Overuse targets for Choosing Wisely: Do emergency physicians and nurses agree?

[...]with the advent of team-based emergency care, including nursing order sets, many targets for overuse reduction in the ED may be more sensitive to the clinical decisions of emergency nursing [6,7]. [...]we sought to examine the utility of applying a previously developed survey to create a local Choosing Wisely(TM) "Top 5" list inclusive of all clinicians and to assess provider and nurse agreement on the clinical benefit and actionability of each Choosing Wisely(TM) target (Fig. 1). Nurses rated reductions in nursing performed tasks such as blood cultures in non-critically ill patients, follow-up wound checks and avoidance of unnecessary intravenous medication administration as better targets for intervention while providers rated imaging studies often limited to physician or APP ordering higher.