September 2022 Virtual Emergency Medicine (VEM)
Choosing Wisely Champion Health Services Meeting, September 2022
August 2022: Antipsychotic Wisely: Prescribing in People Admitted to Hospital with Dementia or Delirium
Choosing Wisely Champion Health Services Meeting, August 2022
July 2022: Opioid Wisely: Impact of policy interventions on oxycodone prescribing
Choosing Wisely Champion Health Services Meeting, July 2022
June 2022: How often do routine ICU coagulation tests become abnormal?
Choosing Wisely Champion Health Services Meeting, June 2022
May 2022: Fast Feed and Wrap project at Women's and Children's Health Network
Choosing Wisely Champion Health Services Meeting, May 2022
April 2022: Defensive practice, medico-legal risks and low value care: Insights from doctors and healthcare consumers
Choosing Wisely Champion Health Services Meeting, April 2022
March 2022: “Still going NUTs at Eastern Health - sustaining clinician behaviour change in ED diagnostic test ordering”
Choosing Wisely Champion Health Services Meeting, March 2022
February 2022: Preoperative Pathology Project at the Sunshine Coast University Hospital (SCUH)
Choosing Wisely Champion Health Services Meeting, February 2022
November 2021: How a strong ‘Choosing Wisely’ program can be a powerful tool to help a hospital reduce its carbon footprint
Choosing Wisely Champion Health Services Meeting, November 2021
September 2021: The Establishment of Choosing Wisely Tasmania
Choosing Wisely Champion Health Services Meeting, September 2021
October 2021: Using the Choosing Wisely questions to empower Australians accessing specialist care
Choosing Wisely Champion Health Services Meeting, October 2021
August 2021: Choose Your Blood Cultures Wisely
Choosing Wisely Champion Health Services Meeting, August 2021
July 2021: IV to orals "Use it or lose it"
Choosing Wisely Champion Health Services Meeting, July 2021
Choosing Wisely Champion Health Services webinars
September 2022 "Virtual Emergency Medicine (VEM)"
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.
August 2022 "Antipsychotic Wisely: Prescribing in People Admitted to Hospital with Dementia or Delirium"
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.
July 2022 "Opioid Wisely: Impact of policy interventions on oxycodone prescribing"
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.
June 2022 "How often do routine ICU coagulation tests become abnormal?"
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.
May 2022 "Fast Feed and Wrap project at Women's and Children's Health Network"
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.
April 2022 "Defensive practice, medico-legal risks and low value care: Insights from doctors and healthcare consumers"
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.
March 2022 “Still going NUTs at Eastern Health - sustaining clinician behaviour change in ED diagnostic test ordering”
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.
February 2022 "Preoperative Pathology Project at the Sunshine Coast University Hospital (SCUH)"
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.
November 2021 "How a strong Choosing Wisely program can be a powerful tool to help a hospital reduce its carbon footprint"
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.’
October 2021 "Using the Choosing Wisely questions to empower Australians accessing specialist care"
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.
September 2021 "Choosing Wisely Tasmania - implementation of a state-wide approach"
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.
August 2021 "Choose Your Blood Cultures Wisely"
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.
July 2021 "IV to orals 'Use it or lose it' at Royal Brisbane and Women's 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.
Choosing Wisely Podcasts
Podcast: Trust as a barrier and facilitator in choosing wisely
In this episode NPS MedicineWise medical adviser and GP Dr Jill Thistlethwaite interviews Dr Robyn Lindner, also from NPS MedicineWise and Executive Sponsor for Choosing Wisely Australia and Tara Montgomery, a public health advocate and communications strategist at Civic Health Partners in the United States. They discuss why the Choosing Wisely initiative has been needed in Australia and how it has been received here, why it’s critical to engage consumers in the campaign, and the role of culture and systems in reducing unnecessary care. Robyn and Tara also talk about the program and themes for the upcoming Choosing Wisely Australia National Meeting, to be held as a virtual event on 19 May 2021, including some glimpses into Tara's presentation on trust as a facilitator and barrier in choosing wisely.
Podcast: New survey results shine a light on health literacy in Australia
In this episode about health literacy, NPS MedicineWise CEO Adj A/Prof Steve Morris is joined by health consumer advocate Debra Letica and CEO of the Consumers Health Forum, Leanne Wells.
New survey findings have shown that one in five consumers rarely or never felt comfortable asking their doctor, pharmacist or nurse when they needed more information. Steve, Debra and Leanne discuss how health literacy is a fundamental pathway to good healthcare, practical ways health professionals can help consumers feel more in control of their own health care, and why it’s so important to include consumers in shaping health care messages.
Podcast: Changing the conversation: 5 questions for patients and health professionals
In this episode, NPS MedicineWise medical advisor Dr Caroline West interviews Debra Letica and Ricky Spencer. They talk about Choosing Wisely and how the 5 questions are resulting in empowering conversations between health professionals and patients, and more appropriate care.
Podcast: Fostering shared decision-making in primary care
In this episode, NPS MedicineWise medical advisor Dr Caroline West speaks with Dr Karen Price, RACGP President on how being involved with shared decision-making can make a difference.