Beyond guideline knowledge: a theory-based qualitative study of low-value preoperative testing.

ABSTRACT:

Background

Choosing Wisely Canada and most major anesthesia and preoperative guidelines recommend against obtaining preoperative tests before low-risk procedures. However, these recommendations alone have not reduced low-value test ordering. In this study, the theoretical domains framework (TDF) was used to understand the drivers of preoperative electrocardiogram (ECG) and chest X-ray (CXR) ordering for patients undergoing low-risk surgery ('low-value preoperative testing') among anesthesiologists, internal medicine specialists, nurses, and surgeons.

Methods

Using snowball sampling, preoperative clinicians working in a single health system in Canada were recruited for semi-structured interviews about low-value preoperative testing. The interview guide was developed using the

SUBMITTER: Jasaui Y 

PROVIDER: S-EPMC9979452 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature