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Choosing Wisely in Critical CareChoosing Wisely in Critical Care: Maximizing Value in the ICU

Derek C. Angus, MD, MPH, FCCP; Clifford S. Deutschman, MD; Jesse B. Hall, MD, FCCP; Kevin C. Wilson, MD; Cindy L. Munro, PhD, APRN-BC; Nicholas S. Hill, MD, FCCP
Author and Funding Information

From the Department of Critical Care Medicine (Dr Angus), Schools of the Health Sciences, University of Pittsburgh; North Shore-LIJ-Hofstra School of Medicine (Dr Deutschman), The Feinstein Institute for Medical Research, Manhasset, NY, and Society of Critical Care Medicine, Mount Prospect, IL; Departments of Medicine and Anesthesia & Critical Care (Dr Hall), Pritzker School of Medicine, University of Chicago and American College of Chest Physicians (CHEST), Glenview, IL; Division of Pulmonary, Allergy, Sleep, and Critical Care Medicine (Dr Wilson), Department of Medicine, School of Medicine, Boston University; College of Nursing (Dr Munro), USF Health, University of South Florida, and American Association of Critical-Care Nurses, Aliso Viejo, CA; and Division of Pulmonary, Critical Care, and Sleep Medicine (Dr Hill), Department of Medicine, School of Medicine, Tufts University and American Thoracic Society, New York, NY.

CORRESPONDENCE TO: Kevin C. Wilson, MD, The Pulmonary Center, R-304, 715 Albany St, Boston, MA 02118-2394; e-mail: kwilson@thoracic.org


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST the following conflicts of interest: Dr Deutschman was President of the Society of Critical Care Medicine (SCCM) in 2012, during which time he received salary support and travel expenses to any meeting where he represented the SCCM. Dr Deutschman is a member of the editorial boards of Critical Care Medicine and Shock. Dr Hall reports being an editorial board member of CHEST, Critical Care Medicine, and the American Journal of Respiratory and Critical Care Medicine. Dr Wilson reports being employed by the American Thoracic Society (ATS) as both the Documents Editor and the Senior Director for Documents and Medical Affairs. Dr Munro is co-Editor-in-Chief of the American Journal of Critical Care. Dr Hill was President of the ATS in 2011 and 2012 and is an Associate Editor of CHEST. Dr Angus has reported that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(5):1142-1144. doi:10.1378/chest.14-0912
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Extract

Overuse of medical tests and treatments wastes health-care resources and leads to unnecessary complications, while underuse results in delayed or missed diagnoses and treatment opportunities.1 Such problems are well recognized, and there have been multiple attempts to correct inappropriate diagnostic testing and treatment over the past several decades.2 However, sustainable solutions have proven to be elusive.3

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