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...
View ArticleSUSTAINING 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...
View ArticleTHE 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...
View ArticleDAILY 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...
View ArticleDESIGN 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...
View ArticleSUPINE-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...
View ArticleREDUCING 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...
View ArticleVALUE 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...
View ArticleCHEST 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...
View ArticleUTILIZING 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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