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«Do Not Do» recommendations for retinopathies: A mixed consensus study.

L Pablo1, C A Beckford2, J Martin-Delgado3

  • 1Servicio de Oftalmología, Hospital Universitario Miguel Servet, Zaragoza, Spain; OFTARED, Universidad de Zaragoza, Zaragoza, Spain.

Archivos De La Sociedad Espanola De Oftalmologia
|November 10, 2021
PubMed

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Same author

«Do Not Do» recommendations for retinopathies: A mixed consensus study.

Archivos de la Sociedad Espanola de Oftalmologia·2021
Same author

Clinical features, management and outcomes of patients with sterile endophthalmitis associated with intravitreal injection of antivascular endothelial growth factor.

Archivos de la Sociedad Espanola de Oftalmologia·2020
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Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria·2014
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[Micronutrient supplementation in parenteral nutrition in Spanish hospitals].

Nutricion hospitalaria·2011
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[Use of organic phosphates and filters in parenteral nutrition in Spanish hospitals].

Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria·2011
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[Satisfaction perceived by outpatients and pharmacy auxiliaries in a Hospital Pharmacy Department, as a method of improving quality].

Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial·2011
Summary
This summary is machine-generated.

This study identified low-value care practices, or "Do Not Do

Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Public Health

Background:

  • Age-related macular degeneration (AMD), diabetic macular edema (DME), and retinal vein occlusion (RVO) are leading causes of vision loss.
  • "Do Not Do" recommendations identify low-value practices to improve care quality and optimize healthcare costs.

Purpose of the Study:

  • To establish consensus on low-value practices for AMD, DME, and RVO.
  • To estimate the occurrence of these "Do Not Do" recommendations in clinical practice.

Main Methods:

  • A mixed-methods study was employed, starting with a multidisciplinary expert panel using the Nominal Group technique for consensus.
  • A retrospective observational study involving medical record review was conducted in the second phase.
Keywords:
Aseguramiento de la calidadDegeneración macularDiabetic eye diseaseEdema macular diabéticoLow-value practiceMacular degenerationOclusión venosa de la retinaPatient safetyQuality assuranceRetinal vein occlusionsRight careSeguridad del paciente

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Main Results:

  • A total of 16 "Do Not Do" recommendations were established: 7 for AMD, 4 for DME, and 5 for RVO.
  • Review of 1,012 medical records across 4 hospitals revealed that agreed "Do Not Do's" occurred in 0.6% to 31.4% of cases.

Conclusions:

  • "Do Not Do" recommendations for AMD, DME, and RVO are prevalent in clinical practice.
  • Healthcare processes require review and improvement to eliminate these low-value practices and enhance patient care quality.