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At Thomas Jefferson University Hospital (TJUH), there has been a perceived necessity among housestaff and fellows to routinely check and replete serum potassium and magnesium for inpatients prior to endoscopic procedures In addition, there was an unwritten policy that these electrolytes needed to be aggressively repleted, with a goal potassium above 4.0 and magnesium above 2.0 Contributing factors include absence of clear policy, fear of adverse outcomes during procedures, and fear of delay of procedures leading to increased hospital stay This practice has led to unwarranted lab draws, costs of lab tests and electrolyte riders, and possible delayed procedures
- Clarify policies regarding electrolyte repletion
- Determine frequency of inappropriate electrolyte checking and repletion Determine monetary cost of this action
- Decrease frequency of inappropriate electrolyte lab check and repletion
Inappropriate electrolyte repletion for patients undergoing endoscopic procedures
Medicine and Health Sciences
Altman, MD, Daniel; Dawson, MD, Solomon R.; Kwak, MD, Kevin; Johnson, MD, Drew; Mehdi, MD, Harshal; and Mulholland, MD, Christie, "Inappropriate electrolyte repletion for patients undergoing endoscopic procedures" (2017). House Staff Quality Improvement and Patient Safety Conference (2016-2019). Poster 35.