In 2010, The Choosing Wisely campaign, launched by the American Board of Internal Medicine sought to help physicians and patients engage in conversations about unnecessary tests, treatments and procedures [1]. The idea emerged of creating “top 5” lists of low-value health care activities as a way to confront rising medical costs and encourage cost-conscious care [2]. The initial goal was not necessarily to reduce costs but rather to tackle the erroneous assumption that more care is always better according to a quality and safety perspective.
