Grateful to Joint Commission Journal for the opportunity to write this editorial review of an excellent #QI initiative by Mona Krouss MD et al. In my commentary, I discuss the need for global culture change around severe asymptomatic HTN. linkinghub.elsevier.com/retrieve/pii/S… OHSU News @OHSU_DHM Society of Hospital Medicine

These authors developed a successful student-led model for #highvaluecare implementation at one health system using junior hospitalist as faculty. #MedEd link.springer.com/article/10.100…

#jointcommissionjournal ⬇️inappropriate simulataneous ordering of heparin Ab & serotonin release assay #QItwitter #patientsafety #diagnosticstewardship doi.org/10.1016/j.jcjq… Mona Krouss MD Dr. Tsega Da Wi Shin Sigal Israilov, MD Peter Alarcon Manchego MD Joseph Talledo Komal Chandra, PhD Daniel Alaiev

Vitamin D testing is indicated in a handful of clinical scenarios. A simple EHR intervention reduced inpatient and outpatient testing by 45% Harry (Hyung Jin) Cho, MD JGIM Journal of General Internal Medicine Dr. Tsega Komal Chandra, PhD Peter Alarcon Manchego MD #valueandsafety #highvaluecare #overuse link.springer.com/epdf/10.1007/s…

Intervention successful in decreasing routine vitamin D testing acpinternist.org/weekly/archive…

This initiative successfully reduced 25-hydroxyvitamin D testing through the use of mandatory appropriate indications and a best practice advisory focusing on a unique area of overuse: the repeat testing within a 3-month interval. #vitaminD #choosingwisely link.springer.com/article/10.100…

Cozy community of >30 Mount Sinai Department of Medicine senior hospitalists together yesterday for Mentor Development session. Discussed mentoring best practices and exciting current projects. Thanks to @KroussMD Mona Krouss for great guest talk on translating QI to scholarship! Icahn School of Medicine at Mount Sinai

Repeating genetic testing is a #lowvalue practice. See how we reduced repeat testing by 96% in 11 hospitals and 70 ambulatory clinics! #valueandsafety Peter Alarcon Manchego MD Harry (Hyung Jin) Cho, MD S. Tsega NYC Health + Hospitals pubmed.ncbi.nlm.nih.gov/37202882/

You can help free up nursing time by converting IV antibiotics to PO. Save 1 hr by changing an IV q8h antibiotic to PO! Consider a point prevalence analysis at your hospital to see how much time could be saved if 10% of courses were changed to PO! #ISAS23 Jason Pogue #IDTwitter

In our research we found that women were told they were too young to lead, too old to lead...and middle age wasn't quite right either. As it turns out no age is the right age to be a woman leader. See my latest Harvard Business Review article for solutions. hbr.org/2023/06/women-…

See how a simple default intervention decreased opioid rx > 50 mmed by 96% across 11 EDs NYC Health + Hospitals sciencedirect.com/science/articl… Harry (Hyung Jin) Cho, MD Da Wi Shin Dr. Tsega Komal Chandra, PhD Milana Zaurova MD

Type & Screens are often repeated earlier than the recommended 3 days. See how we at NYC Health + Hospitals reduced unnecessary T&S by nearly 50% across 11 safety net hospitals Dr. Tsega Harry (Hyung Jin) Cho, MD Komal Chandra, PhD link.springer.com/epdf/10.1007/s…

Roadmap to reduce dangerous and wasteful IV anti-BP meds for patients w/o symptoms, in Joint Comm J on Quality & Pt Safety, by Mount Sinai Department of Medicine NYC HHS Mona Krouss MD. Reduced IV meds by 38% in ED and 13% on wards with simple EMR nudges. sciencedirect.com/science/articl…

Calling all residents! The application period for the NYC Health + Hospitals Clinical Leadership Fellowship is open! We’re training the next gen of physician leaders in quality, pop health & health care administration. bit.ly/2Wi3piV #medtwitter #residenttwitter

Reducing inappropriate C. difficile testing is crucial to avoid false positives and unnecessary treatment. Quality improvement initiative successfully decreased testing rates by 27.3% using electronic health record interventions. Read more ajicjournal.org/article/S0196-… APIC

Repeating unnecessary Type and Screen testing is a #lowvalue practice. See how we reduced repeat testing by nearly 50% in 11 hospitals! #valueandsafety NYC Health + Hospitals Mona Krouss MD rdcu.be/di1Ng

How can you be intentional about incorporating equity into every step of event analysis? Excited to share the work of our team at NYC Health + Hospitals to Embed Equity in Patient Safety with a Institute for Healthcare Improvement (IHI) Blog! Mona Krouss MD Komal Bajaj MD, MS-HPEd #healthequity #patientsafety ihi.org/communities/bl…

Adverse event analysis is crucial but incomplete without an equity lens. We know bias & #inequities contribute to #patientsafety events & ignoring that fact means high-quality care will be forever out of reach. The good news: There are efforts underway to tackle this 👇 (1/2)

Recent publication in The BMJ on the role of clinicians in tackling climate change highlights how reducing low-value care can also lower the environmental footprint of health care: bmj.com/content/382/bm…

What impact does education have on inpatient use of oral diabetes medications in a public hospital? #hospitalmed 🔗: …mpublications.onlinelibrary.wiley.com/doi/10.1002/jh… ✍️: Samantha Sanders, Harry (Hyung Jin) Cho, MD, Ian Fagan, Brianna Knoll, MD, MBA, Michael S. Shen, MD, Daniel Alaiev, Mona Krouss MD, Dr. Tsega, NYC Health + Hospitals/Bellevue