%0 Journal Article
%T Bedside Assessment of the Necessity of Daily Lab Testing for Patients Nearing Discharge
%A Colin Iberti
%A MD
%A Hyung J. Cho
%A MD
%A Jashvant Poeran
%A MD
%A PhD
%A Michelle O¡¯Connor
%A Surafel Tsega
%A MD
%J Journal of Hospital Medicine
%D 2018
%R 10.12788/jhm.2869
%X 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 < 0.05). Our structured, multifaceted approach effectively reduced daily lab testing in the 24 to 48 hours prior to discharge
%U https://www.journalofhospitalmedicine.com/jhospmed/article/149337/hospital-medicine/bedside-assessment-necessity-daily-lab-testing-patients