Right-Sizing Testing Before Elective Surgery for Patients With Low Risk

Can a multifaceted, multicomponent deimplementation strategy aimed at reducing unnecessary preoperative testing be implemented across health care settings?In this quality improvement study, a preoperative testing deimplementation strategy was successfully implemented at 3 hospital sites as demonstrated by timely milestone completion. Additionally, the intervention was deemed highly appropriate and acceptable by key stakeholders and resulted in a significant reduction in preoperative testing rates from 68.0% to 40.3%.These findings suggest that this preoperative testing deimplementation strategy is feasible for implementation across various health care settings, offering a scalable strategy to decrease low-value preoperative testing before common, low-risk surgical procedures that is appropriate and acceptable among key stakeholders.

Corresponding Author: Lesly A. Dossett, MD, MPH, Michigan Program for Value Enhancement, 1500 E Medical Center Dr, Ann Arbor, MI 48109 (ldossett@med.umich.edu).

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