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10.12788/jhm.2846 http://scihub22266oqcxt.onion/10.12788/jhm.2846 C5895078!5895078 !29236093     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29236093 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       J+Hosp+Med 2017 ; 12 (12 ): 957-962 Nephropedia Template TP {{tp|p=29236093 |t=2017. Trends in Troponin-Only Testing for AMI in Academic Teaching Hospitals and the Impact of Choosing WiselyŽ |pdf=|usr=}}{{29236093 }} gab.com Text Trends in Troponin-Only Testing for AMI in Academic Teaching Hospitals and the Impact of Choosing WiselyŽ JO: J Hosp Med http://www.kidney.de/pget.php?&tw=1&pmid=29236093 #FOAvip BACKGROUND: Identifying hospitals that are both early and consistent adopters of high-value care can help shed light on the culture and practices at those institutions that are necessary to promote high-value care nationwide. The use of troponin to diagnose acute myocardial infarction (AMI), and not to test for myoglobin or creatine kinase-MB (CK-MB), is a high-value recommendation of the Choosing WiselyŽ campaign. OBJECTIVE: To examine the variation in cardiac biomarker testing and the effect of the Choosing WiselyŽ troponin-only recommendation for the diagnosis of AMI. DESIGN: A retrospective observational study using administrative ordering data from Vizient's Clinical Database/Resource Manager. SETTING: Ninety-one academic medical centers from the fourth quarter of 2013 through the third quarter of 2016. PATIENTS: Hospitalized patients with a principal discharge diagnosis of AMI. INTERVENTION: The Choosing WiselyŽ recommendation to order troponin-only testing to diagnose AMI was released during the first quarter of 2015. RESULTS: In 19 hospitals, troponin-only testing was consistently ordered to diagnose AMI before the Choosing WiselyŽ recommendation and throughout the study period. In 34 hospitals, both troponin and myoglobin/CK-MB were ordered to diagnose AMI even after the Choosing WiselyŽ recommendation. In 26 hospitals with low rates of troponin-only testing before the Choosing WiselyŽ recommendation, the release of the recommendation was associated with a statistically significant increase in the rate of troponin-only testing to diagnose AMI. CONCLUSIONS: In institutions with low rates of troponin-only testing prior to the Choosing WiselyŽ recommendation, the recommendation was associated with a significant increase in the rate of troponin-only testing. Twit Text FOAVip Trends in Troponin-Only Testing for AMI in Academic Teaching Hospitals and the Impact of Choosing WiselyŽ ????J Hosp Med http://www.kidney.de/pget.php?&tw=1&pmid=29236093 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29236093 #FOAvip English Wikipedia <ref>{{Cite pmid|29236093 }}</ref> Trends in Troponin-Only Testing for AMI in Academic Teaching Hospitals and the Impact of Choosing WiselyŽ #MMPMID29236093 Prochaska MT ; Hohmann SF ; Modes M ; Arora VM J Hosp Med 2017[Dec]; 12 (12 ): 957-962 PMID29236093 show ga BACKGROUND: Identifying hospitals that are both early and consistent adopters of high-value care can help shed light on the culture and practices at those institutions that are necessary to promote high-value care nationwide. The use of troponin to diagnose acute myocardial infarction (AMI), and not to test for myoglobin or creatine kinase-MB (CK-MB), is a high-value recommendation of the Choosing WiselyŽ campaign. OBJECTIVE: To examine the variation in cardiac biomarker testing and the effect of the Choosing WiselyŽ troponin-only recommendation for the diagnosis of AMI. DESIGN: A retrospective observational study using administrative ordering data from Vizient's Clinical Database/Resource Manager. SETTING: Ninety-one academic medical centers from the fourth quarter of 2013 through the third quarter of 2016. PATIENTS: Hospitalized patients with a principal discharge diagnosis of AMI. INTERVENTION: The Choosing WiselyŽ recommendation to order troponin-only testing to diagnose AMI was released during the first quarter of 2015. RESULTS: In 19 hospitals, troponin-only testing was consistently ordered to diagnose AMI before the Choosing WiselyŽ recommendation and throughout the study period. In 34 hospitals, both troponin and myoglobin/CK-MB were ordered to diagnose AMI even after the Choosing WiselyŽ recommendation. In 26 hospitals with low rates of troponin-only testing before the Choosing WiselyŽ recommendation, the release of the recommendation was associated with a statistically significant increase in the rate of troponin-only testing to diagnose AMI. CONCLUSIONS: In institutions with low rates of troponin-only testing prior to the Choosing WiselyŽ recommendation, the recommendation was associated with a significant increase in the rate of troponin-only testing. |Biomarkers/blood/metabolism [MESH] |Guideline Adherence [MESH] |Hospitals, Teaching/statistics & numerical data/*trends [MESH] |Humans [MESH] |Myocardial Infarction/*diagnosis [MESH] |Quality Indicators, Health Care [MESH] |Retrospective Studies [MESH] |Time Factors [MESH]Trends in Troponin-Only Testing for AMI in Academic Teaching Hospitals(epmc).pdf DeepDyve Pubget Overpricing