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Comment & Response
March 2018

Expanding the Scope of High-Value Practice Beyond Guideline-Based Care

Author Affiliations
  • 1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas
  • 2Parkland Hospital, Dallas, Texas
  • 3Department of Pharmacy Services, University of Texas Southwestern Medical Center, Dallas
  • 4Division of Gastroenterology, University of Texas Southwestern Medical Center, Dallas
JAMA Intern Med. 2018;178(3):429-430. doi:10.1001/jamainternmed.2017.8514

To the Editor In a Research Letter published in a recent issue of JAMA Internal Medicine, Coronel et al1 present an elegant quality improvement study to decrease the inappropriate use of proton pump inhibitor (PPI) infusions.1 Infusions were considered appropriate in patients with suspected upper gastrointestinal bleeding before endoscopy and in patients with ulcerated lesions with high-risk features on endoscopy.

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