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Channel: High Value Care – SHM Abstracts
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DISMANTLING A BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING PHYSICIAN

Background: Unnecessary laboratory orders are a well-known contributor to healthcare cost. Our residents identified “fear of attending” as a barrier to more mindful lab ordering. This project focused...

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SUSTAINING MINDFUL LABORATORY ORDERING PRACTICES: A CULTURE CHANGE

Background: The United States is in the midst of a health quality crisis; for this to resolve, we must transform to a high-value, low-cost healthcare culture. To achieve such a culture, trainees must...

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THE TRICKLE DOWN EFFECT: NON-COVERED HOSPITALIST TEAMS LAB ORDERING CULTURAL...

Background: A previous project targeting Medicine residents’ high-value care practices prompted evaluation of the non-resident hospitalist teams ordering practices. Would exposure to residents...

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DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO...

Background: The Society of Hospital Medicine identified questioning the necessity of repeat labs in stable patients as a Choosing Wisely goal to improve overall value of care. Implications of...

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DESIGN AND IMPLEMENTATION OF A HOUSESTAFF COUNCIL ON VALUE AND INNOVATION

Background: Delivering HVC is a core component of hospitalist practice, and equipping residents with skills and experience to lead HVC initiatives is a priority for training institutions and for...

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SUPINE-RELATED ANEMIA IN HOSPITALIZED PATIENTS

Background: Hemoglobin and hematocrit, routinely measured in hospitalized patients, are likely affected by shifts in plasma volume related to posture. This could have important ramifications on...

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REDUCING UNNECESSARY CHEST X-RAYS IN THE MEDICAL INTENSIVE CARE UNIT

Background: Chest radiographs (CXRs) aid in the evaluation of clinical status and assess the placement of new lines and tubes in patients in the Medical Intensive Care Unit (MICU). Despite studies...

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VALUE IN TRAINING: AN INTERPROFESSIONAL TRAIN THE TRAINER CURRICULUM ON HIGH...

Background: Regardless of specialty or discipline, healthcare professionals are tasked with addressing high value care (HVC). It is therefore crucial that hospitalists and other members of the...

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CHEST PAIN AFTER PHYSICAL ASSAULT: AN UNEXPECTED BLESSING

Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile...

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UTILIZING HIGH VALUE CARE – REDUCING INPATIENT PHLEBOTOMY WITH USE OF THE...

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...

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