Helicobacter pylori (HP) infection is an important, and modifiable, risk factor for the development of peptic ulcer disease (PUD). Therefore society guidelines recommend testing for HP in patients with PUD. The aims of this quality improvement initiative were (1) to determine the testing rates for HP in inpatients with endoscopically confirmed PUD, and (2) to identify variables associated with low rates of testing that could be actionable items for future quality improvement initiatives.