"The goal of this is about providing good care with the right patient getting the right test and treatment and avoiding unnecessary tests and procedures."
Choosing Wisely is a campaign designed to promote conversations between providers and patients. Helping both parties choose care that is supported by evidence, free from harm, and truly necessary.
The American Board of Internal Medicine (ABIM), initiated Choosing Wisely in early 2012. Two years later, the campaign expanded to Canada. Since then, a number of medical specialty societies and community partners are participating in the campaign.
Vancouver Coastal Health and Providence Health Care are participating in Choosing Wisely Canada (CWC). The first initiative being rolled out across both organizations is Choosing Wisely: Medical Imaging. Since 2016, CW initiatives at VCH and PHC have expanded to Transfusion Medicine and Medical Microbiology.
The culture of “more is always better” needs to be changed, it is essential to decrease the overuse in hospitals (Dr. Wendy Levinson, 2014). We want to create healthy relationships between physicians and patients. Decreasing the amount of unnecessary testing for patients will in turn increase the trust between both parties.
Are you an early adopter?
Are you and your colleagues implementing an initiative under Choosing Wisely Canada? If so, we’d love to hear about it and let others know about it. Please email a few details to Vivian Chan.
What is the name of your initiative?
Which of CWCs partner organizations does your work fall under?
Where is it being implemented?
Who’s involved? What sites? What physicians?
Where are you in the process and when will it be launched?
How do you plan to measure the outcomes?
Imaging orders for uncomplicated back pain at SPH ED have decreased, from 22%-17%.
21% of MI referrals were avoided in the pilot period at VA
MRI for major joints of outpatients at VA average decrease of 0.5%.
Imaging of uncomplicated headaches at LGH ED decrease by 0.7%
Head CT’s for outpatients at LGH decrease of 1.6%
Don’t transfuse more than one red cell unit at a time when transfusion is required in stable, non-bleeding patients.
Single red blood cell transfusion has increased from 56% to 64% at VGH by changing order sets
10% reduction of blood work collections from inpatient acute wards at SPH within 3 months of a policy implementation
Check out this video if you aren’t already convinced to choose wisely!
Choosing Wisely Canada