Session Type
Meeting
Search Results for Phlebotomy
Abstract Number: 17
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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 care (American Academy of Nursing) and to avoid routine labs for stable patients (Society of Hospital Medicine). The purpose of […]
Abstract Number: 161
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sleep is generally poor in hospitalized patients and sleep deprivation has many harmful effects, including delirium, insulin resistance, hypertension, and impaired function of the immune system. In this quality improvement (QI) project, our goal was to delay early morning phlebotomy blood collections to improve sleep for our patients, while not negatively impacting hospitalists’ perception […]
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: 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: 360
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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 and increased hospital costs. Process improvement techniques have been utilized to reduce inpatient phlebotomy, but prospectively identifying a cohort of […]
Abstract Number: 373
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The ABIM’s Choosing Wisely campaign targets daily phlebotomy in medical inpatients as an area of potential wasteful care. Unnecessary phlebotomy increases labor and costs while negatively impacting patient’s through hospital-acquired anemia, intravenous access issues, and false-positive results. While previous interventions have attempted to reduce overall labs ordered, few studies have examined educational attempts to reduce unnecessary lab […]