Bedside assessment of the necessity of daily lab testing for patients nearing discharge

Surafel Tsega, Michelle O’Connor, Jashvant Poeran, Colin Iberti, Hyung J. Cho

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

As part of the Choosing Wisely® campaign, the Society of Hospital Medicine recommends against performing “repetitive complete blood count chemistry testing in the face of clinical and lab stability.” With this recommendation as a framework, we targeted 2 hospitalist-run inpatient medicine units that employed bedside, scripted, interdisciplinary rounds. Our multifaceted intervention included prompting the hospitalist to identify clinically stable patients for next-day discharge and to discontinue labs when appropriate. It was coupled with the education of the clinicians and a regular data review for the hospitalists and unit staff. Among 2877 discharges included in a 1-year period, there was a significantly decreasing trend after the intervention in the percentage of patients getting labs in the 24, 48, and 72 hours before discharge (−1.87%, −1.47%, and −0.74% decrease per month, respectively; P <.05). Our structured, multifaceted approach effectively reduced daily lab testing in the 24 to 48 hours prior to discharge.

Original languageEnglish
Pages (from-to)38-40
Number of pages3
JournalJournal of Hospital Medicine
Volume13
Issue number1
DOIs
StatePublished - Jan 2018

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