Choosing wisely in pediatric hospital medicine: Five opportunities for improved healthcare value
Autor: | Brian Alverson, Mark W. Shen, Bryan R. Fine, Shannon C. Phillips, Jack M. Percelay, Matthew D. Garber, Ricardo A. Quinonez, Jenna Goldstein, Heather S. McLean, Shawn L. Ralston, Rita Pappas, Vineeta Mittal, Jeffrey S. Bennett, Timothy H. Hartzog, Alan R. Schroeder, Wendy Nickel |
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Rok vydání: | 2013 |
Předmět: |
Protocol (science)
medicine.medical_specialty Leadership and Management business.industry Health Policy MEDLINE Delphi method General Medicine Assessment and Diagnosis medicine.disease Intensive care unit Hospital medicine law.invention law Pediatric hospital Health care medicine Fundamentals and skills Intensive care medicine business Care Planning Stroke |
Zdroj: | Journal of Hospital Medicine. 8:479-485 |
ISSN: | 1553-5592 |
DOI: | 10.1002/jhm.2064 |
Popis: | BACKGROUND In an effort to lead physicians in addressing the problem of overuse of medical tests and treatments, the American Board of Internal Medicine Foundation developed the Choosing Wisely campaign. The Society of Hospital Medicine (SHM) joined the initiative to highlight the need to critically appraise resource utilization in hospitals. METHODS The SHM employed a staged methodology to develop the adult Choosing Wisely list. This included surveys of the organization's leaders and general membership, a review of the literature, and Delphi panel voting. RESULTS The 5 recommendations that were subsequently approved by the SHM Board are: (1) Do not place, or leave in place, urinary catheters for incontinence or convenience or monitoring of output for non–critically ill patients (acceptable indications: critical illness, obstruction, hospice, perioperatively for |
Databáze: | OpenAIRE |
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