This update on pediatric medical overuse identifies and provides concise summaries of 10 impactful articles related to pediatric medical overuse from the years 2019 to 2020.

We reviewed articles published in 2019 and 2020 and identified and summarized the most impactful articles describing pediatric medical overuse. Articles were identified via a structured Medline search and manual table contents review of high-impact journals. Articles were scored by 3 independent raters according to strength of methods, magnitude of potential harm, and potential number of patients harmed using a standardized scoring rubric. Of 258 articles reviewed, 32 articles were discussed and the 10 most impactful were selected by consensus. This year's review includes opportunities for higher-value utilization of blood products, antibiotics, surgical and other invasive procedures, and follow-up.

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