Daily Archives: August 20, 2020
Improving venous thromboembolism prophylaxis in patients hospitalized with inflammatory bowel disease: A quality improvement initiative
Concern for bleeding is often the rationale for venous thromboembolism (VTE) prophylaxis being held or not ordered in patients admitted to the hospital with active inflammatory bowel disease (IBD). This is concerning as these patients are prothrombotic… Continue reading
Sustained Improvement in Antibiotic Stewardship in Acute Pancreatitis Mediated by Targeted Electronic Medical Record Based Communication-Lessons from a Quality Improvement Project
Acute pancreatitis (AP) is a leading cause of hospitalizations nationwide. The American Gastroenterological Association (AGA) and the American College of Gastroenterology (ACG) have published consensus guidelines outlining the key diagnostic and initia… Continue reading
Comparison of Low Versus High Volume Bowel Preparation Efficacy and Tolerability for Colonoscopy: A Quality Improvement Study.
Successful bowel preparation for colonoscopy is an important factor in ensuring a high-quality examination. Inadequate preparations occur in up to 25% of all colonoscopies, which can compromise the detection and removal of colorectal neoplasia. Low vol… Continue reading
A Multimodal Interdisciplinary QI Intervention Is Associated with Reduced Variability in Finishing Inpatient Endoscopic Cases and Reduction in Cases after Hours
Performing non-emergent inpatient endoscopic cases after hours poses risks to patient safety, negatively impacts patient and provider satisfaction, and potentially prolongs length of stay (LOS), due to decreased staffing and transitions in care. At our… Continue reading
Tracking Colonoscopy Quality Measures in GI Fellows
The University of Florida gastroenterology fellowship program lacked a tool to objectively measure the progress and endoscopic skill level of its fellows during performance of colonoscopy. Fellows were using a variety of formats to track procedures and… Continue reading
It’s All About the Prep: Improving Colonoscopy Bowel Preparation through Patient Instructions
Colonoscopy is the most effective modality to detect and prevent colorectal cancer. The quality of bowel preparation is an important quality indicator for colonoscopy. An adequate bowel preparation requires the patient’s compliance with the preparation… Continue reading
Veterans With Hepatitis B, Who Is Being Missed and Why?
On May 23, 2018 Veterans Administration (VA) directive issued policies to improve prevention, early diagnosis and treatment was established for all viral hepatitis including chronic Hepatitis B. The goal of our study was to identify patients with posit… Continue reading
Charlson Comorbidity Index Is a Useful Predictor of Patients Death Prior to Interval Colonoscopy (Poster Presentation)
Societal recommendations rely on age and life expectancy to guide clinicians on the potential mortality benefit of continued colorectal cancer (CRC) screening. Up to 40% of patients undergoing screening colonoscopy have less than a 10-year life expecta… Continue reading
Improving Vaccination Rates in Veterans With Inflammatory Bowel Disease
Patients with inflammatory bowel disease (IBD) are at increased risk for vaccine preventable infections with additional risk from immunomodulators and biological agents used in the treatment of IBD. The goal of our study was to improve vaccination rate… Continue reading
Efforts to Eradicate Helicobacter Pylori in Hospitalized Patients: A Quality Improvement Project to Recognize and Overcome the Hurdles
Helicobacter pylori (H. pylori) is a common infection found in hospitalized patients undergoing upper gastrointestinal (GI) endoscopy. H. pylori is a major cause of peptic ulcer disease and carries carcinogenic properties, hence once diagnosed it must … Continue reading