Effectiveness of disseminating consensus management recommendations for ulcer bleeding: a cluster randomized trial

BACKGROUND: International guidelines for the management of nonvariceal upper gastrointestinal bleeding have not been widely adopted in clinical practice. We sought to determine whether a national, multifaceted intervention could improve adherence to guidelines, especially for patients at high risk of nonvariceal upper gastrointestinal bleeding. METHODS: In this randomized trial, we stratified hospitals by region and size and allocated sites to …