Prescribers perceive interprofessional tensions and specifically, pressure from nurses to prescribe antibiotics as a significant barrier to reducing overprescribing in RACFs. The primary aim of the current study was to develop a scale that measures nursing behaviours related to antibiotic initiation in RACF. As expected, [...]
To our knowledge, this is the first methodological review of studies concerned with overdiagnosis in noncancer conditions. We identified 132 studies identifying or quantifying overdiagnosis of a wide range of noncancer conditions. We applied a novel framework that uses the concept of ‘‘Fair Umpires’’ to [...]
Lumbar spine diagnostic imaging reports may cause patient and clinician concern when clinically unimportant findings are not explicitly described as benign. Our primary aim was to determine the frequency that common, benign findings are reported in lumbar spine plain X-ray, computed tomography (CT) and magnetic [...]
Opioids and imaging are considered low-value care for most people with low back pain. Yet around one in three people presenting to the emergency department (ED) will receive imaging, and two in three will receive an opioid. NUDG-ED aims to determine the effectiveness of two [...]
Whilst computed tomography (CT) imaging has been a vital component of injury management, its increasing use has raised concern regarding ionising radiation exposure. This study aims to identify latent classes (underlying patterns) of CT use over a 3-year period following the incidence of injury and [...]
The growing number of Direct To Consumer (DTC) tests available for direct purchase online in Australia purport to empower consumers with choice and convenience of access. The categorisation of clinical utility developed in this study shows the majority of currently available products lack clear benefits [...]
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, [...]
Acute otitis media (AOM) is one of the most common diseases in childhood for which antibiotics are commonly prescribed; a systematic review reported a pooled prevalence of 85.6% in high‐income countries. This is an update of a Cochrane Review first published in the Cochrane Library [...]
Different studies showed that when patients are better informed about the benefits and harms of interventions (eg, surgeries, screening tests, medications), they tend to decline low-value care. These findings might explain why SDM has been promoted to reduce low-value care. Focusing on the conversations between [...]
Consistent evidence shows pathology services are overused worldwide and that about one-third of testing is unnecessary. Audit and feedback (AF) is effective for improving care but few trials evaluating AF to reduce pathology test requesting in primary care have been conducted. The aim of this [...]