Stress Ulcer Prophylaxis (SUP) Use in the Medical Intensive Care Unit (MICU) Patients Before and After House-Staff Education

CHEST Journal ◽  
2010 ◽  
Vol 138 (4) ◽  
pp. 279A
Author(s):  
Nikhil K. Meena ◽  
Marcus Costner ◽  
Manish Joshi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Stress Ulcer ◽  
Medical Intensive Care Unit ◽  
Stress Ulcer Prophylaxis ◽  
House Staff ◽  
Staff Education ◽  
Before And After ◽  
Medical Intensive Care ◽  
Ulcer Prophylaxis

scholarly journals A Successful Pharmacist-Based Quality Initiative to Reduce Inappropriate Stress Ulcer Prophylaxis Use in an Academic Medical Intensive Care Unit

2018 ◽  
Vol 55 ◽  
pp. 004695801875911
Author(s):  
Umair Masood ◽  
Anuj Sharma ◽  
Zabeer Bhatti ◽  
Jessica Carroll ◽  
Amit Bhardwaj ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Stress Ulcer ◽  
Medical Intensive Care Unit ◽  
Total Cost ◽  
Total Patient ◽  
Inappropriate Use ◽  
Academic Medical ◽  
Medical Intensive Care ◽  
Ulcer Prophylaxis

Stress ulcer prophylaxis (SUP) is often inappropriately utilized, particularly in critically ill patients. The objective of this study is to find an effective way of reducing inappropriate SUP use in an academic medical intensive care unit (ICU). Medical ICU patients receiving SUP were identified over a 1-month period, and their charts were reviewed to determine whether American Society of Health-System Pharmacists guidelines were followed. Inappropriate usage was calculated as inappropriate patient-days and converted to incidence per 100 patient-days. Two interventions were implemented: (1) Pharmacists reviewed indications for SUP on each patient during daily team rounds and daily medication reconciliation and (2) residents rotating on ICU services were educated on a bimonthly basis. Postintervention data were obtained in a similar fashion. Prior to intervention, the incidence of inappropriate SUP usage was calculated to be 26.75 per 100 patient-days (n = 1099 total patient-days). Total cost attributable to the inappropriate use was $2433. Post intervention, we were able to decrease the inappropriate incidence of SUP usage to 7.14 per 100 patient-days (n = 1149 total patient-days). In addition, total cost of inappropriate use was reduced to $239.80. Our study highlights an effective multidisciplinary approach to reduce the inappropriate use of SUP in an academic medical ICU. We were able to reduce the incidence of inappropriate use of SUP by 73.31% ( P < .001). Furthermore, we were able to decrease the costs by approximately $2200/month.

scholarly journals Adequacy of stress ulcer prophylaxis prescription in the intensive care unit: an observational study

2020 ◽  
Author(s):  
Marilena Franchitti ◽  
Jitka Piubellini ◽  
Farshid Sadeghipour ◽  
Philippe Eckert ◽  
Pierre Voirol ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Observational Study ◽  
Stress Ulcer ◽  
Stress Ulcer Prophylaxis ◽  
Ulcer Prophylaxis

Stress ulcer prophylaxis in adult intensive care unit patients - a protocol for a systematic review

2018 ◽  
Vol 62 (6) ◽  
pp. 744-755 ◽  
Author(s):  
M. Barbateskovic ◽  
S. Marker ◽  
J. C. Jakobsen ◽  
M. Krag ◽  
A. Granholm ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Stress Ulcer ◽  
Stress Ulcer Prophylaxis ◽  
Adult Intensive Care Unit ◽  
Ulcer Prophylaxis

FACTORS AFFECTING THE OVERUSE OF STRESS ULCER PROPHYLAXIS IN PATIENTS IN THE INTENSIVE CARE UNIT

CHEST Journal ◽  
2007 ◽  
Vol 132 (4) ◽  
pp. 564A
Author(s):  
William W. Hope ◽  
Thomas Schmelzer ◽  
Aram Kim ◽  
Jonathan Salashour ◽  
M.C. Barrett ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Stress Ulcer ◽  
Stress Ulcer Prophylaxis ◽  
Factors Affecting ◽  
Ulcer Prophylaxis
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