Avoid routine ordering of laboratory test panels in hospitalized patients without a clear indication

Rationale: 

Frequent blood sampling is uncomfortable for patients, may lead to hospital-acquired anemias, and can disrupt sleep. Blood collection and analysis are resource-intensive in terms of both personnel and materials.

References:

• Eaton KP, Levy K, Soong C, mfl. Evidence-based guidelines to eliminate repetitive laboratory testing. JAMA Internal Medicine. 2017
• Choosing Wisely Canada. Don’t routinely order daily laboratory tests for stable hospitalized patients. Canadian Society of Internal Medicine; 2018
• American Academy of Family Physicians. Choosing Wisely: Avoid repetitive daily blood tests without clinical indication. 2019