Article
Critical Care Medicine
Jerry J. Zimmerman, Lori A. Harmon, Pamela L. Smithburger, Darlene Chaykosky, Alan C. Heffner, Marilyn Hravnak, Jason M. Kane, Joshua B. Kayser, Meghan B. Lane-Fall, Renee Matos, Riza Mauricio, David J. Murphy, Michael Nurok, Anita J. Reddy, Eric Ringle, Edward G. Seferian, Norma M. Smalls-Mantey, Kathleen B. To, Lewis J. Kaplan
Summary: This study formulated new Choosing Wisely recommendations for critical care, focusing on avoiding waste and promoting the value of critical care practices. Through literature review and survey assessments, five top scoring recommendations were identified to enhance critical care practices within the Society of Critical Care Medicine.
CRITICAL CARE MEDICINE
(2021)
Review
Pediatrics
Sandra Trapani, Alessandra Montemaggi, Giuseppe Indolfi
Summary: The Choosing Wisely campaign aims to limit the overuse of medical procedures and improve healthcare outcomes. It has spread to more than 25 countries and 80 organizations, with specific recommendations for pediatric healthcare. However, there are challenges in implementing the recommendations, such as patient pressure and diagnostic uncertainty.
FRONTIERS IN PEDIATRICS
(2023)
Review
Infectious Diseases
Norma Jung, Lukas Tometten, Rika Draenert
Summary: Antimicrobial resistance is a global health threat and its main driver is antibiotic overuse. Choosing Wisely campaign aims to improve medical practice by avoiding unnecessary procedures. This study provides an overview of Choosing Wisely recommendations related to antimicrobial stewardship (AMS) practices in different countries, in order to identify future needs.
Article
Health Care Sciences & Services
Hyung J. Cho, Danielle Smith, Anita Hart, Rupesh Prasad, Suchita Shah Sata, Karen Clarke, Olugbenga Arole, John Beurlein, Marina George, Carlton Moore, Anneliese M. Schleyer, Kathleene Wooldridge, Talya Bordin Wosk, Elham Yousef, Jenna Goldstein, April E. Fegley, Megan Malouk, Mona Krouss
Summary: By gathering recommendations from clinicians and patients, using patient-friendly language and a voting mechanism, a set of updated Choosing Wisely recommendations for adult hospitalists was successfully created.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Multidisciplinary Sciences
Wang-Chuan Juang, Sonia Ming-Jiu Chiou, Hui-Ling Yang, Ying-Chun Li
Summary: Although only 38.9% of emergency physicians in Taiwan had heard of Choosing Wisely, their mean knowledge score was 70.1%. Attitude and behavior towards Choosing Wisely were positively associated. Physicians' knowledge did not influence their attitudes and behaviors, potentially due to barriers in practicing Choosing Wisely activities.
Article
Hematology
Sarah H. O'Brien, Sherif M. Badawy, Seth J. Rotz, Mona D. Shah, Julie Makarski, Rachel S. Bercovitz, Mary-Jane S. Hogan, Lori Luchtman-Jones, Julie A. Panepinto, Ginna M. Priola, Char M. Witmer, Julie A. Wolfson, Marianne Yee, Lisa K. Hicks
Summary: Choosing Wisely is a collaborative initiative led by the American Board of Internal Medicine Foundation and leading medical societies in the United States to improve medical stewardship and quality. The American Society of Hematology and the American Society of Pediatric Hematology/Oncology worked together to identify 5 tests and treatments in hematology that should be questioned by healthcare providers and patients due to lack of evidence and potential risks.
Article
Nursing
Eva W. W. Verkerk, Getty Huisman-de Waal, Lydia C. C. Overtoom, Gert P. P. Westert, Hester Vermeulen, Rudolf B. B. Kool, Simone A. A. van Dulmen
Summary: This mixed methods study evaluated the adherence of nurses and physicians in the Netherlands to the Choosing Wisely recommendations for acute wound care, as well as the barriers and facilitators to improve adherence. The survey results showed that although most healthcare providers were aware of the recommendations, not all adhered to them. Increasing awareness alone is not enough; a tailored approach that addresses barriers and improves knowledge and the work environment is necessary for successful implementation.
