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Making it easier to 'choose wisely'.

Jeremy N Friedman1,2, Sanjay Mahant1,2

  • 1Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario.

Paediatrics & Child Health
|February 27, 2018
PubMed
Summary
This summary is machine-generated.

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This commentary introduces a Choosing Wisely top 5 list for pediatric care, addressing the need for child-focused recommendations on appropriate tests and treatments in healthcare.

Area of Science:

  • Pediatric Healthcare
  • Clinical Practice Guidelines
  • Health Systems Research

Background:

  • The Choosing Wisely campaign promotes discussions on appropriate medical tests and treatments.
  • Existing recommendations primarily focus on adult populations, leaving a gap in pediatric guidance.
  • Tertiary care children's hospitals face unique challenges in optimizing care for young patients.

Purpose of the Study:

  • To describe the development and initial implementation of a "top 5" list of evidence-based recommendations for the Choosing Wisely campaign, specifically tailored for pediatric patients.
  • To encourage broader engagement among healthcare professionals regarding the appropriateness of diagnostic and therapeutic interventions in pediatric care.
  • To foster a culture of responsible resource utilization within well-resourced healthcare systems.
Keywords:
Choosing WiselyPaediatric hospital medicineQuality Improvement.

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Main Methods:

  • A commentary format was used to discuss the conceptualization and rollout of the pediatric Choosing Wisely list.
  • The process involved identifying key areas for improvement in test and treatment appropriateness in a tertiary care setting.
  • The development aimed to create actionable recommendations for clinicians caring for infants and children.

Main Results:

  • A "top 5" list of recommendations for Choosing Wisely in pediatric care has been developed and is undergoing early implementation.
  • The initiative highlights the importance of adapting adult-focused guidelines to the specific needs of children.
  • The commentary serves as a call to action for further discussion and refinement of pediatric care practices.

Conclusions:

  • Developing pediatric-specific Choosing Wisely recommendations is crucial for optimizing healthcare for children.
  • Healthcare providers must exercise responsibility in utilizing resources to ensure appropriate testing and treatment.
  • This initiative aims to promote thoughtful decision-making in pediatric medicine, aligning with the principles of the Choosing Wisely campaign.