Strategies for de-implementation of low-value care—a scoping review

S Ingvarsson, H Hasson, U von Thiele Schwarz… - Implementation …, 2022 - Springer
Background The use of low-value care (LVC) is a persistent problem that calls for
knowledge about strategies for de-implementation. However, studies are dispersed across …

Evidence-based guidelines to eliminate repetitive laboratory testing

KP Eaton, K Levy, C Soong, AK Pahwa… - JAMA internal …, 2017 - jamanetwork.com
Routine daily laboratory testing of hospitalized patients reflects a wasteful clinical practice
that threatens the value of health care. Choosing Wisely initiatives from numerous …

Education as a low-value improvement intervention: often necessary but rarely sufficient

C Soong, KG Shojania - BMJ quality & safety, 2020 - qualitysafety.bmj.com
Since the launch of Choosing Wisely in the United States, 1 efforts to raise awareness about
avoiding low-value care have spread internationally, 2 prompting numerous commentaries …

Determinants for the use and de-implementation of low-value care in health care: a scoping review

H Augustsson, S Ingvarsson, P Nilsen… - Implementation science …, 2021 - Springer
Background A considerable proportion of interventions provided to patients lack evidence of
their effectiveness. This implies that patients may receive ineffective, unnecessary or even …

Barriers and facilitators to reduce low-value care: a qualitative evidence synthesis

SA van Dulmen, CA Naaktgeboren, P Heus… - BMJ open, 2020 - bmjopen.bmj.com
Objective To assess barriers and facilitators to de-implementation. Design A qualitative
evidence synthesis with a framework analysis. Data sources Medline, Embase, Cochrane …

[HTML][HTML] Inappropriate laboratory testing in internal medicine inpatients: prevalence, causes and interventions

BEL Vrijsen, CA Naaktgeboren, LM Vos… - Annals of Medicine and …, 2020 - Elsevier
Background To reduce overutilization of laboratory testing many interventions have been
tried, but selecting the most effective intervention for a given setting is challenging. To be …

Key factors that promote low-value care: views of experts from the United States, Canada, and the Netherlands

EW Verkerk, SA Van Dulmen, K Born… - … Journal of Health …, 2021 - pmc.ncbi.nlm.nih.gov
Background: Around the world, policies and interventions are used to encourage clinicians
to reduce low-value care. In order to facilitate this, we need a better understanding of the …

Patient, hospital and environmental costs of unnecessary bloodwork: capturing the triple bottom line of inappropriate care in general surgery patients

K Spoyalo, A Lalande, C Rizan, S Park… - BMJ Open …, 2023 - bmjopenquality.bmj.com
Objective To characterise the extent of unnecessary care in general surgery inpatients using
a triple bottom line approach. Design Patients with uncomplicated acute surgical conditions …

High-value, cost-conscious care: iterative systems-based interventions to reduce unnecessary laboratory testing

BW Sadowski, AB Lane, SM Wood, SL Robinson… - The American journal of …, 2017 - Elsevier
Background Inappropriate testing contributes to soaring healthcare costs within the United
States, and teaching hospitals are vulnerable to providing care largely for academic …

Testing for respiratory viruses in children: to swab or not to swab

PJ Gill, SE Richardson, O Ostrow… - JAMA pediatrics, 2017 - jamanetwork.com
Importance While most viral respiratory tract infections can be diagnosed clinically, clinicians
frequently order tests to identify the specific offending virus. While there has been …