Identifying low-value clinical practices in critical care medicine: protocol for a scoping review
نویسندگان
چکیده
منابع مشابه
Identifying low-value clinical practices in critical care medicine: protocol for a scoping review
INTRODUCTION Reducing unnecessary, low-value clinical practice (ie, de-adoption) is key to improving value for money in healthcare, especially among patients admitted to intensive care units (ICUs) where resource consumption exceeds other medical and surgical populations. Research suggests that low-value clinical practices are common in medicine, however systematically and objectively identifyi...
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INTRODUCTION Preventable injuries lead to 200 000 hospital stays, 60 000 disabilities, and 13 000 deaths per year in Canada with direct costs of $20 billion. Overall, potentially unnecessary medical interventions are estimated to consume up to 30% of healthcare resources and may expose patients to avoidable harm. However, little is known about overuse for acute injury care. We aim to identify l...
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BACKGROUND The ability to reproduce experiments is a defining principle of science. Reproducibility of clinical research has received relatively little scientific attention. However, it is important as it may inform clinical practice, research agendas, and the design of future studies. METHODS We used scoping review methods to examine reproducibility within a cohort of randomized trials exami...
متن کاملTowards understanding the de-adoption of low-value clinical practices: a scoping review
BACKGROUND Low-value clinical practices are common in healthcare, yet the optimal approach to de-adopting these practices is unknown. The objective of this study was to systematically review the literature on de-adoption, document current terminology and frameworks, map the literature to a proposed framework, identify gaps in our understanding of de-adoption, and identify opportunities for addi...
متن کاملDeveloping a framework to guide the de-adoption of low-value clinical practices in acute care medicine: a study protocol
BACKGROUND Healthcare systems have difficulty incorporating scientific evidence into clinical practice, especially when science suggests that existing clinical practices are of low-value (e.g. ineffective or harmful to patients). While a number of lists outlining low-value practices in acute care medicine currently exist, less is known about how best to initiate and sustain the removal of low-v...
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ژورنال
عنوان ژورنال: BMJ Open
سال: 2015
ISSN: 2044-6055,2044-6055
DOI: 10.1136/bmjopen-2015-008244