• Emerg Med Australas · Feb 2025

    De-implementing low-value care in emergency medicine: A framework for sustainable improvement.

    • Fahad Yousif and Elyssia M Bourke.
    • Department of Emergency Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2025 Feb 1; 37 (1): e14535e14535.

    AbstractThe continued use of low-value care interventions is a persisting challenge across the healthcare system despite targeted international efforts to reduce their use. These practices result in considerable economic and carbon costs. We present a model used to successfully de-implement four low-value care practices in a tertiary ED in Victoria, Australia. We outline the interventions and the proportions by which they were reduced. We provide a step-by-step framework that provides a model for other hospital departments or primary care centres to initiate their own de-implementation process for low-value care practices within their setting.© 2024 Australasian College for Emergency Medicine.

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