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Things We Do For No Reason™: Routine Blood Culture Acquisition for Children Hospitalized with Community-Acquired
David P Johnson1, Vivian Lee2, Anand Gourishankar3
1Department of Pediatrics, Division of Hospital Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Insights
The "Things We Do for No Reason™" (TWDFNR) series examines common hospital practices that offer minimal patient value. These reviews aim to spark discussion and research into unnecessary medical interventions.
Area of Science:
- Medical Practice Evaluation
- Healthcare Value Analysis
Background:
- The Choosing Wisely® campaign identifies low-value medical practices.
- Many common hospital procedures may not benefit patients.
- There is a need to critically assess routine medical care.
Purpose of the Study:
- To review common hospital practices that may be unnecessary.
- To initiate dialogue about reducing low-value care.
- To encourage evidence-based discussions in hospital medicine.
Main Methods:
- Review of common hospital care practices.
- Identification of interventions with questionable patient benefit.
- Literature synthesis and expert opinion compilation.
Main Results:
- Identified several common hospital interventions lacking clear patient benefit.
- Highlighted practices that warrant further investigation and discussion.
- Provided a foundation for evidence-based practice changes.
Conclusions:
- Certain routine hospital practices may be unnecessary.
- Further research and open discussion are needed to optimize patient care.
- Reducing low-value care can improve healthcare efficiency and patient outcomes.
Abstract:
Inspired by the ABIM Foundation's Choosing Wisely® campaign, the "Things We Do for No Reason™" (TWDFNR) series reviews practices that have become common parts of hospital care but may provide little value to our patients. Practices reviewed in the TWDFNR series do not represent "black and white" conclusions or clinical practice standards but are meant as a starting place for research and active discussions among hospitalists and patients. We invite you to be part of that discussion.
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