title: Quality of care delivered to hospitalized inflammatory bowel disease patients.
abstract: Hospitalized patients with inflammatory bowel disease (IBD) are at high risk for morbidity, mortality, and health care utilization costs. While the literature on trends in hospitalization rates for this disease is conflicting, there does appear to be significant variation in the delivery of care to this complex group, which may be a marker of suboptimal quality of care. There is a need for improvement in identifying patients at risk for hospitalization in an effort to reduce admissions. Moreover, appropriate screening for a number of hospital acquired complications such as venous thromboembolism and Clostridium difficile infection is suboptimal. This review discusses areas of inpatient care for IBD patients that are in need of improvement and outlines a number of potential quality improvement initiatives such as pay-for-performance models, quality improvement frameworks, and healthcare information technology.
authors.affiliation: Adam V Weizman, Division of Gastroenterology, Women's College Hospital, University of Toronto, Toronto, M5S 1B2, Ontario, Canada.
authors.forename: Adam V
authors.initials: AV
authors.lastname: Weizman
authors.forename: Geoffrey C
authors.initials: GC
authors.lastname: Nguyen
mesh_terms: D016360:Clostridioides difficile / Q000302:isolation & purification; D003695:Delivery of Health Care / Q000592:standards*; D004761:Enterocolitis, Pseudomembranous / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006760:Hospitalization; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care / Q000592:standards*; D010359:Patient Readmission / Q000592:standards; D017410:Practice Guidelines as Topic; D058996:Quality Improvement / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards*; D016896:Treatment Outcome; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control
keywords: Crohn’s disease; Hospitalization; Inflammatory bowel disease; Quality improvement; Ulcerative colitis