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Abstract Number: 291
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Choosing Wisely Campaign encourages physicians to avoid over-utilizing routine labs in hospitalized patients with clinical and laboratory stability. A number of studies have shown adverse effects on hospitalized patients from lab overutilization. In previous research, we observed that internal medicine physicians at our center often order a daily complete blood count (CBC) and […]
Abstract Number: 295
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Thrombotic thrombocytopenic purpura (TTP) is a rare but deadly thrombotic microangiopathy (TMA) that is caused by ADAMTS13 deficiency. The PLASMIC clinical scoring system was developed and validated to determine the pretest probability of severe ADAMTS13 deficiency in cases of suspected TTP. We studied the role of the PLASMIC score in guiding use of the […]
Abstract Number: 298
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Misuse of laboratory tests can be difficult to determine unless tests are clearly overused or repeated routinely. However, excessive testing of chronically critically ill patients treated in long-term acute care hospitals (LTACHs) can be potentially harmful. A previously reported quality improvement initiative designed to increase physician awareness of their patterns of lab utilization in […]
Abstract Number: 302
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Up to forty-five percent of Americans do not fill prescriptions secondary to cost. Medication non-adherence leads to morbidity and mortality (~$100-300B annually). The majority of physicians cannot price medications within 25% of cost. Our institution alone sees more than 600 prescription-cash-pay patients (under/uninsured or no Part D) each month. Purpose: To empower clinicians to […]
Abstract Number: 307
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Venous thromboembolism (VTE) is a common preventable condition in hospitalized medical patients. Chemoprophylaxis with heparin or fondaparinux has been recommended for all hospitalized patients who are not at low risk, and appropriate thromboprophylaxis is a hospital quality measure. However, the specific threshold of VTE risk that warrants prophylaxis has not been defined. We used […]
Abstract Number: 308
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Frequent blood draws are implicated in hospital-acquired anemia as well as rising costs. Critically ill patients undergo frequent venous and arterial blood sampling, both providing electrolyte concentrations. In this study, we sought to examine electrolyte values obtained by arterial blood gas testing (ABG) and central laboratory testing (VCL) and determine the extent of essentially […]
Abstract Number: 311
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In response to skyrocketing healthcare costs, providing high value care is an increasing priority for health care systems. Physicians are responsible for translating high value care (HVC) to the bedside, however there is a paucity of instruments designed to measure observable markers of HVC at the beside. This confounds efforts to develop and measure […]