title: [Choosing wisely in internal medicine].
abstract: "Choosing wisely - DGIM" is an initiative of the German Society of Internal Medicine (DGIM) to strengthen the quality of diagnostics and indications for therapy. Aspects of inappropriate patient care are identified based on scientific evidence in collaboration with12 internal medicine and associated societies. Identified aspects are reviewed and endorsed by an interdisciplinary consensus committee. Addressed are those diagnostic and therapeutic measures which are rarely used despite scientific evidence of their usefulness and those which are frequently used although clear evidence exists that the measures are not useful or even harmful. The resulting positive or negative recommendations are intended to support physicians in the assessment of indications. The relevance of the "Choosing wisely - DGIM" initiative is confirmed by a survey involving 4200 members of DGIM.
authors.affiliation: Klinik für Kardiologie und Pneumologie, Herzzentrum, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland. hasenfus@med.uni-goettingen.de.
authors.forename: G
authors.initials: G
authors.lastname: Hasenfuß
authors.affiliation: Klinik für Innere Medizin IV, Helios Dr. Horst Schmidt Kliniken GmbH, Wiesbaden, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Märker-Hermann
authors.affiliation: Klinik I für Innere Medizin, Uniklinik Köln, Kerpener Str. 62, Köln, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Hallek
authors.affiliation: Klinik für Innere Medizin I, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
authors.forename: U R
authors.initials: UR
authors.lastname: Fölsch
mesh_terms: D000066491:Clinical Decision-Making / Q000379:methods*; D005858:Germany; D007388:Internal Medicine / Q000458:organization & administration*; D019300:Medical Errors / Q000517:prevention & control*; D010358:Patient Participation / Q000379:methods; D010819:Physician's Role; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration*
keywords: Consensus; Healthcare quality; Indication quality; Quality control; Survey