13 Jun 2017
The Royal Brisbane and Women’s Hospital (RBWH) is one of a number of leading Australian hospitals working to reduce duplicate or unnecessary healthcare practices as part of the Choosing Wisely Australia initiative.
RBWH Choosing Wisely Clinical Lead Jessica Toleman presented at the Choosing Wisely Australia National Meeting, on 4 May, the latest results achieved by the hospital since becoming a Champion Health Service in November 2016.
“Multiple strategies have been used to engage stakeholders following our launch of our Choosing Wisely partnership, including a connected network approach for introduction of Choosing Wisely initiatives,” Ms Toleman said.
“We are challenging all facets of the organisation to think differently about the way we care for our patients and have identified more than 130 initiatives that address low value approaches.
“Hospitals can be intimidating places and it’s easy for patients to assume they have to have every test and treatment their doctor suggests. For clinicians, it’s easy to fall into the habit of ordering tests and requesting treatments simply because they can.”
In addition to the identified initiatives, RBWH has made a further commitment to Choosing Wisely by including it in their performance framework, hospital orientation and role descriptions.
“A statement appears in each and every one of our job descriptions which clearly identifies us as a Choosing Wisely organisation,” Ms Toleman said. “Already we’re seeing a reduction in duplicated care, as well as better communication between different specialities.”
Next steps include further development of evaluation and monitoring of the initiatives to ensure accountability and sustainability. RBWH is also going to undertake a hospital-wide review of the uptake and reporting of the Choosing Wisely recommendations made by the specialist colleges, societies and associations partnered with Choosing Wisely Australia.