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Reach engaged ED staff and eligible patients with timely access to FLASP. Implementation trained FLASP clinicians in safer, guideline-based paracentesis, facilitated timely access, and offered patient education and support.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Program Evaluation<\/jats:title>\n                <jats:p>After FLASP clinic opened, significantly fewer ED visits were made by patients discharged after paracentesis [rate ratio (RR) of 0.33 (95% CI 0.28, 0.40, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001)] but not if subsequently hospitalized (RR\u2009=\u20090.88, 95% CI 0.70, 1.11). Among 2685 paracenteses in 225 FLASP patients, complications were infrequent: 39 (1.5%) spontaneous bacterial peritonitis, 265 (9.9%) acute kidney injury, and 2 (&lt;\u20090.001%) hypotension. FLASP patients rated satisfaction highly on a Likert-type question.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>Patients with refractory ascites in large safety net hospitals may benefit from an outpatient procedure clinic instead of ED care.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11606-024-08675-0","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T17:02:37Z","timestamp":1708448557000},"page":"1245-1251","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Disparities in Care for Low-Income Patients with Cirrhosis: Implementing an Innovative Outpatient Clinic for Refractory Ascites in a Safety Net Hospital"],"prefix":"10.1007","volume":"39","author":[{"given":"Shadi","family":"Dowlatshahi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Koh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annasha","family":"Vyas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy J.","family":"Mack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0736-1071","authenticated-orcid":false,"given":"Barbara J.","family":"Turner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"issue":"12","key":"8675_CR1","doi-asserted-by":"publisher","first-page":"2650","DOI":"10.1016\/j.cgh.2019.07.060","volume":"18","author":"AM Moon","year":"2020","unstructured":"Moon AM, Singal AG, Tapper EB. 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