2016
DOI: 10.1017/cem.2016.349
|View full text |Cite
|
Sign up to set email alerts
|

Reducing low-value interventions in the emergency department: you may be part of the problem

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1

Citation Types

0
3
0

Year Published

2018
2018
2022
2022

Publication Types

Select...
3

Relationship

1
2

Authors

Journals

citations
Cited by 3 publications
(3 citation statements)
references
References 12 publications
0
3
0
Order By: Relevance
“…Imprecision of the patient's personal history, crowded services, professional burnout, absence of necessary additional tests, and many interruptions during caregiving are some of the impediments commonly experienced in an ED. Despite the possibility of a complete physical evaluation adding to the diagnostic value, many symptoms are compatible with low-risk situations, and irrelevant routine examination is standard (Sahota and Lang, 2017). The patient's psychological profile and pressure for specific management are also factors associated with the treatment change (Lauria et al, 2016).…”
Section: Discussionmentioning
confidence: 99%
“…Imprecision of the patient's personal history, crowded services, professional burnout, absence of necessary additional tests, and many interruptions during caregiving are some of the impediments commonly experienced in an ED. Despite the possibility of a complete physical evaluation adding to the diagnostic value, many symptoms are compatible with low-risk situations, and irrelevant routine examination is standard (Sahota and Lang, 2017). The patient's psychological profile and pressure for specific management are also factors associated with the treatment change (Lauria et al, 2016).…”
Section: Discussionmentioning
confidence: 99%
“…1 Overuse of low-value interventions is an incontrovertible reality in modern medicine and is the source of tremendous waste and harm inextricably tied to what we do on every shift. 2 The problem needs urgent fixing but promoting conversations between patients and emergency physicians has failed to deliver results using the current approach. The basic modus operandi of CW is to have medical specialty societies select one or more top five lists of tests, treatments, or procedures that physicians should reconsider using in caring for their patients.…”
Section: The Choosing Wisely Campaign Will Not Impact Physician Behavmentioning
confidence: 99%
“…1,2 Decreasing "low-value care" has been identified as a priority to reduce wait times, patient exposure to harm and anxiety, and unnecessary costs. 1,2 Diagnostic imaging is a major contributor to low-value care in the emergency department (ED), [3][4][5] and accounts for 6 of 10 Choosing Wisely recommendations for emergency phys icians in Canada (https://choosingwiselycanada.org/recommendation/ emergency-medicine/). Low-value diagnostic imaging is a particularly important issue for pediatric patients, who are at increased risk of harm because of their increased susceptibility to ionizing radiation 6 and the harms related to unnecessary treatments associated with diagnostic imaging use.…”
mentioning
confidence: 99%