High value care for everyone by making well-informed decisions: should we perform a test, treatment or procedure or should we refrain from these?

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General practitioner


The use of opioids in the treatment of chronic pain has dramatically increased over the past years. Although the effe...

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General practitioner

Antibiotics for urinary tract infections

In daily practice, uncomplicated urinary tract infections are often treated with antibiotics. While the infection hea...

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Urinary catheters in the OR

Urinary catheters are placed regularly after pituitary and spondylodesis operations, without medical necessity. Urina...

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Nursing, Primary care

Appropriate prescribing

During the last phase of life, the use of preventive medication is no longer useful. Continuation of this medication ...

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Auscultation of feeding tube

Auscultation is still used to check the position of a feeding tube often, although this ineffective and unsafe. Measu...

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Surveillance CT scans after lymphoma

CT scans are still a standard part of the follow-up of patients with non-Hodgkin's lymphoma, although it is not recom...

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Hospital-wide, Internal medicine

Intravenous and urinary catheters

Intravenous and urinary catheters are a burden to the patient and provide risk of infection. Still, often catheters a...

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Gastroenterology, General practitioner

Gastric endoscopy for dyspepsia

A gastric endoscopy is often used to examine stomach complaints, but rarely a cause is identified. Moreover, this pro...

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MRI’s and arthroscopies for knee complaints

In the Netherlands, MRIs and arthroscopies of the knee are still regularly performed in orthopedic patients ≥ 50 year...

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