Low-value clinical practices in injury care: A scoping review protocol

Lynne Moore, Khadidja Malloum Boukar, Pier Alexandre Tardif, Henry Thomas Stelfox, Howard Champion, Peter Cameron, Belinda Gabbe, Natalie L Yanchar, John Barry Kortbeek, François Lauzier, France Légaré, Patrick Archambault, Alexis F Turgeon

Research output: Contribution to journalReview ArticleOtherpeer-review

2 Citations (Scopus)


Introduction Preventable injuries lead to 200 000 hospital stays, 60 000 disabilities, and 13 000 deaths per year in Canada with direct costs of $20 billion. Overall, potentially unnecessary medical interventions are estimated to consume up to 30% of healthcare resources and may expose patients to avoidable harm. However, little is known about overuse for acute injury care. We aim to identify low-value clinical practices in injury care. Methods and analysis We will perform a scoping review of peer-reviewed and non-peer-reviewed literature to identify research articles, reviews, recommendations and guidelines that identify at least one low-value clinical practice specific to injury populations. We will search Medline, EMBASE, COCHRANE central, and BIOSIS/Web of Knowledge databases, websites of government agencies, professional societies and patient advocacy organisations, thesis holdings and conference proceedings. Pairs of independent reviewers will evaluate studies for eligibility and extract data from included articles using a prepiloted and standardised electronic data abstraction form. Low-value clinical practices will be categorised using an extension of the Agency for Healthcare Research and Quality conceptual framework and data will be presented using narrative synthesis. Ethics and dissemination Ethics approval is not required as original data will not be collected. This study will be disseminated in a peer-reviewed journal, international scientific meetings, and to knowledge users through clinical and healthcare quality associations. This review will contribute new knowledge on low-value clinical practices in acute injury care. Our results will support the development indicators to measure resource overuse and inform policy makers on potential targets for deadoption in injury care.

Original languageEnglish
Article numbere016024
Number of pages7
JournalBMJ Open
Issue number7
Publication statusPublished - 1 Jul 2017


  • Injury
  • Low-value clinical practise
  • medical overuse
  • Quality in health care

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