Monthly Archives: August 2020
HP QI Abstract: Improving Helicobacter pylori Testing in Patients With Acute Upper GI Bleeding Due to Peptic Ulcer Disease
Peptic ulcer disease (PUD) is a common cause of acute upper gastrointestinal (GI) bleeding with a significant impact on healthcare costs in the United States.1 Helicobacter pylori is a main risk factor for PUD, with high rates of rebleeding (27% to 81%… Continue reading
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CME Exam 1: Corticosteroids, But Not TNF Antagonists, Are Associated with Adverse COVID-19 Outcomes in Patients With Inflammatory Bowel Diseases: Results from an International Registry
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Inappropriate Discharge on Proton Pump Inhibitors After Intensive Care Unit Hospitalization
Proton pump inhibitors (PPIs) are recommended for stress ulcer prophylaxis in critically ill patients at high risk for upper gastrointestinal bleeding. We hypothesized that many PPIs started in the intensive care unit (ICU) for prophylaxis are continue… Continue reading
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Selection of an Appropriate Helicobacter Pylori Eradication Regimen in an Urban Population: A Quality Improvement Project
Helicobacter pylori (H pylori) infection is one of the most common chronic bacterial infection. H pylori infection is associated with peptic ulcer disease and gastric cancer. In the US, most commonly used therapies for H pylori eradication include clar… Continue reading
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Biopsy and Empiric Dilation Practices in Veterans with Dysphagia and Normal Appearing Esophagus
ASGE and ACG guidelines recommend performing EGD for patients presenting with dysphagia. Both societies suggest that even if the esophageal mucosa appears normal, two to four proximal and distal esophageal biopsies should be obtained to evaluate for eo… Continue reading
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Dedicated Cytopathologists vs Community Pathologist Significantly Affects Overall Diagnostic Accuracy of Endoscopic Ultrasound Guided Sampling of Solid Pancreatic Lesions: Outcomes From a Large Healthcare System
Endoscopic ultrasound (EUS) is the most sensitive modality in detecting solid lesions of pancreas and is commonly performed for staging, and tissue acquisition. Correct pathologic diagnosis is crucial for timely diagnosis and initiation of therapy in c… Continue reading
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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
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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
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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
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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
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