Do not do recommendations in different paediatric care settings.

Area of Science:

• Pediatric Medicine
• Healthcare Quality Improvement
• Clinical Practice Guidelines

Background:

• Initiatives exist to remove low-utility healthcare interventions.
• The Spanish Association of Pediatrics (AEP) proposed "DO NOT DO" recommendations (DNDRs).
• DNDRs aim to identify practices to avoid in pediatric patient care across various settings.

Purpose of the Study:

• To develop and establish consensus-based "DO NOT DO" recommendations (DNDRs) for pediatric care.
• To identify and eliminate unsafe, inefficient, or low-value practices in pediatrics.
• To enhance the safety and quality of clinical practice in pediatrics.

Main Methods:

• A two-phase project was conducted.
• Phase 1 involved proposing potential DNDRs.
• Phase 2 established final recommendations through a consensus Delphi method involving professional groups and pediatric societies.

Main Results:

• 164 DNDRs were initially proposed by various pediatric societies and committees.
• The recommendations were refined through successive rounds.
• A final set of 25 DNDRs was established, with 5 recommendations per participating group.

Conclusions:

• The project successfully selected and established consensus-based recommendations.
• These DNDRs aim to avoid unsafe, inefficient, or low-value practices in pediatric care.
• The recommendations are expected to contribute to improved safety and quality in pediatric clinical practice.