From the 2022 HVPA National Conference Jason Kirincich MD (Cleveland Clinic Foundation), Lauren Granat DO, Anirudh Yalamanchali MD, Gretchen Santana Cepero MD, Aidan Neustadtl MD, Marcus Dempster DO, Saeid Mirzai DO, Puneet Dhillon DO, Kathryn Dere MD, Brendan...
Improving Appropriateness of Diagnostic or Screening Services
Equitable Outpatient Monitoring of High Risk Medications: Disparities in Laboratory Monitoring of Isotretinoin Use by Race, Ethnicity, and Sex
From the 2022 HVPA National Conference Nancy Nkansah-Mahaney MD, PharmD, MBA (Johns Hopkins Hospital), Divya Manoharan BA, Anna Chien MD Background Moderate to severe acne is associated with significant psychosocial distress in patients. Though isotretinoin is a...
Integration of Choosing Wisely Materials in Case-Based Medical School Courses
From the 2022 HVPA National Conference Ruyan Zhang BA (University of Utah School of Medicine), Nathanael Jensen BS, Lauren Donovan BS, Terrell Blei BA, Ryan Murphy MD Background Nearly $1 trillion is wasted annually in U.S. healthcare expenditures and clinical...
Improving Appropriateness of Vitamin D Screening and Re-testing in Inpatient and Outpatient Settings at a Large Urban Safety Net System
From the 2022 HVPA National Conference Nessreen Mestari MPA (NYC Health + Hospitals), Daniel Alaiev BBA, Da Wi Shin BE, Mona Krouss MD, Hyung Cho MD, Joseph Talledo MS, Sigal Israilov MD Background Testing for 25-hydroxyvitamin D deficiency has spiked in recent years...
On HIT: Encouraging Clinically Responsible Heparin-induced Thrombocytopenia testing
From the 2022 HVPA National Conference Joseph Talledo MS (NYC Health + Hospitals), Da Wi Shin BE, Mona Krouss MD, Hyung Cho MD, Nessreen Mestari MPA, Daniel Alaiev BBA, Sigal Israilov MD Background Use of heparin may result in Heparin-induced Thrombocytopenia (HIT),...
Multicenter Evaluation of Targeted Electronic Health Record Telemetry Decision Support Tools on Alarm Burden and Telemetry Duration
From the 2022 HVPA National Conference Trent Johnson MS, MD (Johns Hopkins Hospital), Niloo Latifi MD, Amy Knight MD, Trushar Dungarani DO, Sammy Zakari MD, Amit Pahwa MD Background Inpatient telemetry detects dysrhythmias. However, there is a low incidence of...
Improving Colorectal Cancer Screening in Resident Primary Care Panels Through Novel Community Outreach Methods
From the 2022 HVPA National Conference Hardik Patel (Doctor of Osteopathic Medicine Cleveland Clinic Foundation), Ian Persits (Doctor of Medicine), Osamah Badwan (Doctor of Medicine), Jacqueline Baikovitz (Doctor of Medicine), Nicole Farha (Doctor of Medicine),...
Free the T3: Implementation of Best Practice Advisory to Reduce Unnecessary Orders
From the 2022 HVPA National Conference Da Wi Shin BE (NYC Health + Hospitals), Daniel Alaiev BBA, Nessreen Mestari MPA, Joseph Talledo BS, Hyung Cho MD, Mona Krouss MD Background Thyroid function tests are commonly overused and amount to 1.6 billion dollars annually...
Implementation of decision support for the evaluation of new fever in the pediatric intensive care unit
From the 2022 HVPA National Conference Anna Sick-Samuels MD, MPH (Johns Hopkins University School of Medicine), Lauren Booth MSN, Aaron Milstone MD, MHS, Christina Schumacher PhD, Jules Bergmann MD, Lindsey Gnazzo RN, David Stockwell MD, MBA Background There is...
Taking Aim at the Shotgun Approach: Tiered vs Non-tiered Evaluation of Inpatients with Acute Liver Injury
From the 2022 HVPA National Conference Thejas Kamath MD (Department of Medicine, University of California San Diego), Shravan Dave MD, Greg Seymann MD Background Bundled, non-directed blood testing (sometimes referred to as the “shotgun approach”) is a common strategy...
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