Quality Improvement in Gastroenterology: A Systematic Review of Practical Interventions for Clinicians

Digestive Diseases and Sciences
Courtney ReynoldsDaniel Hommes

Abstract

Quality improvement (QI) identifies practical methods to improve patient care; however, it is not always widely known which QI methods are successful. We sought to create a primer of QI in gastroenterology for the practicing clinician. We performed a systematic review of QI literature in gastroenterology. We included search terms for inflammatory bowel disease, irritable bowel syndrome, celiac disease, gastroesophageal reflux disease, pancreatitis, liver disease, colorectal cancer screening, endoscopy, and gastrointestinal bleeding. We used general search terms for QI as well as specific terms to capture established quality metrics for each GI disease area. We found 33 studies that met our definitions for QI. There were 17 studies of endoscopy including screening colonoscopy, six on liver disease, four on IBD, two on GERD, three on GI bleeding, and one on celiac disease. Education was the most common intervention, although most successful studies combined education with another intervention. Other effective interventions included retraining sessions to reach ADR goals in colonoscopy, nursing protocols to increase HCC screening, and EMR decision support tools to prompt reassessment of PPI therapy. Many studies showed improved co...Continue Reading

References

Jan 5, 2002·Journal of the American College of Cardiology·Harlan M KrumholzViola Vaccarino
Apr 2, 2004·The American Journal of Gastroenterology·Patrick R PfauRichard C K Wong
Nov 22, 2007·Gastrointestinal Endoscopy·Mario GrassiniGabrio Bassotti
Jul 22, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Robert L BarclayRoger L Greenlaw
Aug 12, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Aasma ShaukatJohn I Allen
Mar 19, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·Stephen AtkinsonSusan Went
Jan 9, 2013·The American Journal of Gastroenterology·Susan G CoeMichael B Wallace
Mar 12, 2013·Gastrointestinal Endoscopy·Charles J KahiCynthia S Johnson
Oct 1, 2014·The American Journal of Gastroenterology·Vivian UssuiMichael B Wallace
Oct 29, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Veronica LoyKia Saeian
Jan 6, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Rony GhaouiPeter K Lindenauer
Jan 15, 2015·Gastrointestinal Endoscopy·William A RossGottumukkala S Raju
Sep 20, 2015·Gastrointestinal Endoscopy·Heitham Abdul-BakiAteev Mehrotra
Sep 27, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Elliot B TapperMichelle Lai
Feb 10, 2016·JAMA Internal Medicine·Michael K OngUNKNOWN Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group
Aug 2, 2016·Journal of Primary Health Care·Kate WalshW Kirk Lyon
Oct 26, 2016·The Journal of Trauma and Acute Care Surgery·Tyler J LoftusJaneen R Jordan

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