{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T13:56:11Z","timestamp":1781186171233,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>An increase in cirrhosis\u2010related hospitalizations has highlighted opportunities for improved patient care and standardization of practice. We created a cirrhosis admission order set with the goal of promoting guideline\u2010directed care and improving patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed and implemented a cirrhosis order set that included dietary recommendations, diagnostic paracentesis orders and studies, common complications of portal hypertension and educational materials at time of discharge. We used a retrospective cohort design to compare post\u2010intervention process measures and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The use of the order set resulted in a significant increase in low sodium diet (93% vs. 37%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), high protein diet (91% vs. 37%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and diagnostic paracentesis (46% vs. 26%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) performed during admission. There was also a significant reduction in time to diagnostic paracentesis (460\u2009min vs. 1210\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) and less all\u2010cause Emergency Department visits (32% vs. 46%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006) in the order set group. There was no significant impact on length of stay, readmission rates or in\u2010hospital mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The use of a standardized order set improves inpatient management of cirrhosis and encourages guideline\u2010directed care. This order set could easily be replicated at other institutions or among non\u2010cirrhotic patient populations. Future work should focus on further standardization of the discharge process with the goal of having a more tangible impact on length of stay and readmission rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/liv.70674","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T10:10:09Z","timestamp":1777975809000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Standardization of the Cirrhosis Admission Process and Its Impact on Inpatient Management and Patient Outcomes"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4987-526X","authenticated-orcid":false,"given":"Laura E.","family":"Lavette","sequence":"first","affiliation":[{"name":"Department of Medicine University of Virginia School of Medicine  Charlottesville Virginia 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Barros","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Henry","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology University of Virginia School of Medicine  Charlottesville Virginia 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