Perioperative medicine & outcomes
Right-Sizing Testing Before Elective Surgery for Patients With Low Risk
Authors' conclusion
This quality improvement study of a multifaceted, multicomponent deimplementation strategy to reduce unnecessary preoperative testing at diverse hospital sites demonstrated feasibility of expanding this work in a stepped-wedge cluster randomized trial.
Study context
- Population
- Healthy adults undergoing elective laparoscopic cholecystectomy, inguinal hernia repair or breast lumpectomy at 3 Michigan hospitals, March–August 2024
- Participants
- 203 adults
- Comparison
- RITE-Size deimplementation strategy
- Outcome
- Milestone completion (hypothesis: 80% of milestones met on time)
Methodological detailsmulticentre (3 hospitals), feasibility, before-after
- Multicentre (3 hospitals)
- Feasibility
- Before-after
Main finding
As reported in the abstract
Milestone completion
- All milestones achieved on time
Secondary outcomes
Acceptability (Acceptability of Intervention Measure (AIM)) and appropriateness (Intervention Appropriateness Measure (IAM)) among stakeholders
- AIM, median [IQR], of 20
- 20 [18-20]
- IAM, median [IQR], of 20
- 20 [16-20]
Preoperative testing rate, all sites
- Testing rate decreased from 68.0% (51 of 75) to 40.3% (25 of 62)
- P = 0.001
Facilitators and barriers (semistructured interviews)
- Facilitators: small, cohesive perioperative teams; incorporation into policy with auditing and feedback
- Barriers: need for ongoing education and coordination across large health care systems
Original publication
Right-Sizing Testing Before Elective Surgery for Patients With Low Risk. JAMA Netw Open. Published 1 October 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →