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Experts describe ways to eliminate wasteful medical tests and procedures
Date:8/18/2013

Medical organizations are participating in a campaign to help clinicians and patients avoid wasteful and sometimes harmful medical interventions. Recently, experts in pediatric and adult health from diverse geographic locations of the United States and from a mix of academic and non- academic settings shared their experiences, consulted their colleagues, and analyzed numerous studies in the medical literature to determine the top recommendations for improving healthcare value. Following these recommendations, which are outlined in a new study published today in the Journal of Hospital Medicine, will lower costs and lead to better care for patients.

Experts estimate that waste constitutes up to 20% of health care expenditures in the United States. To address this problem a number of national medical societies have joined the Choosing Wisely campaign, with each creating a list of five common but sometimes unnecessary, tests, therapies, or procedures in their fields that patients and physicians should question and discuss. The Society of Hospital Medicine joined this effort in 2012, and it asked experts to create such lists regarding the care provided to hospitalized adults and children.

In addition to including the Choosing Wisely lists for pediatric and adult hospitalists, the new articles provide details about the methodologies used to create them. The details can serve as a blueprint for other healthcare organizations interested in researching and developing lists of potentially over-used or harmful interventions.

The recommendations five for hospitalists and five for pediatric hospitalists were published jointly by the American Board of Internal Medicine Foundation and the Society of Hospital Medicine in early 2013.

The top five recommendations proposed for hospitalized children are:

  1. Don't order chest radiographs in children with asthma or bronchiolitis. This has the potential to decrease costs
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Contact: Amy Molnar
sciencenewsroom@wiley.com
Wiley
Source:Eurekalert

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