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Canadian program for monitoring overuse in injury care

Funding: Canadian Institutes of Health Research (CIHR)

PI: Lynne Moore

Co-Is: Alexis F. Turgeon, François Lauzier, Avery Nathens, Belinda Gabbe, David Evans, Fiona Lecky, Henry Thomas Stelfox, Howard Champion, John Kortbeek, Michaël Chassé, Monica Taljaard, Morad Hameed, Natalie Yanchar, Peter Cameron, Rolf Lefering

Injuries lead to 200,000 hospital stays, 60,000 disabilities, and 13,000 deaths per year in Canada with direct costs of $20B. Up to 30% of healthcare budgets are spent on potentially unnecessary tests and procedures (e.g. scans, blood transfusions, surgeries), exposing patients to avoidable harm. The Canadian Program for Monitoring Overuse in Injury Care will develop indicators targeting the use of low-value processes overuse ) in injury care. To do so, we will:

  1. Identify low-value processes in injury care;
  2. Review the evidence base for low-value processes;
  3. Develop and validate indicators to measure the use of low-value processes;
  4. Identify patient, physician and hospital determinants of overuse and assess its impact on patient mortality, morbidity and resource use;
  5. Evaluate the impact of disseminating indicators in a quality report on overuse and patient outcomes.

The indicators developed in this research program will be used to identify problems of medical overuse in trauma systems across Canada and worldwide. These results will be used by local trauma committees, hospital administrators and trauma system managers to optimize the use of tests and procedures, ultimately reducing the societal and economic burden of injury. Potential benefits include an increase in the efficiency and a decrease in the costs of injury care, an increase in the availability of scarce resources and a reduction in adverse events.