Dr Richard Ingram
Institution: Nottingham University Hospitals NHS Trust
Title: Improving the care of patients with gastrointestinal bleeding
Project Start Date: 15th January 2018
Completion Date: 14th January 2019
Internal bleeding from the stomach and bowel is one of the most common medical emergencies. Every six minutes in the UK someone will have a gastrointestinal bleed (GIB). Bleeding from the top part of the gut (upper GIB) can be particularly serious and nearly one in ten people will die.
Over the past two decades, certain treatments have been shown to improve outcomes for GIB. These include giving the right amount of fluids or blood into the vein, certain medicines, and control of bleeding using endoscopy. National standards of care recommend all these treatments. Studies including our own audits have shown that care does not always meet these standards and could be better.
Gastroenterology doctors are joining forces across the Midlands to better understand and address this problem, with the support of CORE. It may be that a new checklist of best practice will improve performance, as these have helped in other conditions like sepsis and liver disease. We will also ask patients and hospital staff what else we can do. Everyone who has GIB should expect to receive high quality care. We hope that this initiative will spread right across the country.