scholarly journals PG117 CONSUMPTION OF HEALTH CARE RESOURCES ASSOCIATED WITH CURRENT MANAGEMENT STRATEGIES FOR NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING: AN OBSERVATIONAL EUROPEAN STUDY

2009 ◽  
Vol 12 (7) ◽  
pp. A348
Author(s):  
A Lanas ◽  
M Tafalla ◽  
J Nuevo
Keyword(s):  
Health Care ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Management Strategies ◽  
European Study ◽  
Current Management ◽  
Health Care Resources ◽  
Upper Gastrointestinal

Towards personalised management for non-variceal upper gastrointestinal bleeding

Gut ◽  
2021 ◽  
pp. gutjnl-2020-323846
Author(s):  
Joseph J Y Sung ◽  
Loren Laine ◽  
Ernst J Kuipers ◽  
Alan N Barkun
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Point Of Care ◽  
Management Strategies ◽  
Patient Characteristics ◽  
Professional Societies ◽  
Assessment And Treatment ◽  
Three Stages ◽  
Endoscopic Assessment ◽  
Upper Gastrointestinal

Guidelines from national and international professional societies on upper gastrointestinal bleeding highlight the important clinical issues but do not always identify specific management strategies pertaining to individual patients. Optimal treatment should consider the personal needs of an individual patient and the pertinent resources and experience available at the point of care. This article integrates international guidelines and consensus into three stages of management: pre-endoscopic assessment and treatment, endoscopic evaluation and haemostasis and postendoscopic management. We emphasise the need for personalised management strategies based on patient characteristics, nature of bleeding lesions and the clinical setting including available resources.

scholarly journals Barriers to the Implementation of Practice Guidelines in Managing Patients with Nonvariceal Upper Gastrointestinal Bleeding: A Qualitative Approach

2010 ◽  
Vol 24 (5) ◽  
pp. 289-296 ◽  
Author(s):  
Sean M Hayes ◽  
Suzanne Murray ◽  
Martin Dupuis ◽  
Martin Dawes ◽  
Ian A Hawes ◽  
...  
Keyword(s):  
Health Care ◽  
Gastrointestinal Bleeding ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Upper Gastrointestinal Bleeding ◽  
Guideline Implementation ◽  
Care Providers ◽  
Knowledge And Skills ◽  
Upper Gastrointestinal ◽  
Lack Of Knowledge

BACKGROUND/OBJECTIVE: Guidelines for the management of patients with nonvariceal upper gastrointestinal bleeding (NVUGIB) are inconsistently applied by health care providers, potentially resulting in suboptimal care and patient outcomes. A needs assessment was performed to assess health care providers’ barriers to the implementation of these guidelines in Canada.METHODS: Semistructured telephone interviews were conducted by trained research personnel with 22 selectively sampled health care professionals actively treating and managing NVUGIB patients, including emergency room physicians (ER), intensivists (ICU), gastroenterologists (GI), gastroenterology nurses and hospital administrators. Participants were chosen from a representative sample of six Canadian community- and academic-based hospitals that participated in a national Canadian audit on the management of NVUGIB.RESULTS: Participants reported substantive gaps in the implementation of NVUGIB guidelines that included the following: lack of knowledge of the specifics of the NVUGIB guidelines (ER, ICU, nurses); limited belief in the value of guidelines, especially in areas where evidence is lacking (ER, ICU); limited belief in the value of available tools to support implementation of guidelines (GI); lack of knowledge of the roles and responsibilities of health care professions and disciplines, and lack of effective collaboration skills (ER, ICU and GI); variability of knowledge and skills of health care professionals within professions (eg, variability of nurses’ knowledge and skills in endoscopic procedures); and perceived overuse of intravenous proton pump inhibitor treatment, with limited concern regarding cost or side effect implications (all participants).CONCLUSIONS: In the present study population, ER, ICU and nurses did not adhere to NVUGIB guidelines because they were neither aware of nor familiar with them, whereas the GI lack of adherence to NVUGIB guidelines was influenced more by attitudinal and contextual barriers. These findings can guide the design of multifaceted educational and behavioural interventions when attempting to effectively disseminate existing guidelines, and for guideline implementation into practice.

scholarly journals Current Management of Upper Gastrointestinal Bleeding

1975 ◽  
Vol 181 (4) ◽  
pp. 474-480 ◽  
Author(s):  
R. DOUGLAS YAJKO ◽  
LAWRENCE W. NORTON ◽  
BEN EISEMAN
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Current Management ◽  
Upper Gastrointestinal
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