Importance Medical overuse is an important cause of patient harm and medical waste.
Observation This structured literature review of English-language articles supplemented by …

Background It has been estimated that 20% of the tests and therapies currently prescribed in
North America are likely unnecessary, add no value, and may even cause harm. The …

Background Neither the incidence of indications for childhood tonsillectomy nor the
proportion of tonsillectomies that are evidence-based is known. Aim To determine the …

OBJECTIVES: High-flow nasal cannula (HFNC) use in bronchiolitis may prolong length of
stay (LOS) if weaned more slowly than medically indicated. We aimed to reduce HFNC …

Importance Reducing low-value care has the potential to improve patient experiences and
outcomes and decrease the unnecessary use of health care resources. Research suggests …

OBJECTIVES The health care system faces ongoing challenges due to low-value care.
Building on the first pediatric hospital medicine contribution to the American Board of …

BACKGROUND: Children frequently receive low-value services that do not improve health,
but it is unknown whether the receipt of these services differs between publicly and privately …

Unnecessary diagnostic tests and treatments in children cared for in emergency
departments (EDs) do not benefit patients, increase costs, and may result in harm. To …

OBJECTIVE Continuous pulse oximetry monitoring (cSpO2) in children with bronchiolitis
does not improve clinical outcomes and has been associated with increased resource use …

Importance Medical overuse is common in pediatrics and may lead to unnecessary care,
resource use, and patient harm. Timely scrutiny of established and emerging practices can …