Abstract

Quality of Care Assessment in Hospitalized Patients with Upper Gastrointestinal Bleeding

Highlights

  • Acute upper gastrointestinal bleeding is one of the most common gastrointestinal emergencies and is associated with high health and economic burden

  • Different societies have established guidelines for acute management of patients presenting with upper gastrointestinal bleeding, adherence to these guidelines vary in practice in different medical centers and within physicians and nurses

  • Given these inconsistencies among physicians and nurses, a committee of multidisciplinary expert panel established a specific set of quality indicators for nonvariceal upper gastrointestinal hemorrhage

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Summary

Introduction

Acute upper gastrointestinal bleeding is one of the most common gastrointestinal emergencies and is associated with high health and economic burden. Different societies have established guidelines for acute management of patients presenting with upper gastrointestinal bleeding, adherence to these guidelines vary in practice in different medical centers and within physicians and nurses. Given these inconsistencies among physicians and nurses, a committee of multidisciplinary expert panel established a specific set of quality indicators for nonvariceal upper gastrointestinal hemorrhage. To these quality indicators, we added two more in order to include cirrhotic patients and potential variceal bleeders. Adherence to these guidelines is inconsistent and few studies have addressed this issue

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