Developing a framework to guide the de-adoption of low-value clinical practices in acute care medicine: a study protocol

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• 作者：Jeanna Parsons Leigh ; Daniel J. Niven ; Jamie M. Boyd…
• 关键词：De ; adoption ; Low ; value practices ; Barriers ; Facilitators ; Acute care medicine
• 刊名：BMC Health Services Research
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：17
• 期：1
• 全文大小：483KB
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963
• 卷排序：17

文摘

BackgroundHealthcare systems have difficulty incorporating scientific evidence into clinical practice, especially when science suggests that existing clinical practices are of low-value (e.g. ineffective or harmful to patients). While a number of lists outlining low-value practices in acute care medicine currently exist, less is known about how best to initiate and sustain the removal of low-value clinical practices (i.e. de-adoption). This study will develop a comprehensive list of barriers and facilitators to the de-adoption of low-value clinical practices in acute care facilities to inform the development of a framework to guide the de-adoption process.