Background: Lab testing is critical for clinical decision-making and used throughout healthcare systems. Overuse of lab testing is known to be commonplace and contributes to shortages in lab testing materials. While practices exist at medical institutions that aim to limit lab test overuse, it is unclear which interventions are effective. Methods: We aimed to reduce [...]

Background: While hospitalists pursue a primarily clinical role, we have carved a niche in clinical research, particularly Quality Improvement based research. However, clinical research often involves time intensive chart review, which can become a barrier to hospitalists with heavy clinical roles. A mechanism to mitigate this will be revolutionary. Purpose: In this innovations abstract, we [...]

Background: Electronic medical records (EMR) often allow automated recurring orders of different components of hospital care, including lab tests, vital signs, and telemetry monitoring. However, as patients clinically stabilize during a hospital admission the frequency and intensity of these recurring orders may be unwarranted (1). Well-designed EMR order sets have shown potential to decrease inappropriate [...]

Background: In the inpatient setting, serum potassium (K) and magnesium (Mg) are frequently replaced for patients with values within the reference range (generally K 3.5-5.0 mEq/L, Mg 1.3-2.2 mEq/L) to target an arbitrary goal of 4 mEq/L for K and 2 mEq/L for Mg.(1,2) For certain high-risk non-pregnant adults, K and Mg replacement to these [...]