Search results for "High-value care"
SHM selected new Choosing Wisely recommendations with patient input
The latest advice from the Society of Hospital Medicine (SHM) on avoiding low-value care includes recommendations against waking patients at night for routine care and against routinely prescribing venous thromboembolism prophylaxis to all inpatients.
https://acphospitalist.acponline.org/archives/2022/06/15/free/shm-selected-new-choosing-wisely-recommendations-with-patient-input.htm
15 Jun 2022
Having more hospitalists linked to better care value
Hospitals that employed more hospitalists had better scores in the CMS Hospital Inpatient Value-Based Purchasing Program overall and in the Patient Experience and Efficiency domains, a cross-sectional study found.
https://acphospitalist.acponline.org/archives/2022/06/29/having-more-hospitalists-linked-to-better-care-value.htm
29 Jun 2022
Study finds no diagnostic benefit from head CT in common psychiatric presentations
In 369 patients in ED and inpatient settings, the diagnostic yield of head CT examinations was 0.00% for indications of suicidal ideation, homicidal ideation, hallucinations, delusions, paranoia, catatonia, and/or psychosis.
https://acphospitalist.acponline.org/archives/2022/06/29/study-finds-no-diagnostic-benefit-from-head-ct-in-common-psychiatric-presentations.htm
29 Jun 2022
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
Alert decreased coagulation test orders during lab tube shortage, single-center study finds
A best practice advisory delivered through the electronic medical record during a national shortage of laboratory tubes was associated with an immediate decrease in orders for prothrombin time, international normalized ratio, and partial thromboplastin time.
https://acphospitalist.acponline.org/archives/2022/07/27/free/alert-decreased-coagulation-test-orders-during-lab-tube-shortage-single-center-study-finds.htm
27 Jul 2022
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
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
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
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
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