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Peptic ulcer bleeding (PUB) remains a major cause of hospitalizations. Consensus, evidence-based guidelines have outlined recommended care processes to improve the outcomes of patients with PUB (Ann Intern Med 2010; 152:101). Researchers in Denmark recently assessed trends in care processes and clinical outcomes in 13,498 patients hospitalized for PUB between 2004 and 2011 as part of an ongoing quality improvement initiative.
PUB was confirmed by endoscopy or surgery. Compliance with recommended timing of endoscopy, successful hemostasis, and need for surgery were tracked using six process measures. Clinical outcomes measures were rebleeding and 30-day mortality. Educational initiatives were conducted to improve performance, and providers re…