Identifying Strategies to Reduce Low-Value Preoperative Testing for Low-Risk Procedures: a Qualitative Study of Facilities with High or Recently Improved Levels of Testing.

ABSTRACT:

Background

Healthcare agencies and perioperative professional organizations recommend avoiding preoperative screening tests for low-risk surgical procedures. However, low-value preoperative tests are still commonly ordered even for generally healthy patients and active strategies to reduce this testing have not been adequately described.

Objective

We sought to learn from hospitals with either high levels of testing or that had recently reduced use of low-value screening tests (aka "delta sites") about reasons for testing and active deimplementation strategies they used to effectively improve practice.

Design

Qualitative study of semi-structured telephone interviews.

Participants

We identified facilities in the US Veterans Health Administration (VHA) with high o

SUBMITTER: Harris AHS 

PROVIDER: S-EPMC10651557 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature