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BMJ Qual Saf. 2015 Feb;24(2):167-74. doi: 10.1136/bmjqs-2014-003821. Epub 2014 Dec 31.

'Choosing Wisely': a growing international campaign.

Author information

1
Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
2
Dutch Association of Medical Specialists, Utrecht, The Netherlands.
3
ABIM Foundation, Philadelphia, USA.
4
Canadian Medical Association, Ottawa, Canada.
5
VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, and Department of Internal Medicine and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, USA.

Abstract

Much attention has been paid to the inappropriate underuse of tests and treatments but until recently little attention has focused on the overuse that does not add value for patients and may even cause harm. Choosing Wisely is a campaign to engage physicians and patients in conversations about unnecessary tests, treatments and procedures. The campaign began in the United States in 2012, in Canada in 2014 and now many countries around the world are adapting the campaign and implementing it. This article describes the present status of Choosing Wisely programs in 12 countries. It articulates key elements, a set of five principles, and describes the challenges countries face in the early phases of Choosing Wisely. These countries plan to continue collaboration including developing metrics to measure overuse.

KEYWORDS:

Healthcare quality improvement; Patient safety; Quality improvement

PMID:
25552584
DOI:
10.1136/bmjqs-2014-003821
[Indexed for MEDLINE]

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