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Search Results for Testing
Abstract Number: 196
SHM Converge 2021
Background: The ordering of unnecessary daily labs affects the safety of patients through hospital-acquired anemia, patient discomfort, and unnecessary downstream testing. This results in both additional financial and labor costs burdening the health system. As such, establishing effective interventions is warranted with necessary analysis of site-specific lab-ordering culture. We seek to perform this analysis to […]
Abstract Number: 200
SHM Converge 2023
Background: Asymptomatic bacteriuria (ASB), or bacterial growth on urine culture without localizing urinary symptoms, is common in hospitalized patients.1,2 ASB is often misdiagnosed as urinary tract infection (UTI) and treated with antibiotics3 despite no improvement in mortality1 and multiple harms associated with antibiotic overuse.4,5 To reduce treatment of ASB, many hospitals set urinalysis parameters (e.g. […]
Abstract Number: 212
SHM Converge 2021
Background: Low-value care in the form of overuse of inpatient diagnostic testing is an important driver of high healthcare costs. Financial incentives are known to impact physician behavior and may be a driver of inpatient diagnostic overuse. However, the association between hospital payer mix (which likely impacts the financial incentives for ordering diagnostic tests) and […]
Abstract Number: 236
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Centers for Disease Control and Prevention (CDC) estimates over 1.2 million Americans are living with HIV (human immunodeficiency virus). Of those, approximately 14% are unaware of their HIV-positive status. In 2014, most hospitals adopted some form of Electronic Health Records (EHR) and one year later, the Centers for Medicare & Medicaid Services extended […]
Abstract Number: 237
SHM Converge 2024
Background: Helicobacter pylori (HP) infection is one of the most prevalent chronic bacterial infections, infecting more than half of the global population. The sensitivity of HP diagnostic tests decreases with the use of antibiotics and/or antisecretory drugs. Given the increasing rates of macrolide resistance worldwide, comprehensive testing for HP eradication is imperative. In this quality […]
Abstract Number: 237
SHM Converge 2023
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 […]
Abstract Number: 247
Hospital Medicine 2020, Virtual Competition
Background: Computed tomography (CT) can provide critical information for diagnosis and is a prevalent and easy-to-use imaging test, but overtesting becomes a big problem. The previous report showed 30-40% of abdominal CT scans were medically unnecessary. Therefore, head CT is a research topic in overtesting, and clinical predictive scores have been developed to avoid overtesting […]
Abstract Number: 252
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hip fracture is a common reason for urgent inpatient surgery. In the last few years, several professional societies have identified preoperative echocardiography and stress testing for non-cardiac surgeries as low-value diagnostics. Delaying hip fracture surgery beyond 48 hours leads to worse outcomes. We sought to describe the prevalence of preoperative cardiac testing for inpatient […]
Abstract Number: 283
SHM Converge 2023
Background: Over-testing leads to inflated direct and indirect costs of care. Re-ordering tests prior to a given recommended interval, whether secondary to a lack of awareness of information in the patient’s chart or a lack of knowledge of the given recommended interval, most often increases costs without benefiting patients. Best Practice Advisory (BPA) pop-ups and […]
Abstract Number: 283
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Previous studies have determined that a small subset (~10%) of the results of tests pending at discharge (TPADs) require action. Challenges for hospitalists in dealing with actionable TPADs include identifying TPADs that are truly actionable and ensuring appropriate follow-up. Little is known about the factors that predict whether a TPAD is actionable. The goal […]