Search Results - "Talledo, Joseph"
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SEE the DIFFerence: Reducing unnecessary C. difficile orders through clinical decision support in a large, urban safety-net system
Published in American journal of infection control (01-07-2023)“…•Of 3%-26% of inpatients are colonized with Clostridioides difficile (C. difficile), which contributes to false positive tests.•It is not recommended to test…”
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Reducing Overuse of 3-Day Repeat Type and Screen Testing across an 11-Hospital Safety Net System
Published in Journal of general internal medicine : JGIM (2024)“…Background According to the American Association of Blood Banks, a Type and Screen (T&S) is valid for up to three calendar days. Beyond a limited number of…”
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Free the T3: Implementation of Best Practice Advisory to Reduce Unnecessary Orders
Published in The American journal of medicine (01-12-2022)Get full text
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Diarrhea don’ts: Reducing inappropriate stool cultures and ova and parasite testing for nosocomial diarrhea
Published in American journal of infection control (01-10-2023)“…•Aimed to reduce inappropriate stool testing across a large safety net hospital system.•Implemented a best practice advisory within the electronic medical…”
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Using a Built-in Clinical Decision Support to Improve Phosphate Repletion Practice: A Quasi-Experimental Study
Published in Joint Commission journal on quality and patient safety (01-11-2024)“…Inpatient serum phosphate replacement is common, but there is great variability in replacement practice, which leads to overuse. Electronic health record (EHR)…”
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A Systemwide Strategy to Embed Equity into Patient Safety Event Analysis
Published in Joint Commission journal on quality and patient safety (01-08-2024)“…There is a lack of framework to incorporate equity into event analysis. This quality improvement initiative involved the development of equity tools that were…”
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Reduction of Intravenous Antihypertensives through Clinical Decision Support in a Large Safety Net System
Published in Joint Commission journal on quality and patient safety (01-06-2023)“…Asymptomatic severe hypertension (also known as hypertensive urgency) is frequently encountered in the hospital. Previous evidence suggests that management…”
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Choosing Wisely and reducing the simultaneous ordering of erythrocyte sedimentation rate and C-reactive protein testing in a large safety net system
Published in American journal of clinical pathology (01-12-2023)“…C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are commonly used inflammatory markers. C-reactive protein is more sensitive and specific for…”
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Initiative to reduce unnecessary routine daily testing of complete blood counts across 11 safety net hospitals
Published in American journal of clinical pathology (03-04-2024)“…Abstract Objectives National societies recommend against performing routine daily laboratory testing without a specific indication. Unnecessary testing can…”
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Reducing daily dosing in opioid prescriptions in 11 safety net emergency departments
Published in The American journal of emergency medicine (01-09-2023)“…The United States continues to face a significant issue with opioid misuse, overprescribing, dependency, and overdose. Electronic health record (EHR)…”
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Reducing low-value ED coags across 11 hospitals in a safety net setting
Published in The American journal of emergency medicine (01-11-2023)“…Prothrombin/international normalized ratio and activated partial thromboplastin time (PT/INR and aPTT) are frequently ordered in emergency departments (EDs),…”
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Choosing wisely initiative for reducing urine cultures for asymptomatic bacteriuria and catheter-associated asymptomatic bacteriuria in an 11-hospital safety net system
Published in American journal of infection control (01-04-2023)“…•Two electronic health record interventions successfully reduced urine cultures by more than 20% in a large safety net system: a mandatory indication on urine…”
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Reducing 25-Hydroxyvitamin D Testing in a Large, Urban Safety Net System
Published in Journal of general internal medicine : JGIM (01-08-2023)“…Background 25-Hydroxyvitamin D testing is increasing despite national guidelines and Choosing Wisely recommendations against routine screening. Overuse can…”
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Reducing Inappropriate Simultaneous Ordering of Heparin Antibody and Serotonin Release Assays
Published in Joint Commission journal on quality and patient safety (01-06-2023)“…A 4T score with intermediate or high probability of heparin-induced thrombocytopenia prompts ordering of anti-platelet 4 heparin complex. If positive, a…”
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Reducing duplicate genetic testing in inpatient and outpatient settings across a large safety-net system
Published in American journal of clinical pathology (01-09-2023)“…Abstract Objectives To develop a system-wide electronic health record (EHR) intervention at a large safety-net hospital system to reduce wasteful duplicate…”
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Imaging Wisely Campaign: Initiative to Reduce Imaging for Low Back Pain Across a Large Safety Net System
Published in Journal of the American College of Radiology (01-01-2024)“…Low back pain is a common clinical presentation that often results in expensive and unnecessary imaging that may lead to undue patient harm, including…”
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Nudging to select single-lumen over multiple-lumen peripherally inserted central catheters (PICCs) in a large safety net system
Published in Infection control and hospital epidemiology (01-09-2023)“…Peripherally inserted central catheters (PICCs) are increasingly used for vascular access in inpatient settings. Compared to multilumen PICCs, single-lumen…”
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Reducing unnecessary routine laboratory testing for noncritically ill patients with COVID-19
Published in Journal of hospital medicine (01-12-2022)“…Reducing unnecessary routine laboratory testing is a Choosing Wisely® recommendation, and new areas of overuse were noted during the COVID-19 pandemic. To…”
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Choosing Wisely and Promoting High-Value Care and Staff Safety During the COVID-19 Pandemic in a Large Safety Net System
Published in Quality management in health care (01-04-2024)“…As the COVID-19 pandemic brought surges of hospitalized patients, it was important to focus on reducing overuse of tests and procedures to not only reduce…”
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