173 Effects of de-implementation strategies aimed at reducing low-value nursing procedures 6 Author (y), Country Design study Setting Target group Type of low value care Primary outcome (s) Before After Difference/ statistical test results Statistical analyses performed (Yes/No) Positive significant effect (p≤ 0.05, Yes/No) McCue et al. (2004), USA [34] Uncontrolled before-after Hospital Psychiatric nurses Restraint use The number of restraints/1000 patientdays 0.8% 0.4% -0.4% Yes Yes Mitchell et al. (2018), USA [9] Uncontrolled Before-after Hospital ICU nurses Restraint use The rate of restraint use 61% 31% -30% No / Sinitsky et al. (2017), UK [35] Uncontrolled Before-after Hospital Pediatric intensive care nurses Liver function tests (LFT) Total number of LFTs per bed day N/A N/A N/A Yes Yes Thakker et al. (2018), Canada [36] Uncontrolled Before-after Hospital Orthopaedic nurses Catheter use The average rate of indwelling catheter use 55.2% 19.8% -35.4% No / Weddle et al. (2016), USA [37] Uncontrolled Before-after Urgent care center Nurse practitioner Antibiotic prescribing The rates of inappropriate antibiotic prescribing per month 9% 6% -3% Yes Yes N/A = Not Available Abbreviation: ICU - Intensive Care Nurses
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