@TWDFNR

Highlighting Low (and No) Value Care within medicine.

journalofhospitalmedicine.com/jhospmed/choosing-wisely-things-we-do-no-reason
Joined August 2014
  • Tweets234
  • Following55
  • Followers8.4K
57Media
⚡️ “TWDFNR Tweetorials” xitter.cf/i/moments/110522791543…
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Things We Do For No Reason retweeted
Society of Hospital Medicine
@SocietyHospMed10 Oct 2019
#ICYMI: @TWDFNR 🙌 Things We Do for No Reason™: Discontinuing Buprenorphine When Treating Acute Pain w/ @JHospMedicine (@MarleneMartinMD, @trivenidef, L. Haber, MD) Check out the clinical scenario, background & what you should do instead 🤔 fal.cn/34pA4

Things We Do for No Reason™: Discontinuing Buprenorphine When Treating Acute Pain

Inspired by the ABIM Foundation's Choosing Wisely® campaign, the “Things We Do for No Reason™” (TWDFNR™) series reviews practices that have become common parts of hospital care but may provide...

shmpublications.onlinelibrary.wiley.com
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1/ Why is the discontinuing buprenorphine when treating acute pain a #TWDFNR? This thread is a complement to the review published in the October 2019 issue of @JHospMedicine To begin, what do you do with buprenorphine when treating acute pain in the hospital?
20%Hold buprenorphine
80%Continue buprenorphine
380 votes • Final results
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9/ The review by @haber_md, @trivenidef, and @MarleneMartinMD covers a lot more, including situations when you might consider holding buprenorphine and its safe re-introduction. And, it's open access available at @JHospMedicine journalofhospitalmedicine.co…

Things We Do for No Reason™: Discontinuing Buprenorphine When Treating Acute Pain

Inspired by the ABIM Foundation's Choosing Wisely® campaign, the “Things We Do for No Reason™” (TWDFNR™) series reviews practices that have become common parts of hospital care but may provide...

shmpublications.onlinelibrary.wiley.com
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10/ Has this thread (and, more importantly, the review upon which it is based) made you more likely to continue buprenorphine when patients are admitted with acute pain?
69%More likely to continue
2%Less likely to continue
29%As likely to continue
62 votes • Final results
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Things We Do For No Reason retweeted
R Logan Jones, MD FACP@rloganjonesmd5 Feb 2019
Because this tweet seemed to strike a nerve among so many;. Suppose its #tweetorial time to evaluate the evidence supporting, or not, the use of contact precautions (CP) to prevent the transmission and infectious complications of #MRSA
R Logan Jones, MD FACP@rloganjonesmd4 Feb 2019
😃It finally happened! No more MRSA isolation at OHSU! I don’t know who’s hand I have to shake for changing this (I’m 🚫 wearing gloves & yellow gown) but thank you for appraising the evidence and changing this; l long overdue! @OHSUIMRes @OHSU_ID @OHSUNews @ohsufamilymed
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Things We Do For No Reason retweeted
Society of Hospital Medicine
@SocietyHospMed29 Aug 2019
#ThrowbackThursday 😎 @TWDFNR, @JHospMedicine: #Neutropenic Diet "For several decades, providers have routinely restricted the diets of neutropenic cancer patients by eliminating foods that might harbor pathogenic microbes to reduce infection rates." ow.ly/RzBg50vLt5w

Things We Do For No Reason: Neutropenic Diet

Click on the article title to read more.

shmpublications.onlinelibrary.wiley.com
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Things We Do For No Reason retweeted
David A. Cohen@DavidACohen_MD27 Aug 2019
1/2 We order too many tests & over-evaluate too many findings. Why? Because for many MDs its easier than spending time to think or educate our patients. And we think our patients will like us better if we “do more.” #TWDFNR #MedTwitter @TWDFNR nejm.org/doi/full/10.1056/NE… – at New Brunswick, NJ

Saving Thyroids — Overtreatment of Small Papillary Cancers | NEJM

In addition to reducing overdiagnosis of thyroid cancer, we need to reduce overtreatment. As compared with total thyroidectomy, thyroid lobectomy carries fewer risks and preserves thyroid tissue, o...

nejm.org
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Things We Do For No Reason retweeted
Society of Hospital Medicine
@SocietyHospMed27 Aug 2019
👀 Why is the routine use of neuroimaging for hospitalized patients with delirium a #TWDFNR? Follow this thread to find out: @JHospMedicine @TWDFNR
Things We Do For No Reason@TWDFNR27 Aug 2019
1/10 Why is the routine use of neuroimaging for hospitalized patients with delirium a #TWDFNR? This #tweetorial is a supplement to the review published in the July 2019 issue of the @JHospMedicine journalofhospitalmedicine.co…

Things We Do for No Reason: Neuroimaging for Hospitalized Patients with Delirium

Click on the article title to read more.

shmpublications.onlinelibrary.wiley.com
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1/10 Why is the routine use of neuroimaging for hospitalized patients with delirium a #TWDFNR? This #tweetorial is a supplement to the review published in the July 2019 issue of the @JHospMedicine journalofhospitalmedicine.co…

Things We Do for No Reason: Neuroimaging for Hospitalized Patients with Delirium

Click on the article title to read more.

shmpublications.onlinelibrary.wiley.com
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9/ Before closing, here are the full recommendations offered by the authors of the #TWDFNR review.
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10/10 To read more about this topic, download the Open Access article using the link below. And, as always, if there are things you think are #TWDFNR, send us an email: [email protected] mdedge-files-live.s3.us-east…
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