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Search Results for Labs
Abstract Number: 197
Hospital Medicine 2016, March 6-9, San Diego, Calif.
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. In addition to decreasing the risk of hospital acquired anemia (HAA), reducing unnecessary routine blood work can ultimately result in significant […]
Abstract Number: 207
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The University of Colorado Hospital (UCH) fails to meet the National Healthcare Safety Network (NHSN) benchmarks for central line utilization rates and central line-associated bloodstream infections (CLABSI). Peripherally inserted central catheters (PICCs) are central lines that are overused and misused at UCH. Overuse of PICC lines increases the risks of CLABSI and PICC-associated deep […]
Abstract Number: 215
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Society of Hospital Medicine and the ABIM Foundation‘s Choosing Wisely Campaign have made tackling overutilization of routine labs part of their mission. Based on the literature, 30-50% of routine labs ordered for hospitalized patients every morning may be unnecessary. Aside from pain, discomfort and sleep disturbance, these daily labs predispose patients to iatrogenic […]
Abstract Number: 215
SHM Converge 2023
Background: Overuse of daily labs (DL), especially CBC and BMPs in hospitalized patients leads to increased costs and utilization of resources, iatrogenic anemia, and patient discomfort. Prior quality improvement (QI) efforts in hospital medicine have worked to reduce excessive lab utilization, but few have focused on labs ordered on the day of discharge (LOD) . […]
Abstract Number: 239
SHM Converge 2024
Background: The American Board of Internal Medicine and the Society of Hospital Medicine have identified routine laboratory testing of stable inpatients as one source of low-value care.1,2 As it is estimated that upwards of 21% of all lab tests represent inappropriate overutilization,3 reducing unnecessary testing could have a significant impact on cost saving, limiting waste, […]
Abstract Number: 278
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Vascular access devices (VADs) play an integral role in the treatment of patients, since they can be utilized for the administration of intravenous medications (including antibiotics and chemotherapy), and often on a long term basis. A peripherally inserted central catheter (PICC) is a type of VAD, which is frequently utilized in different populations. Once […]
Abstract Number: 283
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The practice of routinely ordering daily labs not based on clinical indication on patients in the hospital is a wasteful clinical practice. Routine daily labs can also lead to patient harm by causing pain and iatrogenic anemia, and can burden laboratory staff resulting in increased lab reporting times. Raising awareness about unnecessary lab orders […]
Abstract Number: 286
SHM Converge 2021
Background: On inpatient general medicine units, the timing of routine lab draws is not evidence-based, and common practice is for routine labs to be collected in the early morning. However, this collection time may not be optimal for patient satisfaction, nursing and physician workflow, and the overall efficiency of care. It is known that early […]
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: 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 […]