Background : Critically ill patients are at high risk for developing stress ulcer bleeding, which may increase the length of hospitalization and mortality rate. Stress ulcer prophylaxis could be done either with PPIs or with H2 receptor blockers, which were prescribed in critically ill patients. Aim : This cross-sectional study was accomplished in an intensive care unit to implement new stress ulcer prophylaxis. Methods : This study was conducted in a tertiary hospital of Kermanshah province, west of Iran.
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Implementation of Stress Ulcer Prophylaxis (SUP) in an Intensive Care Unit (ICU)
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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. Inappropriate usage was calculated as inappropriate patient-days and converted to incidence per 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 Post intervention, we were able to decrease the inappropriate incidence of SUP usage to 7.