Dr Ian Dey will be discussing Virtual Emergency Medicine (VEM): A new model of care for Fiona Stanley Hospital and South Metropolitan Health Service, Western Australia.

The Royal Commission into Aged Care Quality and Safety highlighted high rates of inappropriate antipsychotic use in aged care but also drew attention to problematic transitions between hospitals and aged care settings. Recent research has shown that many older people come into aged care taking antipsychotic medication; yet there has been limited research on hospital utilisation of antipsychotics and whether this plays a role in antipsychotic initiation. This study aimed to investigate antipsychotic prescribing in people with dementia or delirium on admission, during their stay and upon discharge at a large regional hospital in Queensland. This presentation will discuss the results and potential solutions for antipsychotic stewardship.

Opioid prescribing rates are continuing to increase in Australia. Prescribing limits are one policy strategy to reduce short term opioid prescribing, but there is limited evidence of their impact. This study aimed to evaluate the impact of two sequential state and national policy interventions on changes to oxycodone 5mg discharge prescriptions in digital public health electronic prescribing hospitals in Queensland.

Riley Hazard presented on a Choosing Wisely project focussed on reducing routine coagulation testing in the Intensive Care Unit (ICU) at Western Health. In a recent retrospective review at Western Health, they found that the great majority of patients who were admitted to the ICU with normal coagulation profiles had such coagulation profiles remaining normal throughout their ICU stay. Riley discussed these results and a potential solution to reduce routine coagulation testing in the ICU.

Dr Fiona Taverner presented on the Fast Feed and Wrap project at Women's and Children's Health Network (WCHN) in South Australia. The Fast Feed and Wrap project is a novel approach to caring for babies who require Peripherally Inserted Central Catheter (PICC) lines without a general anaesthetic. The project recently won the WCHN Enhancing Hospital Care Award.

Professor Nola Ries presented on findings from in-depth interview research conducted with doctors and healthcare consumers. She also highlighted a new online learning course for practitioners on medico-legal issues and opportunities for use in Choosing Wisely initiatives.

Dr Paul Buntine gave an overview of the "No Unnecessary Tests" (NUTs) program at Eastern Health and discussed some of the successes and challenges that they have had over the past 5-6 years. In particular he presented on their current strategies with a focus on sustaining long term change.

Dr Anna Pietzsch and Dr Lana Vestarkis from Sunshine Coast University Hospital (SCUH) showcase how to Choose Wisely when ordering preoperative pathology. They present data demonstrating the savings that can be made in cost, to the environment and in man hours when evidence based guidelines are implemented.

Dr Anna Pietzsch is a consultant and anaesthetist working at SCUH. She is the clinic lead for the Pre Anaesthesia Evaluation Unit at SCUH.

Dr Lana Vestarkis is a consultant anaesthetist working at SCUH. She is completing a masters in Perioperative Medicine.

Dr Lisa Rasmussen presents on a new strategy at Mercy Health which is seeking to reduce the carbon footprint of its health and care services. It uses a broad perspective that keeps best models of health care at its heart and draws on the principles of Pope Francis’s encyclical ‘Laudato Si’. Mercy Health is planning on strengthening its Choosing Wisely and Green Champions programs to help achieve this important change.

Dr Lisa Rasmussen is a Fellow of the College of General Practice with a Masters in Environmental Science. Over recent years she has been the Project Lead for Laudato Si’: Caring for People and Planet at Mercy Health and has written a strategy foundation document for Mercy Health entitled ‘Caring for People and Planet: Mercy Health’s Strategic Response to Laudato Si. 2021-2026.’

Caroline Zoers of the Australasian College of Dermatologists (ACD) presents on ACD's World Skin Health Day campaigns to empower consumers accessing specialist dermatology care. The campaign activities have integrated Choosing Wisely Australia's '5 Questions to ask you doctor' and the Choosing Wisely principle of enabling consumer-focused communications.

Caroline Zoers is Policy Manager at the Australasian College of Dermatologists. Prior to joining ACD in 2019, she worked at NPS MedicineWise for a number of years in a range of governance, stakeholder engagement and policy roles.

Marcy Nicholson of Tasmanian Health Service presents on the development of a state-wide Choosing Wisely Tasmania governance structure, internal and external stakeholder management, sustainability, program status and lessons learned so far.

Marcy is the Manager of the Choosing Wisely Tasmania Program at Tasmanian Health Service. She has practiced as a dietician in both South Africa and Australia and has a Master of Health Industry Management. She enjoys working in senior policy and project roles to deliver results for Tasmanian patients.

A/Prof Matthew Anstey of Sir Charles Gairdner Hospital in Perth presents on the Choose Your Blood Cultures Wisely project that Sir Charles Gairdner Hospital implemented to reduce repeat blood cultures and improve the yield of blood cultures when they are taken.

A/Prof Anstey is an Intensive Care specialist working at Sir Charles Gairdner Hospital. He is the previous Chair of the Choosing Wisely Australia advisory group and the clinical lead for Choosing Wisely at Sir Charles Gairdner Hospital.

Champika Pattullo of Royal Brisbane and Women's Hospital presents on the IV to oral project at Royal Brisbane and Women's Hospital. The webinar covers lessons learnt in implementing a sustainable change to practice.

Champika Pattullo is the Quality Use of Medicines Pharmacist at Royal Brisbane and Women's Hospital and is currently the Lead for Queensland Statewide Opioid Stewardship Program. In addition to her pharmacist degree, Champika has completed the MNHHS/AusHSI Graduate Certificate in Health Innovation program and a Health Improvement fellowship.