The Change Makers

Each Choosing Wisely Canada recommendation is a simple declarative statement about a test or treatment clinicians and patients should question, but there are many ways to implement it. Local context, culture and capabilities demand local ingenuity.

Check out these Change Makers and all the different ways they are implementing the Choosing Wisely Canada recommendations, and helping to reduce overuse, waste and harm in Canadian health care.

Choosing Wisely Newfoundland & Labrador

Choosing Wisely Newfoundland & Labrador (Choosing Wisely NL) has found Choosing Wisely! They’re working to design and implement interventions that target local priorities in the areas of stroke care, laboratory utilization and imaging tests.

'The Manitoba Advantage' and Choosing Wisely

Friendly Manitoba, Canada’s heart beats, and The Land of 100, 000 Lakes is also home to Choosing Wisely! Read more about ‘the Manitoba advantage’

Sunnybrook Health Sciences Centre

Lose the Tube! At Sunnybrook in Toronto, a program encouraging early removal of unnecessary urinary catheters has resulted in 50% fewer urinary catheters on the medical wards sustained beyond 1-year, without  encountering any adverse effects/ inappropriate urinary catheter removals.

St. Joseph's Healthcare Hamilton

St. Joe’s knows – more is not always better! Antibiotics and in-hospital lab testing are two areas of care St. Joseph’s Healthcare of Hamilton is focusing they’re quality improvement efforts on. They’re working to reduce in-hospital testing by eliminating or restricting: bicarbonate testing from routine electrolytes order, fecal occult blood tests in the emergency department, and reducing erythrocyte sedimentation rate testing where appropriate. Also recognizing superbugs are on the rise, St. Joe’s is doing their part by implementing an antibiotic stewardship program.

Emergency Strategic Clinical Network

Navigating the Emergency Department (ED) can be a headache, some may even call it gut wrenching. It’s no coincidence that blood transfusions for upper gastrointestinal bleeding (UGIB), and computed tomography (CT) utilization for head injuries are two of the most common reasons people visit the ED in Alberta. The Emergency Strategic Clinical Network, Alberta, is reassessing standard clinical practices for these two conditions in their EDs to ensure they’re providing the highest value care to patients.

University of Alberta

It’s important to know when imaging is necessary and when it’s not. Benign headaches and acute asthma are two common conditions patients present when visiting their local Emergency Departments (EDs). The University of Alberta is using a stepped wedge randomized control trial design to implement a variety of educational interventions (for both patients and physicians alike), in the hopes of reducing CT head scans and chest radiography for patients presenting with the respective conditions.

Thunder Bay Regional Health Authority

Emergency Departments are often a place of organized chaos where thorough testing can go a long way, but it can also be a place of over testing. Superior by nature, it’s only fitting that Thunder Bay Regional Health Authority is working to standardize testing in their Emergency Department, optimizing patient care and available resources.

Medicine Hat Regional Hospital

You could call it a ‘hat-trick’ for Medicine Hat Regional Hospital. Where, Dr. Susan Witt and her teams are implementing three Choosing Wisely projects focusing on: transfusion of red blood cells, non-ICU telemetry, and inappropriate catheter use.

Sherbrooke University Hospital

Hardcoding is hardcore – under the guidance of Dr. Ariel Masetto, Sherbrooke is taking things to the next level by placing Choosing Wisely Canada recommendations into their EMR & CPOE systems