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Integrate tools like the AIR score, Centor criteria, and PHQ-9 into the clinical workflow. Use clinical decision support (CDS) alerts that fire when a clinician orders an outdated test (e.g., ESR for isolated urticaria).
2025 Update: New evidence in The Lancet (2024) shows that imaging within the first 4 weeks for non-specific back pain harms more than helps. The updated SOP forbids routine MRI unless “red flags” present. New clinical prediction rule: STarT Back Tool.
SOP:
This SOP applies to all general physicians, nurse practitioners, and triage nurses. The "Top 20" diseases are defined by annual patient volume from our EMR:
Updated ASH 2025: Ferritin <30 mcg/L is diagnostic (not <15).
SOP: