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Search Results for LAB
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: 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: 304
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
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 the Choosing Wisely Campaign to avoid repetitive complete blood counts (CBC) and chemistry testing in the face of clinical stability. […]
Abstract Number: 306
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
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 recommendations for Adult Hospital Medicine in 2013[2] , including one that advised against performing repetitive complete blood count (CBC) and […]
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: 313
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
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 part of an EMR upgrade our institution removed the “daily labs” order. A 1-year post change audit showed no change […]
Abstract Number: 315
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Cirrhosis is the permanent fibrosis of the liver and carries a prevalence of 600,000 cases per year. Hospitalizations due to cirrhosis have doubled from 2001 to 2011 with an average hospitalization cost of $15,000. Hospital readmissions for cirrhosis are frequent and have been noted to be up to 3 readmissions per year. Given the […]
Abstract Number: 549
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 38-year-old man with untreated hyperthyroidism presented with two-week history of progressively worsening weakness and dyspnea along with a six-month history of unintentional 38 pound weight loss, diarrhea, and palpitations. Exam was notable for confusion, cachexia, diffuse thyromegaly, jugular venous distension, exophthalmos, thyroid bruit, bilateral rales, and tachycardia (HR to 150s). A transthoracic […]