Search results for "High-Value Care"
Nudging physicians not to test
A high-value care project reduced unnecessary testing without adding a single click.
https://acphospitalist.acponline.org/archives/2023/10/18/nudging-physicians-not-to-test.htm
18 Oct 2023
Use of preoperative cardiac testing varies problematically, can be changed, review finds
Patients who were older or had more comorbidities were more likely to get preoperative cardiac testing, but so were those seen by a preoperative clinic or a cardiologist rather than in primary care, according to a systematic review.
https://acphospitalist.acponline.org/archives/2023/09/27/use-of-preoperative-cardiac-testing-varies-problematically-can-be-changed-review-finds.htm
27 Sep 2023
EHR-based intervention reduced repetition of blood typing and screening
The weekly average rate of duplicate blood type-and-screen tests decreased by 48.7% after a best practice advisory was added to the electronic health record (EHR) in a large health system.
https://acphospitalist.acponline.org/archives/2023/07/19/ehr-based-intervention-reduced-repetition-of-blood-typing-and-screening.htm
19 Jul 2023
Thinking about how you treat
The new field of management reasoning holds potential to improve medical education and practice, researchers say.
https://acphospitalist.acponline.org/archives/2023/06/21/thinking-about-how-you-treat.htm
21 Jun 2023
Intervention successful in decreasing routine vitamin D testing
A decision support tool that prompted clinicians about appropriate testing criteria and included a best practice advisory was associated with a 44% drop in orders for vitamin D levels and a 61% reduction in repeat testing among inpatients.
https://acphospitalist.acponline.org/archives/2023/05/10/intervention-successful-in-decreasing-routine-vitamin-d-testing.htm
10 May 2023
Intervention in safety-net system failed to reduce overuse of VTE prophylaxis
An order set and best practice advisory in the electronic health record did not significantly affect use of prophylaxis against venous thromboembolism (VTE), but did provide some useful lessons, a study of 11 New York City hospitals found.
https://acphospitalist.acponline.org/archives/2023/04/19/intervention-in-safety-net-system-failed-to-reduce-overuse-of-vte-prophylaxis.htm
19 Apr 2023
Mindful ordering project changed residents' lab testing practices
A five-phase intervention that included education, reminders, and changes to electronic heath record options to encourage internal medicine residents to think more carefully before ordering lab tests reduced overall use of labs.
https://acphospitalist.acponline.org/archives/2023/04/05/mindful-ordering-project-changed-residents-lab-testing-practices.htm
5 Apr 2023
Slashing superfluous labs
Experts offer their advice on getting over your love of daily labs to help patients and reduce costs.
https://acphospitalist.acponline.org/archives/2023/02/01/free/slashing-superfluous-labs.htm
1 Feb 2023
Most daily blood draws were collected during traditional sleep hours
At one U.S. teaching hospital, about 39% of blood draws for adult patients were collected between 4 and 6:59 a.m. from November 2016 through October 2019, although the timing shifted to slightly later during that period.
https://acphospitalist.acponline.org/archives/2023/01/25/free/most-daily-blood-draws-were-collected-during-traditional-sleep-hours.htm
25 Jan 2023
Procalcitonin algorithm reduced antibiotic use in patients with acute pancreatitis
A randomized trial assigned some patients to a treatment strategy of starting, stopping, or continuing antibiotics based on whether their procalcitonin test value was more or less than 1.0 ng/mL.
https://acphospitalist.acponline.org/archives/2022/07/27/procalcitonin-algorithm-reduced-antibiotic-use-in-patients-with-acute-pancreatitis.htm
27 Jul 2022