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Transfus Clin Biol. 2018 Nov;25(4):237-241. doi: 10.1016/j.tracli.2018.08.004. Epub 2018 Aug 17.

Choosing Wisely, another way to spread blood transfusion's good practices.

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1
EFS Centre-Pays de la Loire, site d'Orléans, 190, rue Léon-Foucault, 45140 Saint-Jean de la Ruelle, France. Electronic address: jean-yves.py@efs.sante.fr.

Abstract

Medical practice should be as much as possible ruled by evidence-based medicine. A lot of experts contribute to that, in heavy structured procedures where they write detailed and precise clinical practice recommendations. Such documents are essential but they are often far from everyday questions patients and their general practitioners are asking. There is room for a more concise and practical approach and that is "Choosing Wisely". This approach asks every medical society to identify "things physicians and patients should question" and provide clear and proven replies. In doing so, it is expected a reduction of overused exams, treatments, or procedures which are not helpful for patients. "Better treated with less" is the global idea. A lot of countries are now going down that road, including France who plans to develop it. Several of them have blood transfusion societies which have already published their recommendations, and also first studies on their impact on the ground. Comparison of these works shows clearly that priorities are nearly the same everywhere.

KEYWORDS:

Blood transfusion recommendations; Bonnes pratiques; Choisir avec soin; Choosing Wisely; Good practices; Recommandations transfusionnelles

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