Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations
BACKGROUND: The novel coronavirus (COVID-19) pandemic has brought forth issues of health system resource limitations into urgent matters of public importance. Our objective was to rapidly develop an international Choosing Wisely list of recommendations for clinicians and the public about using resou...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Escola Bahiana de Medicina e Saúde Pública
2020-05-01
|
| Series: | Journal of Evidence-Based Healthcare |
| Subjects: | |
| Online Access: | https://www5.bahiana.edu.br/index.php/evidence/article/view/2898 |
| _version_ | 1797856534767599616 |
|---|---|
| author | Karen Born Wendy Levinson Luis Claudio Correia Sandra Vernero |
| author_facet | Karen Born Wendy Levinson Luis Claudio Correia Sandra Vernero |
| author_sort | Karen Born |
| collection | DOAJ |
| description | BACKGROUND: The novel coronavirus (COVID-19) pandemic has brought forth issues of health system resource limitations into urgent matters of public importance. Our objective was to rapidly develop an international Choosing Wisely list of recommendations for clinicians and the public about using resources wisely in the COVID-19 pandemic. METHODS: Choosing Wisely Canada convened a rapid Delphi process to develop an international Choosing Wisely list for COVID-19. Informed by a rapid review of emerging literature, this process engaged a small group of clinicians and public advisors in Canada (n=10) and internationally (n=8) to develop a candidate list of recommendations. A survey with candidate recommendations was sent to Choosing Wisely clinician leaders in Canada and around the world. Based on survey results and input, list recommendations were modified. RESULTS: The survey was sent to 293 potential respondents and received a 56% response rate in 72 hours (n=163). Respondents were asked to score each of the 9 recommendations on a 5-point Likert scale ranging from 1 strongly disagree to 5 strongly agree followed by free text comment. There were 271 total comments across 9 recommendations. Overall, all 9 recommendations had high levels of agreement with 83%-96% of respondents ranking them as strongly agree or agree. INTERPRETATION: This list of recommendations provides evidence-based statements about using resources wisely in the COVID-19 pandemic. The list reflects international consensus on evidence-based recommendations for both clinicians and the public which were achieved through a rapid consensus building process. TRIAL REGISTRATION: n/a |
| first_indexed | 2024-04-09T20:42:02Z |
| format | Article |
| id | doaj.art-23ae554efbec45eeb0d4b92a183c5500 |
| institution | Directory Open Access Journal |
| issn | 2675-021X |
| language | English |
| last_indexed | 2024-04-09T20:42:02Z |
| publishDate | 2020-05-01 |
| publisher | Escola Bahiana de Medicina e Saúde Pública |
| record_format | Article |
| series | Journal of Evidence-Based Healthcare |
| spelling | doaj.art-23ae554efbec45eeb0d4b92a183c55002023-03-29T22:04:33ZengEscola Bahiana de Medicina e Saúde PúblicaJournal of Evidence-Based Healthcare2675-021X2020-05-012110.17267/2675-021Xevidence.v2i1.2898Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendationsKaren Born0Wendy LevinsonLuis Claudio CorreiaSandra VerneroUniversity of TorontoBACKGROUND: The novel coronavirus (COVID-19) pandemic has brought forth issues of health system resource limitations into urgent matters of public importance. Our objective was to rapidly develop an international Choosing Wisely list of recommendations for clinicians and the public about using resources wisely in the COVID-19 pandemic. METHODS: Choosing Wisely Canada convened a rapid Delphi process to develop an international Choosing Wisely list for COVID-19. Informed by a rapid review of emerging literature, this process engaged a small group of clinicians and public advisors in Canada (n=10) and internationally (n=8) to develop a candidate list of recommendations. A survey with candidate recommendations was sent to Choosing Wisely clinician leaders in Canada and around the world. Based on survey results and input, list recommendations were modified. RESULTS: The survey was sent to 293 potential respondents and received a 56% response rate in 72 hours (n=163). Respondents were asked to score each of the 9 recommendations on a 5-point Likert scale ranging from 1 strongly disagree to 5 strongly agree followed by free text comment. There were 271 total comments across 9 recommendations. Overall, all 9 recommendations had high levels of agreement with 83%-96% of respondents ranking them as strongly agree or agree. INTERPRETATION: This list of recommendations provides evidence-based statements about using resources wisely in the COVID-19 pandemic. The list reflects international consensus on evidence-based recommendations for both clinicians and the public which were achieved through a rapid consensus building process. TRIAL REGISTRATION: n/ahttps://www5.bahiana.edu.br/index.php/evidence/article/view/2898Choosing Wisely. COVID-19. |
| spellingShingle | Karen Born Wendy Levinson Luis Claudio Correia Sandra Vernero Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations Journal of Evidence-Based Healthcare Choosing Wisely. COVID-19. |
| title | Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations |
| title_full | Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations |
| title_fullStr | Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations |
| title_full_unstemmed | Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations |
| title_short | Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations |
| title_sort | using resources wisely in the covid 19 pandemic an international list of choosing wisely recommendations |
| topic | Choosing Wisely. COVID-19. |
| url | https://www5.bahiana.edu.br/index.php/evidence/article/view/2898 |
| work_keys_str_mv | AT karenborn usingresourceswiselyinthecovid19pandemicaninternationallistofchoosingwiselyrecommendations AT wendylevinson usingresourceswiselyinthecovid19pandemicaninternationallistofchoosingwiselyrecommendations AT luisclaudiocorreia usingresourceswiselyinthecovid19pandemicaninternationallistofchoosingwiselyrecommendations AT sandravernero usingresourceswiselyinthecovid19pandemicaninternationallistofchoosingwiselyrecommendations |