Background“Routine” daily inpatient labs are ineffective at improving patient outcomes and are associated with antibiotic overuse and delayed hospital discharge. Despite recommendations from the ABIM in the “Choosing Wisely” program, limited progress has been made in curbing inappropriate testing. In particular, admonitions from ID consultants that daily measurement of inflammatory markers is unneeded have gone largely unheeded. Since online messaging tools are helpful in areas such as medication compliance, it was hypothesized that EMR-based “click-able” hyperlinks to “Choosing Wisely” recommendations within the ID consultant daily progress note might provide a psychologically stronger “nudge” toward appropriate use.
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