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VOLUME 12, NUMBER 5 MAY 2017 Journal of HOSPITAL MEDICINE of HOSPITAL Journal Volume 12, Number 5, May 2017 May Number 5, 12, Volume Original Research Choosing Wisely®: Things We Do • Association of Inpatient Antimicrobial For No Reason Utilization Measures with Antimicrobial • Urine Eosinophils for Acute Interstitial Stewardship Activities and Facility Character- Nephritis istics of Veterans Affairs Medical Centers MELBETH LUSICA, et al CHRISTOPHER J. GRABER, et al • High Prevalence of Inappropriate Benzodiaz- Choosing Wisely®: Next Steps In epine and Sedative Hypnotic Prescriptions among Hospitalized Older Adults Improving Healthcare Value ELISABETH ANNA PEK, et al • A Practical Framework for Understanding and Reducing Medical Overuse: Conceptual- • Incidence, Predictors, and Outcomes izing Overuse Through the Patient-Clinician of Hospital-Acquired Anemia Interaction ANIL N. MAKAM, et al DANIEL J. MORGAN, et al • Association Between Radiologic Incidental Findings and Resource Utilization in Patients Clinical Care Conundrums Admitted With Chest Pain in an Urban Medical Center • Rendered Speechless J. COLT COWDELL, et al VENKAT P. GUNDAREDDY, et al Brief Reports Reviews • Overuse of Troponin? A Comprehensive Eval- • Systematic Review of Interventions to uation of Testing in a Large Hospital System Reduce Urinary Tract Infection in Nursing Home Residents GIBBS WILSON, et al JENNIFER MEDDINGS, et al • It All Just Clicks: Development of an Inpatient E-Consult Program • Inpatient Management of Opioid Use Disorder: A Review for Hospitalists NADER NAJAFI, et al JESSE THEISEN-TOUPAL, et al • Clinical Utility of Routine CBC Testing in Pa- tients with Community-Acquired Pneumonia • Acute Pain Management in Hospitalized Adult Patients with Opioid Dependence: A NEELAYSH VUKKADALA and ANDREW Narrative Review and Guide for Clinicians AUERBACH JOSHUA N. RAUB, et al • Planning and Designing the Improving Ad- diction Care Team (IMPACT) for Hospitalized Editorials Adults with Substance Use Disorder HONORA ENGLANDER, et al • Diagnostic Testing in AKI: Let’s Move the Field Forward Pages 293-388 MARK A. PERAZELLA • Moving Antibiotic Stewardship from Theory to Practice PAYAL K. PATEL and ARJUN SRINIVASAN Cover 0517.indd 1 4/24/17 2:39 PM JHM C2 Spark One Ad.indd 2 4/24/17 2:41 PM Volume 12 | Number 5 | May 2017 EDITOR-IN-CHIEF Christopher P. Bonafide, MD, MSCE Eduard Vasilevskis, MD THE SOCIETY OF HOSPITAL The Children’s Hospital of Philadelphia Vanderbilt University Andrew Auerbach, MD, MPH, MEDICINE OFFICERS Vineet Chopra, FHM Chad T. Whelan, MD, FHM Brian Harte, MD, SFHM SFHM University of Michigan Medical Center University of Chicago President University of California, San Peter Cram, MD, MBA Jeffrey G. Wiese, MD, FACP, FHM Ronald Greeno, MD, FCCP, MHM Francisco UHN and Mt. Sinai Hospitals Tulane University President-Elect Daniel D. Dressler, MD, MSc, SFHM Robert Harrington, Jr, MD, SFHM Emory University School of Medicine FOUNDING EDITOR EDITORIAL BOARD Immediate Past President Leonard Feldman, MD, SFHM, FACP, Mark V. Williams, MD, MHM FAAP Douglas W. Carlson, MD, SFHM Nasim Afsar, MD, SFHM University of Kentucky Center for Johns Hopkins Medical Center Washington University Treasurer Health Services Research Kathleen M. Finn, MD, FHM, FACP Patrick Conway, MD, MSc, FAAP, Danielle Scheurer, MD, MSCR, SFHM SFHM Massachusetts General Hospital Secretary Cincinnati Children’s Hospital Medical SENIOR DEPUTY EDITORS Ryan Greysen, MD Center Laurence Wellikson, MD, SFHM Chief Executive Officer Daniel J. Brotman, MD University of California, San Francisco Sunil Kripalani, MD, MSc, SFHM Johns Hopkins Medical Center Christine Jones, MD Vanderbilt University Margaret Fang, MD, MPH, FHM University of Colorado Joseph