Reining in Unnecessary Admission EKGs: A Successful Interdepartmental High-Value Care Initiative.

Introduction Unnecessary "admission electrocardiograms (EKGs)" on admitted patients waiting ("boarding") in the emergency department (ED) are often ordered. We introduced evidence-based EKG ordering guidelines and determined changes in the percent of patients with "preadmission" and "admission" EKGs ordered before vs. after guideline introduction and which patient characteristics predicted EKG ordering.

Selfing is the safest sex for .

Mating systems have profound effects on genetic diversity and compatibility. The convergent evolution of self-fertilization in three species provides a powerful lens to examine causes and consequences of mating system transitions. Among the selfers, is the least genetically diverse and most afflicted by outbreeding depression.