Safety, quality & education

Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, and the environment

Intensive Care MedPublished Scoping review

Authors' conclusion

Interventions to reduce low-value care in ICUs may have important health, financial, and environmental co-benefits.

Study context

Population
ICU settings32 eligible studies
Comparison
Interventions to reduce low-value care in intensive care units (ICUs)
Outcome
Impact on immediate low-value care target
Methodological detailsMEDLINE, Embase, Cochrane CENTRAL searched from inception to 22 September 2023
  • MEDLINE, Embase, Cochrane CENTRAL searched from inception to 22 September 2023

Main finding

As reported in the abstract

Studies targeting routine blood testing

13

Studies targeting routine chest X-rays

10

Studies targeting other or multiple types of low-value care

9

Further findings

Health outcomes and costs

Many interventions associated with improved health outcomes and financial savings; small samples limited ability to detect impacts

Environmental impact

Only study reporting environmental impacts found reduced CO2-e emissions

Original publication

Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, and the environment. Intensive Care Med. Published 25 October 2024. doi:10.1007/s00134-024-07670-7

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