RecruitingNot ApplicableNCT06934564

De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery

Sponsor

University of Michigan

Enrollment

16 participants

Start Date

Apr 1, 2025

Study Type

INTERVENTIONAL

Conditions

Laparoscopic Cholecystectomy Breast Lumpectomy

Summary

This trial aims to evaluate the effectiveness of a multi-level, multi-component de-implementation strategy to reduce unnecessary preoperative testing. Sixteen Michigan Value Collaborative (MVC)/Michigan Surgical Quality Collaborative (MSQC) sites in Michigan will implement several tools that have been proven to reduce unnecessary testing at a single site, including clinician education, a decision aid, audit and feedback on performance, and a pay-for-performance incentive. The researchers believe that, through the use of these strategies, there will be a significant reduction in unnecessary preoperative testing during the intervention.

Eligibility

Min Age: 18 Years

Inclusion Criteria2

Site
Over 30% of testing rates on at least one of the three index procedures (breast lumpectomy, laparoscopic cholecystectomy, and inguinal hernia repair)

Exclusion Criteria2

none
Surgical participants must be over 18 years old.

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Interventions

BEHAVIORALActive de-Implementation

During active de-implementation (3 months), the local team will distribute the strategy components (i.e., clinician education, decision support, evaluation, consensus building around perioperative testing pathways, facility-specific feedback, and a pay-for-performance incentive) at the local site.