Article: An echo to Choosing Wisely
International journal of general medicine
2018 Volume 11, Page(s) 167–174
Abstract: Background: Inspired by the US Choosing Wisely: Methods: This retrospective analysis was conducted in the Department of Internal Medicine, Uster Hospital, Canton of Zurich, Switzerland. Patients hospitalized in the 3 months before and after ... ...
| Abstract | Background: Inspired by the US Choosing Wisely Methods: This retrospective analysis was conducted in the Department of Internal Medicine, Uster Hospital, Canton of Zurich, Switzerland. Patients hospitalized in the 3 months before and after implementation were analyzed. Results: A total of 2023 hospitalizations were analyzed. There was a significant decrease in the number of blood draws after introduction of the recommendation: before implementation, the median number of blood draws per patient was 4 (interquartile range [IQR], 2-7); after implementation, the median was 4 (IQR, 2-6; Discussion: Inappropriate blood draws may lead to anemia, patient discomfort and false-positive results. The simple and low-cost interventions used to implement "Smarter Medicine" have changed physician behavior by reducing the number of blood orders. These results are promising. Whether such recommendations will impact patient and clinical outcomes remains unknown; hence, further studies are needed to clarify this issue. |
|---|---|
| Language | English |
| Publishing date | 2018-05-04 |
| Publishing country | New Zealand |
| Document type | Journal Article |
| ZDB-ID | 2452220-X |
| ISSN | 1178-7074 |
| ISSN | 1178-7074 |
| DOI | 10.2147/IJGM.S155544 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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