Choosing Wisely in Newborn Medicine: Five Opportunities to Increase Value.

ABSTRACT:

Background

The use of unnecessary tests and treatments contributes to health care waste. The "Choosing Wisely" campaign charges medical societies with identifying such items. This report describes the identification of 5 tests and treatments in newborn medicine.

Methods

A national survey identified candidate tests and treatments. An expert panel of 51 individuals representing 28 perinatal care organizations narrowed the list over 3 rounds of a modified Delphi process. In the final round, the panel was provided with Grading of Recommendation, Assessment, Development and Evaluation (GRADE) literature summaries of the top 12 tests and treatments.

Results

A total of 1648 candidate tests and 1222 treatments were suggested by 1047 survey respondents. After 3 Delphi rounds,

SUBMITTER: Ho T 

PROVIDER: S-EPMC9923615 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature