20 April 2020

De-implementing wisely: developing the evidence base to reduce low-value care

De-implementing wisely: developing the evidence base to reduce low-value care
BMJ Quality & Safety 2020;29:409-417, 20 April 2020
  • This paper describes the Choosing Wisely De-Implementation Framework (CWDIF), a novel framework that builds on previous work in the field of implementation science and proposes a comprehensive approach to systematically reduce low-value care in both hospital and community settings and advance the science of de-implementation. 
  • Based on a worked example of applying CWDIF [in Canada] the paper presents a stepwise theory-based framework for de-implementing low-value care identified through Choose Wisely recommendations for reducing low-value care.