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Ten Years Since the Choosing Wisely Campaign: Are We Ordering Laboratory Tests More Wisely in Our Hospitalized Patients?

Published:August 02, 2022DOI:https://doi.org/10.1016/j.jcjq.2022.08.001
      In this issue of The Joint Commission Journal on Quality and Patient Safety, John and colleagues evaluated trends in the frequency of common inpatient laboratory tests after the Choosing Wisely Campaign at a large tertiary care academic hospital.
      • John A
      • et al.
      Measuring the effectiveness of Choosing Wisely Campaign on laboratory testing for hospitalized patients.
      In this retrospective study, the authors described ordering practices of common laboratory tests (sodium, potassium, hemoglobin, creatinine, magnesium, alanine aminotransferase, white blood cells and platelet count) over a period of 10 years. They sorted the data into pre-campaign (2008–2010), early-campaign (2013–2015), and late-campaign (2016–2018) periods to determine the association of ordering practices with the Choosing Wisely Canada campaign that was initiated in 2012. The authors used multivariable analyses, adjusting for age, gender, race, diagnosis-related group weight, and length of stay. Contrary to their expectation, the authors noted that the number of laboratory tests actually increased in the late-campaign period as compared to the pre-campaign and early-campaign periods.
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