Reducing Daily Lab Draw Volume: An SHM Choosing Wisely Quality Improvement Implementation Module

Justin Glasgow, MD, PhD

Overview

This module will review current knowledge regarding the utilization of routine and daily laboratory evaluation for hospitalized patients in the context of the Choosing Wisely campaign recommendation to not to perform repetitive complete blood count (CBC) and chemistry testing in the face of clinical and lab stability. The module will then walk through the “QI roadmap” briefly discussing how an institution can evaluate their local practice and improve performance in line with the Choosing Wisely recommendation. This module will review the relevant steps, but does assume that the audience is familiar with the content of the “Planning and Executing Quality Improvement Projects” QI CME module through SHM.


Objectives
  1. Recognize the risks and harms associated with laboratory testing in the inpatient setting
  2. Understand how the “QI roadmap” can support your effort to adapt best practice to your health system
  3. Review a successful QI case study of how to decrease unnecessary lab testing
Key Points
  • Statistically 5% of lab results will represent a false positive potentially:
    • Extending length of stay
    • Initiating a testing cascade
    • Increasing costs
    • Driving iatrogenic anemia
  • Successful QI interventions can reduce unnecessary lab testing and improve patient and system outcomes
Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement Designation

The Society of Hospital Medicine designates this activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release date: September XX, 2020 & expiration date: September XX, 2023
Estimated time to complete: 1 hour

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

Additional Information

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Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Non-physician
Course opens: 
07/03/2019
Course expires: 
07/03/2022
Your cost:
$0.00
Rating: 
0

Justin Glasgow, MD, PHD

Dr. Glasgow reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Additional planners and faculty for this activity have no relevant relationships to disclose.

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement Designation

The Society of Hospital Medicine designates this activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Non-physician

Price

Your cost:
$0.00
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The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections, and all sections must be completed to receive CME credit.

Click START to begin.