Quality improvement initiative to standardise thyroid ultrasound reports and reduce unnecessary fine-needle aspiration b...
Published in BMJ Open Quality
Taxonomy of effective strategies to reduce unnecessary caesareans: a systematic review.
Une taxonomie des stratégies efficaces pour réduire le nombre des césariennes inutiles a été mise au point dans cette étude. Une approche holistique est essentielle pour lutter contre la nouvelle vague de césariennes inutiles. Des interventions multiples basées sur les causes fondamentales du recours excessif aux césariennes devraient être élaborée...
Reducing neuroimaging in first-episode psychosis by facilitating uptake of choosing wisely recommendations: a quality im...
Published in BMJ open quality
Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting.
Published in Value in health regional issues
Strategies to reduce the use of low-value medical tests in primary care: a systematic review.
Published in The British journal of general practice : the journal of the Royal College of General Practitioners
It is recognised that medical tests are overused in primary care; however, it is unclear how best to reduce their use. To identify which strategies are effective in reducing the use of low-value medical tests in primary care settings. Systematic review. The databases MEDLINE, EMBASE, and Rx for Change were searched (January 1990 to November 2019) f...
Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists
Published in International Journal of Environmental Research and Public Health
OBJECTIVES : To know the frequency and causes of low value surgical practices, according to the opinion of surgeons and anesthetists, and to determine their degree of knowledge about the Spanish “Choosing wisely” initiative. METHODS : Cross-sectional observational study, based on a self-administered online questionnaire through an opportunistic sam...
Effect of an Interactive Training on Choosing Delivery Method among Primiparous Pregnant Women: An Interventional Study....
Published in Investigacion y educacion en enfermeria
To evaluate the effect of interactive training conducted during pregnancy on choosing delivery method among primiparous women. Quasi-experimental study carried out in 2017 in two hospitals in the city of Bushehr (Iran), with the participation of 108 primiparous pregnant women in an educational program consisting of eight 2-hour sessions every two w...
Improving urinary catheterisation practices in a rural hospital in Ontario
...Published in BMJ Open Quality
Introduction A urinary catheter constitutes a one-point patient restraint, can induce deconditioning and may lead to patient mortality. An audit performed at Winchester District Memorial Hospital revealed that 20% of patients had a urinary catheter, of whom 31% did not meet the criteria for catheterisation. The main objective of this study was to u...
Effect of an interactive training on choosing delivery method among primiparous pregnant women: an interventional study
Objective. To evaluate the effect of interactive training conducted during pregnancy on choosing delivery method among primiparous women. Methods. Quasi-experimental study carried out in 2017 in two hospitals in the city of Bushehr (Iran), with the participation of 108 primiparous pregnant women in an educational program consisting of eight 2-hour ...
Inappropriate Testing for Acute Viral Hepatitis Is Common—Impact of an Intervention Using the Electronic Health Record i...
Published in The Ochsner Journal
Background: Unnecessary laboratory tests contribute to the financial burden placed on hospitals, patients, insurers, and taxpayers. In our institution, we noted acute viral hepatitis serologic testing in patients with chronic liver disease, sometimes done repetitively, in the absence of substantially elevated aminotransferase levels. The goal of th...
