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Fig. 1 | BMC Research Notes

Fig. 1

From: Developing indicators for measuring low-value care: mapping Choosing Wisely recommendations to hospital data

Fig. 1

Criteria for direct measurement of Choosing Wisely recommendations, with example recommendations from Choosing Wisely Australia [10]. Recommendations are excluded in four stages, as described by the steps in the middle column. Four examples of excluded Choosing Wisely Australia recommendations are shown in the left column. Pap smear was excluded as this is a service usually provided in general practice. Antibiotic prescription was excluded as prescribing is not recorded within either the private or public available datasets. Inguinal hernia repair was excluded because the description of “minimally symptomatic or asymptomatic” or “careful consideration” is not recorded in the data. Finally, chest x-rays were excluded as this is a service that is not usually coded in inpatient data, according to the Australian Coding Standards [11]. The example of the epidural steroid injection recommendation meets all four criteria for measurement

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