Ming Wah Li, MD, SFHM BOARD MEMBERS University of California, San Francisco Lisa Kirkland, FACP Beth Israel Deaconess Medical Center Tracy Cardin, ACNP-BC, SFHM Shoshana J. Herzig, MD, MPH Mayo Clinic, Rochester Peter Lindenauer, MD, MSc, FHM Howard R. Epstein, MD, FHM Beth Israel Deaconness Medical Center Brian P. Lucas, MD, MS, FHM Baystate Medical Center-Tufts Medical Erin Stucky Fisher, MD, MHM Tara Lagu, MD, MPH White River Junction Vermont VAMC School Christopher Frost, MD, FHM Baystate Health Center for Quality of Anil Makam, MD, MAS Jennifer S. Myers, MD, FHM Care Research UT Southwestern Medical Center Hospital of the University of Jeffrey Glasheen, MD, SFHM Luci K. Leykum, MD, MBA, MSc Pennsylvania Andrew Masica, MD, MSCI, SFHM Bradley Sharpe, MD, SFHM University of Texas Health Science Sanjay Saint, MD, MPH Baylor Scott & White Health Center in San Antonio University of Michigan Patrick Torcson, MD, MMM, SFHM Hilary Mosher, MD Samir S. Shah, MD, MSCE, FHM Harold C. Sox, MD University of Iowa Cincinnati Children’s Hospital Medical Darthmouth Medical School Center Sara Murray, MD Robert M. Wachter, MD, MHM University of California, San Francisco University of California, San Francisco Aaron Neinstein, MD DEPUTY EDITORS Winthrop F. Whitcomb, MD, MHM University of California, San Francisco Vineet Arora, MD, FHM University of Massachusetts Medical University of Chicago Oanh Nguyen, MD, MAS School UT Southwestern Medical Center Bradley Flansbaum, DO, MPH, FACP, SFHM Michael Ong, MD, PhD NATIONAL CORRESPONDENTS Lenox Hill Hospital UCLA, VA Greater Los Angeles Healthcare System Keri Holmes-Maybank, MD Daniel Hunt, MD Medical University of South Carolina Emory University Jack M. Percelay, MD, MPH, FAAP, SFHM Nathan Houchens, MD Somnath Mookherjee, MD E.L.M.O. Pediatrics Cleveland Clinic Foundation University of Washington Read G. Pierce, MD Bradley Monash, MD University of Colorado Medical Center University of California, San Francisco ASSOCIATE EDITORS Rehan Qayyum, MD Andrew Odden, MD Johns Hopkins Hospital Nasim Afsar, MD, SFHM Washington University, St. Louis Ronald Reagan UCLA Medical Center Gregory W. Ruhnke, MD, MPH Andrew Olson, MD University of Chicago Eric J. Alper, MD, SFHM, FACP University of Minnesota Lifespan Providence, Rhode Island Danielle Scheurer, MD, MSc, SFHM Reza Sedighi Manesh, MD Medical University of South Carolina Mel L. Anderson, MD, FACP Johns Hopkins University University of Colorado School of Ann M. Sheehy, MD, MS Bradley Sharpe, MD Medicine University of Wisconsin University of California, San Francisco Robert N. Axon, MD Heidi Sucharew, PhD Andrew White, MD Medical University of South Carolina Cincinnati Children’s Hospital Medical University of Washington Center Jeffrey H. Barsuk, MD, MS, FHM Northwestern University Feinberg Joanna E. Thomson, MD, MPH School of Medicine Cincinnati Children’s Hospital Medical Center An Official Publication of the Society of Hospital Medicine Journal of Hospital Medicine Vol 12 | No 5 | May 2017 297 EditBoard 0517.indd 297 4/24/17 2:42 PM Publisher: The Journal of Hospital Medicine (Print ISSN 1553-5592; E-ISSN 1553- WEBSITE 5606) is published monthly for the Society of Hospital Medicine by Frontline Medical www.journalofhospitalmedicine.com Communications, with business offices at 7 Century Drive, Suite 302, Parsippany, NJ 07054-4609, telephone 973-206-3434, fax 973-206-9378. Periodicals postage paid at Parsippany, NJ and at additional mailing offices. EDITORIAL STAFF Editor Postmaster: Send address changes to Journal of Hospital Medicine, Subscription Service, Jeff Bauer 151 Fairchild Ave, Suite 2, Plainview, NY 11803-1709. (973) 206-2321 [email protected] Copyright: Copyright © 2017 Society of Hospital Medicine. 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