For example, one item for emergency physicians on the Choosing Wisely list, developed by the American College of Emergency Physicians, urges clinicians to engage available palliative and hospice services in the emergency department, a service many hospitals lack.
The Partners' list, and the methodology by which 64 procedures were whittled down to 17, and then down to five, is published in Monday's issue of JAMA Internal Medicine. Schuur says that the process by which the Partners' group consolidated opinions of an expert panel and front line doctors is one other specialty groups could use to avoid useless and potentially harmful care, and thereby reduce hospital costs.
"We're not saying that CT scans of the head are not useful in patients with trauma, Schuur explains. "But there are a number of high quality studies that help physicians identify low risk patients in whom a CT scan does not provide useful information. Those are the patients in whom we can avoid these tests, and it's true for other tests that we describe in our top five list."