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Response to 'Choosing Wisely should bring the cost of unnecessary care back into the discussion; Choosing Wisely: a growing international campaign

Quality and Safety in Health Care Journal -

There are now approximately 20 countries worldwide that have launched or are in the process of launching Choosing Wisely campaigns.

As Haverkamp and colleagues have identified,1 Choosing Wisely campaigns have galvanised physicians worldwide to acknowledge their collective responsibility in reducing overuse and reducing harm associated with unnecessary care. And yes, cost is a tension in the campaign, and it would be naïve to say it is not a consideration. However, we maintain that in order to engage physicians in reducing unnecessary care, the focus cannot be on costs, but rather on reducing unnecessary care at each clinical encounter to improve quality and avoid harm.

Physicians' clinical decisions are largely responsible for unsustainable healthcare spending and the great deal of waste we see in healthcare systems worldwide. However, research highlights that physicians struggle with the acceptability of efforts to curb healthcare costs by influencing how they deliver direct...

IHI Partners with South Africa National Department of Health on Initiative to Improve Tuberculosis Care and Outcomes

Institute for Healthcare Improvement -

The Institute for Healthcare Improvement (IHI) has been awarded a $3 million grant from the Bill & Melinda Gates Foundation to support a four-year quality improvement (QI) initiative to reduce deaths from tuberculosis (TB) in South Africa. The initiative has been co-designed with the South Africa National Department of Health (NDoH) and other partners, and will be the first country-wide TB effort of its kind to utilize QI methodologies at both local and national levels.

Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities

Institute for Healthcare Improvement -

Based on a scan of peer-reviewed and grey literature and subject matter expert interviews, this report examines challenges related to patient safety in the home, including fragmentation of care; household hazards; ill-prepared family caregivers; limited training and regulation of home care workers; inadequate communication among patients, caregivers, and providers; and misaligned payment incentives.

SIDM and IHI Issue RFP for Interventions to Improve Diagnostic Accuracy

Institute for Healthcare Improvement -

​The Society to Improve Diagnosis in Medicine (SIDM) and the Institute for Healthcare Improvement (IHI), which recently merged with the National Patient Safety Foundation, have received a $725,100 grant from the Gordon and Betty Moore Foundation to better understand how delayed or wrong diagnoses happen and to test strategies to reduce them.


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