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Updated: May 30, 2025
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Electronic Interventions to Improve Quality for Inpatient Cirrhosis Care: A Prospective Evaluation
Dustin Romain1, Shengchen Hao, Katie Grzyb
1Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan.
Introduction:
Efforts to improve adherence to quality measures in cirrhosis care are encouraged by American Association for the Study of Liver Diseases (AASLD) to improve clinical outcomes.
Methods:
We prospectively evaluated 2 best practice advisory (BPA) interventions to alert clinicians caring for patients with cirrhosis and acute variceal hemorrhage or spontaneous bacterial peritonitis.
Results:
Our BPAs increased utilization. Ceftriaxone use was associated with adverse outcomes such as more blood product and broad-spectrum antibiotic use. The albumin BPA was associated with reduced mortality.
Discussion:
BPAs should be used with care and are best in settings with low baseline utilization of quality indicators.
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