Avoiding routine, repetitive inpatient laboratory testing is a Choosing Wisely^® recommendation, with benefits that may be even more pronounced in the setting of the COVID-19 pandemic, considering the need to limit unnecessary exposure, use of personal protective equipment, and laboratory resources. However, the COVID-19 pandemic presented a unique challenge: how to efficiently develop and standardize care for a disease process that had yet to be fully characterized. This article describes the development of a local committee to critically review evidence-based practices, reach consensus, and guide practice patterns, with the aim of delivering high-value care. Following the local introduction of recommendations and electronic health record order sets, non-critically-ill COVID-19 patients at our hospital had more inpatient days where they did not receive laboratory tests, achieving sustained special cause variation on statistical process control charts. The principles of Choosing Wisely^® can be applied even within novel and rapidly evolving situations.

避免常规、重复的住院实验室检查是明智选择^®建议，考虑到需要限制不必要的接触、使用个人防护设备和实验室资源，其益处在 COVID-19 大流行的情况下可能更加明显。然而，COVID-19 大流行带来了一个独特的挑战：如何有效地开发和标准化对尚未完全表征的疾病过程的护理。本文描述了一个地方委员会的发展，以批判性地审查循证实践、达成共识并指导实践模式，以提供高价值的护理。在当地引入建议和电子健康记录命令集后，我们医院的非重症 COVID-19 患者有更多的住院天数，他们没有接受实验室检查，在统计过程控制图上实现持续的特殊原因变化。的原则即使在新颖且快速发展的情况下，也可以应用选择 Wisely ^{® 。}