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Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task
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[Choosing Wisely: from theory to practice].

Luca Gabutti, Michela Pironi, Roberto Della Bruna

    Revue Medicale Suisse
    |December 18, 2015
    PubMed
    Summary

    The "Choosing Wisely" initiative revealed significant variations in medical practices across hospitals. This highlights the need for standardized care and patient involvement to improve healthcare efficiency and outcomes.

    Area of Science:

    • Healthcare Management
    • Clinical Practice Variation
    • Patient Safety

    Context:

    • The Network of Southern Switzerland Public Hospitals is implementing the "Choosing Wisely" initiative.
    • Focus on five key areas: benzodiazepine, proton pump inhibitor, and antibiotic prescriptions; ionizing radiation exposure; and blood sample collection.

    Purpose:

    • To assess the potential benefits of the "Choosing Wisely" initiative.
    • To compare variations in selected diagnostic and therapeutic procedures across medical and surgical departments in four major public hospitals.

    Summary:

    • Significant and unexpected practical differences were observed in the chosen variables between specialties and institutions.
    • Initial findings indicate substantial variability in healthcare resource utilization and clinical practices.

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    Impact:

    • Results presented to healthcare stakeholders to raise awareness of practice variations.
    • Future steps include continuous monitoring and developing patient-involved recommendations to optimize care.