Evidence for overuse of medical services around the world

S Brownlee, K Chalkidou, J Doust, AG Elshaug… - The Lancet, 2017 - thelancet.com
Overuse, which is defined as the provision of medical services that are more likely to cause
harm than good, is a pervasive problem. Direct measurement of overuse through …

Inappropriate use of clinical practices in Canada: a systematic review

JE Squires, D Cho-Young, LD Aloisio, R Bell… - CMAJ, 2022 - Can Med Assoc
Background: Inappropriate health care leads to negative patient experiences, poor health
outcomes and inefficient use of resources. We aimed to conduct a systematic review of …

De-implementing wisely: developing the evidence base to reduce low-value care

JM Grimshaw, AM Patey, KR Kirkham… - BMJ quality & …, 2020 - qualitysafety.bmj.com
Choosing Wisely (CW) campaigns globally have focused attention on the need to reduce
low-value care, which can represent up to 30% of the costs of healthcare. Despite early …

Prevalence and cost of care cascades after low-value preoperative electrocardiogram for cataract surgery in fee-for-service Medicare beneficiaries

I Ganguli, C Lupo, AJ Mainor, S Raymond… - JAMA internal …, 2019 - jamanetwork.com
Importance Low-value care is prevalent in the United States, yet little is known about the
downstream health care use triggered by low-value services. Measurement of such care …

Measuring hospital-acquired complications associated with low-value care

T Badgery-Parker, SA Pearson, S Dunn… - JAMA internal …, 2019 - jamanetwork.com
Importance Studies of low-value care have focused on the prevalence of low-value care
interventions but have rarely quantified downstream consequences of these interventions for …

[HTML][HTML] Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

E Kjelle, ER Andersen, AM Krokeide, LJJ Soril… - BMC Medical …, 2022 - Springer
Background Inappropriate and wasteful use of health care resources is a common problem,
constituting 10–34% of health services spending in the western world. Even though …

Age dependency for coagulation parameters in paediatric populations

P Toulon, M Berruyer… - Thrombosis and …, 2016 - thieme-connect.com
Understanding of developmental haemostasis is critical to ensure optimal prevention,
diagnosis, and treatment of haemorrhagic and thrombotic diseases in children. As …

Electrocardiograms in low-risk patients undergoing an annual health examination

RS Bhatia, Z Bouck, NM Ivers, G Mecredy… - JAMA internal …, 2017 - jamanetwork.com
Importance Clinical guidelines advise against routine electrocardiograms (ECG) in low-risk,
asymptomatic patients, but the frequency and impact of such ECGs are unknown. Objective …

Reducing unnecessary preoperative testing

LA Dossett, AL Edelman, G Wilkinson, SM Ruzycki - bmj, 2022 - bmj.com
Preoperative evaluation is a component of risk stratification and mitigation for patients
undergoing surgery. These evaluations include comprehensive histories, directed physical …

[HTML][HTML] Improving the quality of health care in Canada

IA Dhalla, J Tepper - Cmaj, 2018 - Can Med Assoc
• Although there is ample evidence that Canadians suffer preventable harm owing to unsafe
care, 52, 53 useful international comparisons focusing on the safety of health care are rare.• …