High-value care, stewardship and avoiding low-value interventions — branching viva

Opening (candidate)

I would treat this as a de-implementation project, not a single instruction. First I would confirm the practice is genuinely low-value using Choosing Wisely guidance, then measure the baseline, diagnose the drivers, engage the team and families, de-implement with combined levers, and sustain and monitor to prevent re-adoption. ^{[9] [15]}