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Daniel Wheeler

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Project Title

Think Twice, Stick Once: An Internal Medicine Housestaff Incentive Project to Reduce Phlebotomy

Project Overview

“Think Twice. Stick Once” is a resident-led performance improvement initiative at the University of California, San Francisco (UCSF) that aims to reduce unnecessary blood testing. In the current era of rising healthcare costs, inpatient laboratory testing is an important example of overutilization. While placing the financial burden on the healthcare system, excessive laboratory testing exposes the patient to uncomfortable blood draws, falsely positive test results, and the risk of hospital-acquired anemia. The primary goal of the project is to reduce the number of phlebotomy draws per patient per day on the internal medicine teaching service at UCSF Moffitt-Long Hospital by 5% in the 2014-2015 academic year, as compared with 2013-2014.  Multiple strategies will be employed to change the culture of phlebotomy overuse, including a division-wide, multi-disciplinary educational campaign, regular feedback of team-specific phlebotomy data, and systems-based changes to the existing electronic health record and computerized order entry system.

Affiliation

University of California, San Francisco

Meet the Team

Dan Wheeler, MD, is a third-year internal medicine resident at the University of California, San Francisco. He earned his undergraduate degree from Amherst College and his medical degree from the University of Minnesota Medical School. He will serve as a Chief Resident at UCSF next year and has a particular interest in academic hospital medicine.

Paul Marcus, MD, is a third-year internal medicine resident at the University of California, San Francisco. He earned his undergraduate degree from the University of California, San Diego and his medical degree from The Ohio State College of Medicine. He is pursuing a career in hospital medicine.

Kevin Yee, MD, MSHS, is a third-year internal medicine resident at the University of California, San Francisco. He earned his undergraduate degree from the University of California, Berkeley and his medical degree from the Emory University School of Medicine. His professional interests include hospital medicine and quality and safety

Allison Kwong, MD, is a third-year internal medicine resident at the University of California, San Francisco. She earned her undergraduate degree at Brown University and her medical degree at the Mount Sinai School of Medicine

Talia Kahn, MD, MPH, is a third-year internal medicine resident at the University of California, San Francisco. She earned her undergraduate degree from the Claremont McKenna College and her medical degree from the University of Washington School of Medicine. She has a particular interest in hospital medicine.

Chelsea Bowman, MD, is a third-year internal medicine resident at the University of California, San Francisco.  She earned her undergraduate degree from the University of California, Berkeley and her medical degree from the University of California, San Francisco School of Medicine. Her professional interests include change management, safety culture, and quality improvement.

Rachel Greenblatt, MD, is a third-year internal medicine resident at the University of California, San Francisco. She earned her undergraduate degree from Harvard University and her medical degree from the University of Pennsylvania. She will serve as a Chief Resident at UCSF next year and has a particular interest in health disparities.

Jenna Nguyen, MD, is a second-year internal medicine resident at the University of California, San Francisco. She earned her undergraduate degree from Stanford University and her medical degree from the University of California, Los Angeles School of Medicine. Professional interests include hospital medicine and quality improvement.

Myung Ko, MD, is a second-year internal medicine resident at the University of California, San Francisco. She earned her undergraduate degree at Duke University and her medical

Ali Khaki, MD, is a second-year internal medicine resident at the University of California, San Francisco. He earned his undergraduate degree from Carleton College and his medical degree from the University of California, San Diego. His professional interests include critical care and hospital medicine.  

Hana Lim, MD, is a first-year internal medicine resident at the University of California, San Francisco. She earned her undergraduate degree from the University of California, Los Angeles and her medical degree from the University of California, San Francisco School of Medicine. Her professional interests include general internal medicine and quality improvement.

Contact

Email: daniel.wheeler@ucsf.edu

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