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.

Journal of Hospital Medicine
|September 19, 2019
PubMed

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.

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