166 Chapter 6 Results Study selection The search strategy resulted in 4278 studies. The reference and citation search resulted in an additional 586 studies. After removing 64 duplicates, 4800 abstracts remained. After screening on title and abstract, 162 full texts were reviewed. A total of 27 studies were found to be eligible for inclusion (figure 1), including 12 uncontrolled studies (48, 116-126) and 15 controlled studies (127-141). Reasons for exclusion were: 1) deimplementation strategy was not directed at reducing low-value nursing procedures (but at low-value care provided by other healthcare professionals or at low-value nursing procedures that require an order of other healthcare professionals (n=84) such as medication prescribing or requests for lab testing by physicians), 2) Study does not include an assessment of the effectiveness of a de-implementation strategy (n=26), 3) full text was not available (n=13), and 4) other (e.g. non-response authors and no results reported on volume of low-value care) (n=12).
RkJQdWJsaXNoZXIy MTk4NDMw