Monthly Archives: August 2020
A Prospective System for Tracking Colonoscopy Performance Among Trainees Using Key Colonoscopy Quality Indicators
Achieving competency in endoscopy remains a key component of gastroenterology (GI) training programs, and applying established quality indicators (QIs) in endoscopy may help measure both competency and quality in endoscopy among trainees. Previous stud… Continue reading
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Instilling a Growth Mindset: A Quality Improvement Endeavor to Establish a Database to Track Adenoma Detection Rate in a Large Fellowship Program
Adenoma Detection Rate (ADR) is currently perhaps the single-most important measure agreed upon to determine adequacy of screening colonoscopy performance. Despite the importance of this metric, our Fellowship Program had previously left the calculatio… Continue reading
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Improving Prophylactic Antibiotic use in Patients with Cirrhosis and Gastrointestinal Hemorrhage: A Quality Improvement Study
Upper and lower gastrointestinal hemorrhage (GIB) in patients with cirrhosis have been linked to high rates of bacterial infection, rebleeding, death, and 30-day hospital re-admission. The reasons for these associations are not well understood, but may… Continue reading
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Better Prep Is Just One Phone Call Away: Quality Improvement in Colonoscopy Bowel Preparation Through Telephone Education
Quality of bowel preparation can affect the completeness and duration of colonoscopy, detection of neoplastic lesions, and the safety of polypectomy. The ASGE and ACG Task Force for quality improvement during colonoscopy have proposed a performance tar… Continue reading
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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 coverage … Continue reading
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In-Service Education and Changes to the Electronic Health Record System Improve Intravenous Fluid Hydration in the Emergency Department in Patients With a Diagnosis of Acute Pancreatitis
According to ACG guidelines, initial management of acute pancreatitis includes aggressive hydration defined as 250-500 mL/hr of isotonic crystalloid solution. Based on literature, morbidity and mortality can be further reduced with early resuscitation … Continue reading
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Overutilization of Fecal Occult Blood Test in the Acute Hospital Setting and its Impact on Clinical Management and Outcomes
Fecal occult blood test (FOBT) was traditionally used as a non-invasive screening tool for colorectal cancer (CRC) screening, however it is increasingly used in the inpatient setting despite the controversy for indications other than CRC screening. Mor… Continue reading
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Inflammatory Bowel Disease Patients Hospitalized for Flares Are at Risk for Chronic Steroid Use Due to Lack of Clear Instructions at Discharge: A 15-Month Retrospective Study at a Private, Not-For-Profit Academic Hospital
Patients with inflammatory bowel disease (IBD) who are hospitalized with an IBD flare can be managed acutely with short-term (4-6 weeks) high dose glucocorticoid taper. Corticosteroid use beyond 3-4 months can cause serious and significant side effects… Continue reading
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