INTERNATIONAL JOURNAL OF NURSING PRACTICE
(2023)
Review
Medicine, General & Internal
Ludovico Furlan, Pietro Di Francesco, Giorgio Costantino, Nicola Montano
Summary: In recent years, the Choosing Wisely and Less is More campaigns have been gaining attention in the medical scientific community. These campaigns aim to improve patient-centered care by encouraging confrontation between patients and physicians. Physicians should consider uncertainty and evaluate evidence, patient preferences, and individual patient characteristics when making treatment decisions. They should also carefully assess potential harms and consequences, as well as patients' needs and preferences. Adopting this cognitive process can lead to a shift in patient management towards finding the best management strategy for each individual.
JOURNAL OF INTERNAL MEDICINE
(2022)
Article
Medicine, General & Internal
Bente Malling, Maria Hoffer, Camilla Flintholm Raft, Susanne Axelsen
Summary: This study explored the knowledge of the Danish Vælg Klogt initiative among patient associations and scientific societies. Results showed that both parties had little knowledge of Vælg Klogt, but agreed on the existence of overuse and waste in Danish healthcare. There was a mutual agreement that the initiative should be evidence-based, integrated into clinical guidelines, well communicated, and prepared in collaboration between patients and physicians.
DANISH MEDICAL JOURNAL
(2021)
Article
Rehabilitation
Priti Kharel, Joshua R. Zadro, Chindhu S. Sundaram, Kirsten McCaffery, Rachael H. Dodd, Charlotte McLennan, Christopher G. Maher
Summary: This study explored physiotherapists' attitudes and beliefs towards the Australian Physiotherapy Association's Choosing Wisely recommendations. The study found that barriers to adoption included clinicians' and patients' beliefs, experience, and knowledge, as well as workplace demands and culture. Facilitators to adoption included physiotherapists' beliefs and practice patterns, as well as organizational support. Suggested strategies to increase adoption included interventions targeting clinicians, amendments to the recommendations, and increased awareness and access to the recommendations.
MUSCULOSKELETAL SCIENCE AND PRACTICE
(2022)
Article
Primary Health Care
Theresa A. Rowe, Tiffany Brown, Jason N. Doctor, Jeffrey A. Linder, Stephen D. Persell
Summary: Physicians, despite being aware of guidelines, often defer to patient preferences, overestimate the benefits of testing, underestimate potential harms, and exhibit clinical inertia when ordering tests for older adults.
BMC FAMILY PRACTICE
(2021)
Article
Oncology
Sarah H. O'Brien, Sherif M. Badawy, Seth J. Rotz, Mona D. Shah, Julie Makarski, Rachel S. Bercovitz, Mary-Jane S. Hogan, Lori Luchtman-Jones, Julie A. Panepinto, Ginna M. Priola, Char M. Witmer, Julie A. Wolfson, Marianne Yee, Lisa K. Hicks
Summary: Choosing Wisely initiative, led by the American Board of Internal Medicine Foundation, aims to improve medical quality, with ASH and ASPHO jointly identifying 5 pediatric hematologic tests and treatments lacking evidence-based support. The recommendations highlight the importance for healthcare providers to carefully consider the risks and benefits before proceeding with these identified tests and treatments.
PEDIATRIC BLOOD & CANCER
(2021)
Article
Orthopedics
Priti Kharel, Joshua R. Zadro, Giovanni Ferreira, Martin Howell, Kirsten Howard, Sally Wortley, Charlotte McLennan, Christopher G. Maher
Summary: The study found that language influences physical therapists' willingness to follow the Australian Physiotherapy Association's (APA) Choosing Wisely recommendations. Physical therapists are more willing to follow recommendations that provide more detail, alternatives to low-value care, and are positively framed. These findings can inform the development of future Choosing Wisely recommendations and help reduce low-value physical therapy.
BRAZILIAN JOURNAL OF PHYSICAL THERAPY
(2023)
Article
Pathology
Amanda D. VanSpronsen, Valentin Villatoro, Laura Zychla, Yutian Wang, Elona Turley, Arto Ohinmaa, Yan Yuan
Summary: This study aims to develop a CWC list applicable to nonpathologist MLPs. Through surveys and expert panels, 7 recommended items were identified, supported by relevant evidence. This work is essential for understanding the relationships among MLPs, patient safety, and resource waste.
AMERICAN JOURNAL OF CLINICAL PATHOLOGY
(2022)
Article
Emergency Medicine
Nao Hanaki, Jun Miyata, Yoshie Yamada, Takashi Shiga
Summary: This study used the Delphi method to discuss how to improve the field of emergency medicine in Japan. Through the efforts of 20 medical professionals, students, and patients, nine recommendations were developed, including the suppression of excessive behavior and the implementation of appropriate treatment to enhance the quality of patient care.
JOURNAL OF EMERGENCY MEDICINE
(2023)