The utilization of standardized order sets using AASLD guidelines for patients with suspected cirrhosis and acute gastrointestinal bleeding

Kunut Kijsirichareanchai, Saowanee Ngamruengphong, Ariwan Rakvit, Kenneth Nugent, Sreeram Parupudi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

To improve the adherence to AASLD (American Association for the Study of Liver Diseases) guidelines for variceal bleeding, we developed and implemented standardized order sets for gastrointestinal bleeding in our hospital on October 1, 2009. We performed medical record reviews of hospitalized patients with gastrointestinal bleeding with suspected cirrhosis from October 2009 to October 2010 to determine the use of octreotide, prophylactic antibiotics, and endoscopy. We reviewed 300 Medical records and identified 26 patients with suspected cirrhosis and gastrointestinal bleeding who had adequate information to determine whether or not the order set was used. Antibiotic was used in 76% of patients, octreotide was used in 76% of patients, and upper endoscopy was completed in 94% of patients within 24 hours. The use of antibiotics was higher than that used in historical controls in our hospital. Implementation of standardized order sets appears to have improved adherence to standard recommendations. However, larger studies with longer follow-ups are needed to evaluate this effect on clinical outcomes and cost of care.

Original languageEnglish (US)
Pages (from-to)146-151
Number of pages6
JournalQuality Management in Health Care
Volume22
Issue number2
DOIs
StatePublished - Apr 2013
Externally publishedYes

Fingerprint

Liver Diseases
Fibrosis
utilization
Guidelines
Hemorrhage
Disease
Octreotide
Anti-Bacterial Agents
Endoscopy
Medical Records
Guideline Adherence
costs
Costs and Cost Analysis

Keywords

  • Cirrhosis
  • Gastrointestinal bleeding
  • Order set
  • Performance improvement

ASJC Scopus subject areas

  • Health Policy
  • Care Planning
  • Health(social science)
  • Leadership and Management

Cite this

The utilization of standardized order sets using AASLD guidelines for patients with suspected cirrhosis and acute gastrointestinal bleeding. / Kijsirichareanchai, Kunut; Ngamruengphong, Saowanee; Rakvit, Ariwan; Nugent, Kenneth; Parupudi, Sreeram.

In: Quality Management in Health Care, Vol. 22, No. 2, 04.2013, p. 146-151.

Research output: Contribution to journalArticle

Kijsirichareanchai, Kunut ; Ngamruengphong, Saowanee ; Rakvit, Ariwan ; Nugent, Kenneth ; Parupudi, Sreeram. / The utilization of standardized order sets using AASLD guidelines for patients with suspected cirrhosis and acute gastrointestinal bleeding. In: Quality Management in Health Care. 2013 ; Vol. 22, No. 2. pp. 146-151.
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