A Systems-Based Approach to Improving Inpatient Care for Adults with Cirrhosis: An Evidence-Based Practice Initiative

Date of Award/Publication

Spring 2026

Document Type

DNP Project Manuscript

Degree Name

Doctor of Nursing Practice

Abstract

Cirrhosis is a chronic condition with a high risk for developing preventable complications when evidence-based care is not being delivered consistently. Hospitalized adults with cirrhosis are vulnerable to life-threatening decompensatory events such as spontaneous bacterial peritonitis (SBP), which often is silent and therefore missed without standardized screening and early intervention (Tapper & Parikh, 2023). Although national guidelines from the American Association for the Study of Liver Disease (AASLD) outline best practices for the management of cirrhosis and its complications, adherence within a hospital remains inconsistent. This can lead to delays in diagnosis of life-threatening complications, inappropriate antibiotic use, increased morbidity, longer hospital stays, and higher healthcare costs (Biggins et al., 2021)

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