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When Choosing Wisely meets clinical practice guidelines.

Daniel Strech1, Markus Follmann2, David Klemperer3

  • 1Hannover Medical School, CELLS - Centre for Ethics and Law in the Life Sciences, Hannover, Germany.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|December 16, 2014
PubMed
Summary
This summary is machine-generated.

The Choosing Wisely campaign, by the American Board of Internal Medicine Foundation, identifies potentially harmful medical tests and treatments. Integrating these efforts with clinical practice guidelines can improve healthcare quality and adherence to recommendations.

Keywords:
Choosing WiselyLeitlinienUnterversorgungoverusepractice guidelinesunderuseÜberversorgung

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Area of Science:

  • Health Services Research
  • Medical Practice Improvement
  • Clinical Guideline Development

Background:

  • The American Board of Internal Medicine (ABIM) Foundation initiated the Choosing Wisely campaign in 2012.
  • Over 50 US specialist societies have developed lists of potentially harmful, low-value interventions.
  • There is a need to integrate these efforts with existing clinical practice guideline development.

Purpose of the Study:

  • To propose combining the Choosing Wisely campaign with clinical practice guideline development.
  • To enhance the development and impact of clinical practice guidelines.

Main Methods:

  • Leveraging existing clinical practice guidelines to inform the creation of 'top 5' lists.
  • Incorporating 'top 5' lists (addressing overuse and underuse) into established guideline frameworks.

Main Results:

  • Clinical practice guidelines can provide a structured, evidence-based approach for developing 'top 5' lists.
  • The integration addresses the under-recognized issue of disregarded recommendations in clinical practice.

Conclusions:

  • Combining Choosing Wisely with clinical practice guidelines offers a synergistic approach to improving healthcare.
  • This integration explicitly addresses the frequent disregard of clinical recommendations in practice, promoting evidence-based care.