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)

Abstract

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
Volume7
Issue number7
DOIs
Publication statusPublished - 1 Jul 2017

Keywords

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

Cite this

Moore, L., Boukar, K. M., Tardif, P. A., Stelfox, H. T., Champion, H., Cameron, P., ... Turgeon, A. F. (2017). Low-value clinical practices in injury care: A scoping review protocol. BMJ Open, 7(7), [e016024]. https://doi.org/10.1136/bmjopen-2017-016024
Moore, Lynne ; Boukar, Khadidja Malloum ; Tardif, Pier Alexandre ; Stelfox, Henry Thomas ; Champion, Howard ; Cameron, Peter ; Gabbe, Belinda ; Yanchar, Natalie L ; Kortbeek, John Barry ; Lauzier, François ; Légaré, France ; Archambault, Patrick ; Turgeon, Alexis F. / Low-value clinical practices in injury care : A scoping review protocol. In: BMJ Open. 2017 ; Vol. 7, No. 7.
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title = "Low-value clinical practices in injury care: A scoping review protocol",
abstract = "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.",
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author = "Lynne Moore and Boukar, {Khadidja Malloum} and Tardif, {Pier Alexandre} and Stelfox, {Henry Thomas} and Howard Champion and Peter Cameron and Belinda Gabbe and Yanchar, {Natalie L} and Kortbeek, {John Barry} and Fran{\cc}ois Lauzier and France L{\'e}gar{\'e} and Patrick Archambault and Turgeon, {Alexis F}",
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Moore, L, Boukar, KM, Tardif, PA, Stelfox, HT, Champion, H, Cameron, P, Gabbe, B, Yanchar, NL, Kortbeek, JB, Lauzier, F, Légaré, F, Archambault, P & Turgeon, AF 2017, 'Low-value clinical practices in injury care: A scoping review protocol', BMJ Open, vol. 7, no. 7, e016024. https://doi.org/10.1136/bmjopen-2017-016024

Low-value clinical practices in injury care : A scoping review protocol. / Moore, Lynne; Boukar, Khadidja Malloum; Tardif, Pier Alexandre; Stelfox, Henry Thomas; Champion, Howard; Cameron, Peter; Gabbe, Belinda; Yanchar, Natalie L; Kortbeek, John Barry; Lauzier, François; Légaré, France; Archambault, Patrick; Turgeon, Alexis F.

In: BMJ Open, Vol. 7, No. 7, e016024, 01.07.2017.

Research output: Contribution to journalReview ArticleOtherpeer-review

TY - JOUR

T1 - Low-value clinical practices in injury care

T2 - A scoping review protocol

AU - Moore, Lynne

AU - Boukar, Khadidja Malloum

AU - Tardif, Pier Alexandre

AU - Stelfox, Henry Thomas

AU - Champion, Howard

AU - Cameron, Peter

AU - Gabbe, Belinda

AU - Yanchar, Natalie L

AU - Kortbeek, John Barry

AU - Lauzier, François

AU - Légaré, France

AU - Archambault, Patrick

AU - Turgeon, Alexis F

PY - 2017/7/1

Y1 - 2017/7/1

N2 - 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.

AB - 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.

KW - Injury

KW - Low-value clinical practise

KW - medical overuse

KW - Quality in health care

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U2 - 10.1136/bmjopen-2017-016024

DO - 10.1136/bmjopen-2017-016024

M3 - Review Article

VL - 7

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 7

M1 - e016024

ER -

Moore L, Boukar KM, Tardif PA, Stelfox HT, Champion H, Cameron P et al. Low-value clinical practices in injury care: A scoping review protocol. BMJ Open. 2017 Jul 1;7(7). e016024. https://doi.org/10.1136/bmjopen-2017-016024