Choosing Wisely

/Tag:Choosing Wisely

BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

Background : As part of the Choosing Wisely campaign, the Society of Hospital Medicine recommends against performing "repetitive complete blood count [CBC] and chemistry testing in the face of clinical and lab stability.” This recommendation [...]

By | 2017-04-20T17:34:38+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

CHOOSING WISELY: “INPATIENT THYROID FUNCTION TESTING – A COST-EFFECTIVENESS ANALYSIS”

Background: In the US, thyroid stimulating hormone (TSH) is the 4th most commonly ordered laboratory test with thyroxine measurement being the 10th commonest. In 2016, Medicare alone spent $482 million on 21.5 million performed TSH [...]

By | 2019-03-18T17:43:29+00:00 March 18th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on CHOOSING WISELY: “INPATIENT THYROID FUNCTION TESTING – A COST-EFFECTIVENESS ANALYSIS”

Choosing Wisely: Optimizing Telemetry Utilization With Integrated Multidisciplinary Approach Leveraging Electronic Order Entry And Analytics Within A Community Based Hospital

Background: Telemetry is utilized on high risk cardiac patients for monitoring of arrthymias. Guidelines providing clear monitoring indications have been published by AHA to reduce overuse of this resource, which can lead to increased care [...]

By | 2018-03-19T12:54:23+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Choosing Wisely: Optimizing Telemetry Utilization With Integrated Multidisciplinary Approach Leveraging Electronic Order Entry And Analytics Within A Community Based Hospital

Clinical Utility of Routine Cbc Testing in Patients with Community Acquired Pneumonia

Background: Avoiding repeated complete blood count (CBC) tests in the face of clinical and lab stability is a focus of the Choosing Wisely initiatives endorsed by the Society of Hospital Medicine. The goal of this [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Clinical Utility of Routine Cbc Testing in Patients with Community Acquired Pneumonia

CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

Background: The Choosing Wisely campaign aims to engage clinicians and public in addressing overuse in healthcare. Through adoption in 20 countries and 75 organizations, clinician engagement is largely successful. However, patient and public engagement remains [...]

By | 2018-03-19T13:17:44+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

Background: Inappropriate laboratory utilization in hospitalized patients is a significant contributing factor to health care expenditures, iatrogenic anemia, downstream testing, and poor patient satisfaction. For these reasons, the Society of Hospital Medicine has recommended through [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

Background: As part of the ABIM Foundation’s Choosing Wisely campaign the Society of Hospital Medicine recommended providers avoid performing repetitive CBC and chemistry testing in the face of clinical and lab stability. In 2014 as [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

EVALUATION OF THE ORDER S.M.A.R.T.T. (SLEEP: MAKING APPROPRIATE REDUCTIONS IN TESTING AND TIMING) LABS: AN INITIATIVE TO REDUCE PHLEBOTOMY AND IMPROVE SLEEP FRIENDLY LABS ON RESIDENT AND HOSPITALIST GENERAL MEDICINE SERVICES

Background: Excessive daily routine laboratory testing for hospitalized patients is a contributor to poor hospital sleep, iatrogenic anemia, and excessive costs. Recommendations from the Choosing Wisely™ campaign specifically state to avoid sleep interruptions for routine [...]

By | 2019-03-18T13:30:55+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Quality Improvement, Research|Comments Off on EVALUATION OF THE ORDER S.M.A.R.T.T. (SLEEP: MAKING APPROPRIATE REDUCTIONS IN TESTING AND TIMING) LABS: AN INITIATIVE TO REDUCE PHLEBOTOMY AND IMPROVE SLEEP FRIENDLY LABS ON RESIDENT AND HOSPITALIST GENERAL MEDICINE SERVICES

Reducing Routine Blood Draws

Background:   In line with the American Board of Internal Medicine's (ABIM) Choosing Wisely® initiative, the Society of Hospital Medicine (SHM) recommends not performing repetitive complete blood count (CBC) and chemistry (CHEM7) testing in the face of clinical and lab stability.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Reducing Routine Blood Draws

USING A DECISION-SUPPORT TOOL TO IMPROVE COGNITIVE AWARENESS OF UNNECESSARY TELEMETRY AND URINARY CATHETERS

Background: The Society of Hospital Medicine’s Choosing Wisely guidelines recommend regular assessment of inpatients’ need for urinary catheters and telemetry monitoring. Since studies suggest clinicians are not aware which patients have an indwelling catheter or [...]

By | 2017-04-26T03:16:52+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USING A DECISION-SUPPORT TOOL TO IMPROVE COGNITIVE AWARENESS OF UNNECESSARY TELEMETRY AND URINARY CATHETERS

USING PEER COACHING TO REDUCE INAPPROPRIATE OR DUPLICATE LABORATORY TESTING

Background: The Choosing Wisely campaign was launched in 2012 with a goal of “advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments, and procedures.[1] ”  The Society of Hospital Medicine published 5 [...]

By | 2017-04-20T18:08:44+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on USING PEER COACHING TO REDUCE INAPPROPRIATE OR DUPLICATE LABORATORY TESTING

UTILIZING HIGH VALUE CARE – REDUCING INPATIENT PHLEBOTOMY WITH USE OF THE VETERAN’S AFFAIRS NATIONAL UTILIZATION MANAGEMENT DATABASE

Background: The Society of Hospital Medicine (SHM) identifies repetitive CBC & chemistry testing as low-value, and they selected this as a Choosing Wisely Recommendation. Overuse of phlebotomy is associated with hospital-acquired anemia, decreased patient satisfaction [...]

By | 2019-03-18T18:00:19+00:00 March 18th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on UTILIZING HIGH VALUE CARE – REDUCING INPATIENT PHLEBOTOMY WITH USE OF THE VETERAN’S AFFAIRS NATIONAL UTILIZATION MANAGEMENT DATABASE