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Using Learning Outcome Measures to assess Doctoral Nursing Education

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The Choosing Wisely Campaign for Nursing.

Jo Ann Brooks¹

¹Jo Ann Brooks is a vice president for system quality and safety at Indiana University Health in Indianapolis. Contact author: jbrooksb@iupui.edu. The author has disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing

|November 22, 2018

Summary

Efforts are underway to identify and reduce unnecessary medical tests and procedures. This focus aims to improve healthcare efficiency and patient outcomes by eliminating low-value care.

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Area of Science:

Healthcare Management
Clinical Practice Improvement
Health Services Research

Background:

Rising healthcare costs necessitate a focus on value-based care.
Unnecessary tests and procedures contribute significantly to healthcare expenditures.
Patient safety and outcomes can be compromised by low-value interventions.

Purpose of the Study:

To outline ongoing initiatives for identifying and reducing unnecessary medical tests.
To explore strategies for implementing evidence-based guidelines in clinical practice.
To promote a culture of value-conscious healthcare delivery.

Main Methods:

Systematic literature reviews on overuse of medical services.
Analysis of healthcare claims data to identify low-value procedures.
Development and implementation of clinical decision support tools.
Stakeholder engagement with clinicians and patients.

Main Results:

Identification of specific tests and procedures frequently deemed unnecessary.
Quantification of the economic and clinical impact of overuse.
Demonstration of successful interventions in pilot programs.
Development of best practice guidelines for test selection.

Conclusions:

Reducing unnecessary tests and procedures is crucial for healthcare sustainability.
Implementing targeted interventions can effectively decrease low-value care.
Continued efforts are needed to foster evidence-based practice and improve patient outcomes.