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Search Results for Testing
Abstract Number: 351
SHM Converge 2023
Background: Mass General Brigham’s Faulkner hospital (BWFH) is a 171 bed community hospital closely affiliated with Brigham and Women’s hospital (BWH), which is located 2.5 miles away. Patient care at BWFH is supported by robust access to consultation and advanced testing from subspecialists located at BWH. To access some advanced diagnostic testing and procedures, patients […]
Abstract Number: 362
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Procalcitonin (PCT) is a biomarker that correlates with the presence of bacterial infection in certain clinical scenarios; it has increasingly accepted indications for antibiotic stewardship. Most sources suggest that antibiotics should be considered for patients with suspected infection and PCT values ≥ 0.25-0.5 ng/ml; conversely, clinicians should consider withholding antibiotics for patients with PCT […]
Abstract Number: 369
Hospital Medicine 2020, Virtual Competition
Background: Developing contextualized curricula in diagnostic reasoning and clinical decision-making is crucial to improve medical education (1,2). Barriers to transition from classroom-based to workplace curricula include workflow constraints, the absence of standardized tools to assess clinical reasoning, the complexity of decision making, and outdated teaching methods (3,5). Aimed to bridge these gaps, we developed the […]
Abstract Number: 390
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Avoiding repeated complete blood count (CBC) tests in the face of clinical and lab stability is a focus of the Choosing Wisely initiatives endorsed by the Society of Hospital Medicine. The goal of this study was to identify situations in which routine CBC testing can be avoided. Methods: This was a retrospective study of […]
Abstract Number: 406
SHM Converge 2024
Background: Urine culture testing should primarily be reserved for patients with clinical symptoms or other limited indications. Unfortunately, many admitted patients undergo unnecessary urine culture testing, leading to overdiagnosis and overtreatment of asymptomatic bacteriuria (ASB). Unnecessary antibiotic treatment for ASB does not improve outcomes and exposes patients to side effects. The negative implications may include […]
Abstract Number: 413
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 12-year-old female presented to the ER with a 1-week history of painful swelling of her right upper back not alleviated by NSAIDs or warm packs. She denied a history of recent trauma or fever. She has a history of surgical removal of a cranial myofibroma at 5 months of age and persistent […]
Abstract Number: 418
SHM Converge 2023
Background: Nearly 80% of adults will experience non-specific low back pain at some point in their life.(1) In the absence of concerning features such as saddle anesthesia, imaging studies are not indicated and can lead to a downstream cascade of services which can result in undue physical, emotional, and financial harm to the patient.(2-6) As […]
Abstract Number: 419
SHM Converge 2024
Background: Rural healthcare in both the US and Brazil faces critical challenges in diagnostic services accessibility and efficiency. The Decentralized Integrated Laboratory System (DILS), an evolved form of Point of Care Testing (POCT) technology, aims to overcome these obstacles by enhancing diagnostic processes and patient care in rural settings of both countries. Building on successful […]
Abstract Number: 440
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In the US, thyroid stimulating hormone (TSH) is the 4th most commonly ordered laboratory test with thyroxine measurement being the 10th commonest. In 2016, Medicare alone spent $482 million on 21.5 million performed TSH tests and $12.28 million on 7.1 million performed thyroxine measurement tests. The objectives of this study were to analyze (a) […]
Abstract Number: 450
SHM Converge 2024
Background: Cost associated with diagnostic testing contributes greatly to the rising cost of health care in the United States (Bindraban et al, 2018). There is evidence to suggest that up to 20% of lab testing is unnecessary (Bindraban et al, 2018).Main Line Health (MLH) is a health system in suburban Philadelphia made up of four […]