*EMBARGOED All research presented at the 2021 ACG Annual Scientific Meeting and Postgraduate Course is strictly embargoed until Sunday, October 24, 2021, at 3:30 pm EDT.
Oral 8 Optimizing Endoscopy Procedure Documentation Improves Guideline Adherent Care in Upper Gastrointestinal Bleeding
Author Insight from Timothy Yen, MD, University of Colorado Anschutz Medical Campus
What’s new here and important for clinicians?
Upper gastrointestinal bleeding is a common indication for inpatient upper endoscopy and post-procedure care can influence length of inpatient stay, risk of repeat bleeding and cost to the healthcare system. Unfortunately, there is high variability in appropriate post-procedure recommendations. We leveraged endoscopy software to standardize and streamline efficient provider documentation. This anticipatory guidance resulted in improved clinical care such as guideline-based medication prescriptions and endoscopic re-examination. Our intervention required minimal implementation cost, low burden of maintenance and showed sustainability with high utilization rates due to a reduction in workload burden. Similar endoscopy templates can be applied to other health systems and endoscopic procedures to standardize documentation and improve the quality of patient care.
What do patients need to know?
If you are admitted to the hospital because of bleeding, an upper endoscopy is a common procedure to diagnose and treat the cause of bleeding if it is coming from your esophagus, stomach or the first part of your intestine. Depending on what is found on the upper endoscopy and how it is treated, specific diet, medications and follow up testing can decrease the chance of prolonged hospitalization or repeat bleeding.
We showed that endoscopy software-based templates can improve communication and coordination of medical care after endoscopy for upper gastrointestinal bleeding and improve quality of care. These changes can be further expanded to other healthcare systems and clinical scenarios.
Timothy (Tim) Yen, MD, University of Colorado Anschutz Medical Campus
timothy [dot] yen [at] cuanschutz [dot] edu
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