improvement Project
Endoscopies are often anxiety-provoking for patients. Moderate sedation is used to minimize discomfort and anxiety and improve patient tolerance. In addition to side effects from medications, commonly a benzodiazepine with an opiate, sedation increases… Continue reading
Proactive Management of Iron Deficiency and Anemia in Pediatric Inflammatory Bowel Disease—Development of a New Care Pathway
Anemia is a common complication of inflammatory bowel disease (IBD), with studies reporting an even greater prevalence among children (49-70%) than adults (20-39%) at any given time during disease course. In the majority of cases, anemia is a result of… Continue reading
Utilizing a QI Time Series Study to Inform QI Initiatives for Improving Inpatient Endoscopy Workflow
Inpatient endoscopy workflow is complex due to the need for multidisciplinary care coordination and on-demand scheduling. At our facility, weekday inpatient procedures are performed in dedicated operating rooms (ORs) with anesthesia support, with staff… Continue reading
Hematochezia Decreases Use of Venous Thromboembolism Prophylaxis in Patients With Inflammatory Bowel Disease
Hospitalized patients with inflammatory bowel disease (IBD) have a high risk of venous thromboembolism (VTE). Guidelines therefore suggest pharmacologic prophylaxis in hospitalized IBD patients without major gastrointestinal bleeding (GIB), but prior d… Continue reading
Use of a Simple 6-Item Questionnaire in the Endoscopy Reporting Software Captures Important Milestones for Gastroenterology Trainees Performing Colonoscopy
Independently performing a high-quality colonoscopy is an essential competency to be achieved during a 3-year gastroenterology fellowship. Assessment of competency is best evaluated immediately after the colonoscopy. We aimed to assess the feasibility … Continue reading
Information for Authors and Readers
Gastroenterology is the premiere journal in the field of gastrointestinal disease and is led by an internationally renowned board of editors. As the official journal of the AGA Institute, Gastroenterology delivers up-to-date and authoritative coverag… Continue reading
Quality Gaps in Preventative Care Provided to Outpatients With Cirrhosis at a High-Volume Tertiary Care Liver Transplant Center
High quality preventative care has the potential to improve health outcomes in patients with cirrhosis; however, most quality improvement initiatives focus on hospitalized patients. We aimed to evaluate the quality of care (QOC) provided by gastroenter… Continue reading
Optimizing Outpatient Colorectal Cancer Screening and Surveillance for the Gastroenterologist—A Quality Improvement Project
Colorectal cancer (CRC) is the 2nd most common cancer among men and women in the United States and can be prevented through adequate screening and surveillance by physicians. Gastroenterologists encounter numerous patients in the outpatient setting wit… Continue reading
“Let’s Make Your Clinic Visit a Little Simpler”—Development of a Question Prompt List for Adult Patients With Gastroesophageal Reflux Disease: a Modified Delphi Study
To develop a QPL specific to adults with GERD created by physician experts. Continue reading