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TWDFNR: Serologic H. pylori Testing

Hey team! I am writing to share a high-value care pearl this week from the Things We Do For No Reason (TWDFNR) series! For those who haven’t read before, the Journal of Hospital Medicine’s TWDFNR series was inspired by ABIM’s Choosing Wisely Campaign and highlights practices that have become common in medicine but don’t necessarily

USPSTF

The United States Preventative Service Task Force (USPSTF) is an organization focused on providing high-quality, evidence based recommendations regarding clinical preventative services. The USPSTF is a great resource that I wanted to highlight in today’s post. Each recommendation from the USPSTF receives a grade based on the below definitions. Since 2020, they have made 8

Updates to Cervical Cancer Screening

The American Cancer Society (ACS) recently released updated guideline recommendations for cervical cancer screening. Please see the highlights below! Rationale: Persistent high-risk HPV infections, predominantly HPV16 and HPV18, are responsible for nearly all cervical cancers. The goal of cervical cancer screening is to detect and treat precancerous lesions and early stage invasive cancer. A growing

Changes to troponin assay: from Troponin-I to High Sensitivity Troponin

Our troponin assay recently changed from Troponin-I (TnI) to High Sensitivity Troponin-I (hs-TnI). The new assay is approximately 4.5x more sensitive to the presence of Troponin in blood samples than the previous assay.  See below for the hs-TnI algorithm and critical value levels. NM High Sensitivity Troponin Algorithm How do the new hsTroponin values compare

Changes to Telemetry Order

The telemetry order now features time limits on telemetry duration depending on indication in an effort to reduce telemetry utilization once clinical status changes. Check out the expiration times for each indication below!  

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