作者
Ricardo A Quinonez, Matthew D Garber, Alan R Schroeder, Brian K Alverson, Wendy Nickel, Jenna Goldstein, Jeffrey S Bennett, Bryan R Fine, Timothy H Hartzog, Heather S McLean, Vineeta Mittal, Rita M Pappas, Jack M Percelay, Shannon C Phillips, Mark Shen, Shawn L Ralston
发表日期
2013/9
来源
Journal of hospital medicine
卷号
8
期号
9
页码范围
479-485
简介
BACKGROUND
Despite estimates that waste constitutes up to 20% of healthcare expenditures in the United States, overuse of tests and therapies is significantly under‐recognized in medicine, particularly in pediatrics. The American Board of Internal Medicine Foundation developed the Choosing Wisely campaign, which challenged medical societies to develop a list of 5 things physicians and patients should question. The Society of Hospital Medicine (SHM) joined this effort in the spring of 2012. This report provides the pediatric workgroup's results.
METHODS
A workgroup of experienced and geographically dispersed pediatric hospitalists was convened by the Quality and Safety Committee of the SHM. This group developed an initial list of 20 recommendations, which was pared down through a modified Delphi process to the final 5 listed below.
RESULTS
The top 5 recommendations proposed for pediatric …
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RA Quinonez, MD Garber, AR Schroeder, BK Alverson… - Journal of hospital medicine, 2013