OBJECTIVES We performed a study to assess the effects of a quality improvement (QI) initiative on the rates of postvariceal bleeding surveillance upper endoscopy (EGD). METHODS We identified patients with cirrhosis hospitalized with variceal bleeding and assessed the rates of timely (≤4 weeks) EGD before and after a QI initiative. RESULTS Preintervention: 16% (5 of 32) of patients underwent timely surveillance EGD. We developed a standardized ordering template for gastroenterology fellows and reserved postvariceal EGD scheduling slots. Postintervention: 43% (12 of 28) of patients underwent timely surveillance EGD. DISCUSSION A QI intervention was associated with a 27% absolute increase in timely surveillance EGDs.

中文翻译：

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质量改进计划提高了静脉曲张后出血监测内镜的及时率

目的 我们进行了一项研究，以评估质量改进 (QI) 倡议对静脉曲张后出血监测上内窥镜 (EGD) 率的影响。方法 我们确定了因静脉曲张破裂出血住院的肝硬化患者，并评估了 QI 倡议前后及时（≤4 周）EGD 的发生率。结果 干预前：16%（32 名中的 5 名）患者接受了及时监测 EGD。我们为胃肠病学研究员开发了一个标准化的订购模板，并预留了静脉曲张后 EGD 调度槽。干预后：43%（28 名中的 12 名）患者接受了及时监测 EGD。讨论 QI 干预与及时监测 EGD 的 27% 绝对增加有关。