Authors
Sunil Kripalani, Wynne E Norton
Publication date
2024/1
Journal
Journal of Hospital Medicine
Volume
19
Issue
1
Pages
57-61
Description
De‐implementation refers to the process of reducing or stopping the use of ineffective, harmful, or low‐value healthcare services that provide little or no benefit to patients. 1 Interest in this area has grown with the recognition that much of what we do in healthcare lacks strong evidence, is wasteful, may be harmful, or may not align with patient preferences. Specific initiatives such as Choosing Wisely®, international conferences (eg, Preventing Overdiagnosis), research networks (eg, US Deprescribing Research Network), and journal series (eg,“Less Is More” in JAMA Internal Medicine,“Things We Do for No Reason” in the Journal of Hospital Medicine) have raised awareness of low‐value care. In Hospital Medicine, low‐value practices are encountered frequently, ranging from daily lab draws in stable patients to indwelling catheters for monitoring urine output. 2
De‐implementation of low‐value practices fosters more …
Total citations
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