{
  "abstract": "Background: Iron deficiency is a common comorbidity among patients with heart failure with reduced ejection fraction (HFrEF), and it remains under-recognized and undertreated despite contemporary guideline recommendations for intravenous iron therapy.\n\nProject Rationale: We sought to increase iron deficiency screening among hospitalized patients with HFrEF from a baseline of approximately 12% to >50% while identifying barriers to implementation of guideline-directed intravenous iron therapy.\n\nProject Summary: A multiphase Plan-Do-Study-Act quality improvement initiative integrated an iron panel into the heart failure admission order set, provided targeted provider education, and subsequently developed a standardized intravenous iron replacement protocol for integration into the electronic health record. Among 441 hospitalized patients with HFrEF, screening increased to 64.6% (285/441). Iron deficiency was identified in 243 of 285 screened patients (85.3%), yet only 67 (27.6%) received intravenous iron therapy.\n\nTake-Home Messages: Improving screening alone is insufficient to optimize iron deficiency care in hospitalized patients with HFrEF. Closing the gap between diagnosis and treatment will require workflow-integrated strategies to facilitate implementation of guideline-directed intravenous iron therapy.",
  "abstract_shown": true,
  "affiliations": [
    "Internal Medicine Residency Program, Southeast Health, Dothan, Alabama, USA",
    "Health System Engineering, Southeast Health, Dothan, Alabama, USA",
    "Interventional Cardiologist, Department of Cardiology, Southeast Health, Dothan, Alabama, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Benjamin M. Easow"
    },
    {
      "affs": [
        0
      ],
      "name": "Tijin Mathew"
    },
    {
      "affs": [
        1
      ],
      "name": "Devesh Dahale"
    },
    {
      "affs": [
        2
      ],
      "name": "Darius Aliabadi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/aeys97ck06n9m.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109659",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728378/",
  "id": "aeys97ck06n9m",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109659",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2720|Iron Metabolism and Disorders"
    ]
  ],
  "openalex": "W7213422986",
  "pdf_url": null,
  "pmcid": "PMC13728378",
  "pmid": "42752050",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/aeys97ck06n9m.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:23Z",
      "native_id": "PMC13728378",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109659"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Beyond Detection",
  "title_text": "Beyond Detection",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:23Z",
  "url": "https://research.draconitic.com/paper/aeys97ck06n9m",
  "venue": "JACC Case Reports",
  "versions": []
}