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Improved outcomes following implementation of an acute gastrointestinal bleeding multidisciplinary protocol
Tyler J Loftus1, Kristina L Go, Steven J Hughes
1From the University of Florida Health, Department of Surgery, and Sepsis and Critical Illness Research Center, Gainesville, Florida.
The Journal of Trauma and Acute Care Surgery
|October 26, 2016
Summary
Implementing a new communication protocol for gastrointestinal bleeding (GIB) led to quicker procedures and shorter hospital stays. This standardized approach improved patient outcomes, reducing transfusions and readmissions for GIB.
Area of Science:
- Gastroenterology
- Surgical Management
- Healthcare Communication
Background:
- Effective multidisciplinary management of gastrointestinal bleeding (GIB) relies on clear communication.
- A protocol was developed to standardize communication for GIB patients.
Purpose of the Study:
- To evaluate the impact of a multidisciplinary communication protocol on GIB management outcomes.
- To test the hypothesis that improved communication leads to better patient outcomes.
Main Methods:
- Retrospective cohort analysis of 442 patients with acute GIB.
- Comparison of outcomes before and after implementing a standardized communication protocol.
- Protocol involved conference calls among gastroenterology, interventional radiology, and acute care surgery teams for severe GIB cases.
Main Results:
- Shorter median interval between admission and first procedure (40 vs. 47 hours).
- Decreased proportion of patients receiving packed red blood cell transfusions (41% vs. 50%).
- Significantly shorter median hospital length of stay (5.0 vs. 6.0 days) and reduced GIB readmissions (8% vs. 15%).
Conclusions:
- A multidisciplinary communication protocol for acute GIB improves management.
- Protocol implementation is associated with earlier intervention, reduced transfusions, shorter hospital stays, and fewer readmissions.
- Further research is needed to establish causal links between communication and outcomes.
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