Choosing Wisely: Experience of a Community Academic Hospital Pharmacy in Identifying Opportunities and Implementing Changes

Lee, Monica; Chiu, Jenny; Rolko, Edith

doi:10.4212/cjhp.v70i5.1699

Cited by 3 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For instance, in the Choosing Wisely Campaigns from US, Canada, Australia, Italy and Spain (ABIM Foundation, 2018; Agència d'Avaluació i Qualitat Sanitàries de Catalunya (AquAS) (2018); García-Alegría et al, 2017;NPS MedicineWise, 2018;Slow Medicine, 2018;), the organisers consult scientific societies about tests or treatments whose appropriateness should be discussed. Furthermore, some of these initiatives have reached the hospital setting in order to reduce low-value care (Lee, Chiu, & Rolko, 2017;Osorio et al, 2018).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Selecting and quantifying low‐value nursing care in clinical practice: A questionnaire survey

Osorio

Zuriguel‐Pérez

Lecumberri

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To evaluate the opinion of hospital nurses on a group of recommendations aimed at reducing low‐value nursing care and, based on these results, to detect low‐value practices probably existing in the hospital. Background Low‐value nursing care refers to clinical practices with poor or no benefit for patients that may be harmful and a waste of resources. Detecting these practices and understanding nurses' perceptions are essential to developing effective interventions to reduce them. Methods We conducted a survey in a tertiary hospital. STROBE guidelines were followed. The questionnaire appraised nurses' agreement, subjective adherence and perception of usefulness of a group of recommendations to reduce low‐value nursing care from Choosing Wisely and other initiatives. Practices described in recommendations with an agreement over 70% and a subjective adherence under 70% were categorised as low‐value practices probably existing in the hospital. Results A total of 265 nurses from eight areas of care participated in the survey. The response rate by area ranged between 2%–55%. From the 38 recommendations evaluated, agreement was 96% (95% confidence interval [95%CI], 95%–97%), median subjective adherence was 80% (95%CI, 80%–85%), and usefulness was 90% (95%CI, 89%–92%). Based on these results, we detected seven (0–15) low‐value practices probably existing in our hospital, mostly on general practice, pregnancy care and wound care. Conclusions We found a great understanding of low‐value care between nurses, given the high agreement to recommendations and perception of usefulness. However, several low‐value practices may be present in nursing care, requiring actions to reduce them, for instance, reviewing institutional protocols and involving patients in de‐implementation. Relevance to clinical practice Hospitals and other settings should be aware of low‐value practices and take actions to identify and reduce them. A survey may be a simple and helpful way to start this process.

show abstract

Section: Backg Rou N Dmentioning

confidence: 99%

Selecting and quantifying low‐value nursing care in clinical practice: A questionnaire survey

Osorio

Zuriguel‐Pérez

Lecumberri

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Example of Medication-related Recommendations13) Don't maintain long-term proton pump inhibitor (PPI) therapy for gastrointestinal symptoms without an attempt to stop/reduce PPI at least once per year in most patients.…”

mentioning

confidence: 99%

Toward a “Choosing Wisely” Future in Medicine

Kaji

2019

YAKUGAKU ZASSHI

View full text Add to dashboard Cite

The``Choosing Wisely'' campaign is an activity to promote conversations between patients and doctors about unnecessary examinations, treatments, or procedures. A``Topˆve list'' published by a number of specialty societies consists ofˆve evidence-based recommendations in their ownˆelds. Choosing Wisely Japan was launched in 2016; the campaign soon became widespread among primary care physicians. To make wiser choices in prescriptions of any medicine, it is necessary to consider the balance between its e‹cacies, risks, and costs. The purpose of this campaign is not only to publish recommendations to reduce waste in health care resources but also to disseminate and implement the recommendations contents. To put them into practice, it is necessary to think about interprofessional and interdisciplinary approaches.

show abstract

Understanding the Role of the Public in Reducing Low-value Care

Sypes¹

2019

View full text Add to dashboard Cite

Choosing Wisely: Experience of a Community Academic Hospital Pharmacy in Identifying Opportunities and Implementing Changes

Abstract: -

Cited by 3 publications

References 14 publications

Selecting and quantifying low‐value nursing care in clinical practice: A questionnaire survey

Selecting and quantifying low‐value nursing care in clinical practice: A questionnaire survey

Toward a “Choosing Wisely” Future in Medicine

Understanding the Role of the Public in Reducing Low-value Care

Contact Info

Product

Resources

About