Choosing Wisely

Effectiveness of implementation strategies for increasing clinicians’ use of five validated imaging decision rules for musculoskeletal injuries: a systematic review – Priti Kharel et al.

2024-08-09T15:49:31+10:00Audit and feedback, Choosing Wisely, Clinical guidelines, Decision aids, Health professionals, Imaging, Musculoskeletal, Overuse, Publications|

Strategies to enhance clinicians’ adherence to validated imaging decision rules and increase the appropriateness of imaging remain unclear. The objective of this study is to evaluate the effectiveness of various implementation strategies for increasing clinicians’ use of five validated imaging decision rules (Ottawa Ankle Rules, [...]

Awareness and use of five imaging decision rules for musculoskeletal injuries: a systematic review – Priti Kharel et al.

2024-08-09T15:50:14+10:00Choosing Wisely, Imaging, Knee, Musculoskeletal, Practitioners, Publications, Spinal|

Several validated decision rules are available for clinicians to guide the appropriate use of imaging for patients with musculoskeletal injuries, including the Canadian CT Head Rule, Canadian C-Spine Rule, National Emergency X-Radiography Utilization Study (NEXUS) guideline, Ottawa Ankle Rules and Ottawa Knee Rules. However, it [...]

Low-Value Surgical Procedures in Low- and Middle-Income Countries: A Systematic Scoping Review – Loai Albarqouni et al.

2023-12-01T13:58:12+11:00Choosing Wisely, Low-value care, Overuse, Publications, Surgery, Underdiagnosis|

Are unnecessary surgical procedures performed in low- and middle-income countries (LMICs), and what are the associated factors, consequences, and solutions to reduce overuse? In this systematic scoping review of 133 studies with more than 9.1 million surgical procedures and 11.4 million participants in 63 LMICs, [...]

Can language enhance physical therapists’ willingness to follow Choosing Wisely recommendations? A best-worst scaling study – Kharel et al.

2024-08-09T14:48:31+10:00Choosing Wisely, Low-value care, Physiotherapy, Publications|

Physical therapists were more willing to follow recommendations that provided more detail, alternatives to low-value care, and were positively framed. These findings can inform the development of future Choosing Wisely recommendations and could help reduce low-value physical therapy.

Computed Tomography Angiography for Detection of Pulmonary Embolism in Western Australia Shows Increasing Use with Decreasing Diagnostic Yield – David Youens et al.

2023-03-01T12:29:15+11:00Choosing Wisely, Imaging, Overdiagnosis, Overtesting, Overtreatment, Overuse, Publications|

CTPA use increased from 2005 to 2015 while diagnostic yield amongst ED patients decreased. The PE hospitalization rate also increased, while the outcome of PE mortality remained constant. Although this study cannot prove that overuse occurred, increasing CTPA use with decreasing diagnostic yield suggests an [...]

Physiotherapists’ attitudes, views, and beliefs about Choosing Wisely recommendations: A qualitative study – Priti Kharel et al.Explore physiotherapists’ attitudes, views, and beliefs towards the Australian Physiotherapy Association’s (APA) Choosing Wisely recommendations.

2024-08-09T14:50:42+10:00Choosing Wisely, Health professionals, Physiotherapy, Publications|

Explore physiotherapists' attitudes, views, and beliefs towards the Australian Physiotherapy Association's (APA) Choosing Wisely recommendations.

Physiotherapists can reduce overuse by Choosing Wisely – Priti Kharel et al.

2021-07-16T13:36:58+10:00Choosing Wisely, Physiotherapy, Publications|

There is increasing awareness of overuse in physiotherapy and the need for strategies to help physiotherapists provide evidence-based care. This Editorial explains why physiotherapy associations need to join the Choosing Wisely campaign, outlines the missed opportunities from physiotherapy associations around the world and proposes solutions to [...]

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