A Structured Care Pathway Improves Quality of Care for Acute Severe Ulcerative Colitis

Neary, Barra P.; Doherty, Glen A.

doi:10.1016/s0016-5085(17)31028-4

Cited by 2 publications

(4 citation statements)

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“…In addition to promoting consistency in care, clinical pathways can also improve care by reducing the time to diagnosis and referral from the general practitioner to the specialist gastroenterologist, promoting tight monitoring to therapeutic targets, improving consistency in initaiting steroid-sparing therapies and outlining perioperative management. While studies that supports the introduction of guidelines in IBD are few, a retrospective review of admissions for IBD in St. Vincent’s Hospital in Dublin showed that the introduction of a structured care pathway was associated with a reduction in hospital stay and an increase in VTE prophylaxis rates [25].…”

Section: What Is the Role Of The Process Measures Of Clinical Pathwaymentioning

confidence: 99%

Improving the quality of care for inflammatory bowel disease

Travis

2019

Intest Res

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Great strides have been achieved in the development of quality-of-care measures and standards for inflammatory bowel disease (IBD) over the last decade. The central structural component of care in IBD revolves around the multidisciplinary team, which should be equipped with the necessary resources to operate and implement decisions. Process measures have been defined by interest groups and can be adapted into process tools for the delivery of care for various patient subgroups and clinical scenarios. The emerging treat-to-target approach to IBD management may be used to achieve optimal long-term and holistic patient-centred outcomes, such as survival, control of inflammation and disease progression, symptomatic remission, quality of life and complications. Other important quality-of-care outcome measures for IBD include disutility of care, healthcare utilization and other patient-reported outcomes such as nutritional status and impact of fistulae. The current challenge for healthcare providers and health systems is the integration of quality-of-care structures and processes into clinical practice, and the consistent delivery of updated evidence-based quality IBD care to various patient populations by individual health care providers. Finally, the awareness and appreciation for quality of care in IBD is increasing in Asia, and Asian healthcare institutions should be encouraged to take the lead in improving the quality of care in IBD.

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Section: What Is the Role Of The Process Measures Of Clinical Pathwaymentioning

confidence: 99%

Improving the quality of care for inflammatory bowel disease

Travis

2019

Intest Res

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“…Due to the accumulating evidence that involving physicians with expertise in managing ASUC improves outcomes, gastroenterologists should be involved in the care of patients with ASUC from the time of their admission 14,15 . Additionally, creating standardized care pathways for the management of ASUC can reduce cost, LOS, and improve quality 16 …”

Section: Initial Evaluationmentioning

confidence: 99%

“…Inpatient clinical pathways reduce LOS, reduce hospital costs, and likely reduce complications 72 . For this reason, a consensus group recommended the use of care pathways for the management of ASUC and, although there is little data on the use of pathways for ASUC specifically, the use of such a pathway in the United Kingdom was associated with improved metrics including LOS, time to VTE prophylaxis, testing of stool for infection, CRP measurement, and timely gastroenterologist consultation 16,18 …”

Section: Quality Of Care and The Use Of Care Pathwaysmentioning

confidence: 99%

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Inpatient Management of Acute Severe Ulcerative Colitis

Fudman

Sattler

Feuerstein

2019

Journal of Hospital Medicine

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Acute severe ulcerative colitis (ASUC) is a potentially lifethreatening presentation of ulcerative colitis that in nearly all cases requires inpatient management and coordinated care from hospitalists, gastroenterologists, and surgeons. Even with ideal care, a substantial proportion of patients will ultimately require colectomy, but most patients can avoid surgery with intravenous corticosteroid treatment and if needed, appropriate rescue therapy with infliximab or cyclosporine. In-hospital management requires not only therapies to reduce the inflammation at the heart of the disease process, but also to avoid complications of the disease and its treatment. Care for ASUC must be anticipatory, with patient education and evaluation starting at the time of admission in advance of the possible need for urgent medical or surgical rescue therapy. Here we outline a general approach to the treatment of patients hospitalized with ASUC, highlighting the common pitfalls and critical points in management.

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A Structured Care Pathway Improves Quality of Care for Acute Severe Ulcerative Colitis

Cited by 2 publications

References 0 publications

Improving the quality of care for inflammatory bowel disease

Improving the quality of care for inflammatory bowel disease

Inpatient Management of Acute Severe Ulcerative Colitis

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