Implementation

Choosing Wisely Australia encourages and supports clinicians, consumers and organizations committed to embedding Choosing Wisely recommendations and principles into practice. An increasing number of quality improvement projects and activities are underway across the country that are building capacity for the spread and scale of Choosing Wisely. These projects are locally led and adapted to address issues that are a priority for that setting. Implementation is supported by a growing array of toolkits that are available to support your project. As well, we host networking forums to encourage sharing of both resources and learnings.

Choosing Wisely’s 5 Questions helping couples navigate fertility treatments
17 May 2022 | Media centre

Choosing Wisely’s 5 Questions helping couples navigate fertility treatments

Fertility treatment, including IVF, can take months or even years, and it doesn’t always work. It can be difficult for people to make decisions about which tests, treatments and add-ons will improve the chance of a baby. There are many options available that have little or no evidence to support them. The Victorian Assisted Reproductive Treatment Authority (VARTA) has adopted Choosing Wisely’s 5 Questions to help people make informed choices about the most effective treatments.

Choosing Wisely and COVID-19 pathology retesting intervals
01 Feb 2022 | Media centre

Choosing Wisely and COVID-19 pathology retesting intervals

In July 2021, during the COVID-19 response at the Wollongong Hospital A5 ward, we noted pathology testing for COVID-19 patients was far greater than the average patient, and unnecessary in many cases. A Choosing Wisely program of guideline development, education and support saw an 81% reduction in tests ordered, increasing patient safety and comfort with no adverse impact on patient care.

Choosing Wisely 5 Questions giving confidence to clinicians
08 Feb 2022 | Media centre

Choosing Wisely 5 Questions giving confidence to clinicians

Darling Downs Health used the Choosing Wisely 5 Questions to help their rural patients ask questions of their healthcare teams, however, feedback made it clear that local doctors wanted support to help respond. The program was broadened to include medical staff and a printable resource was created to support health professionals have these discussions with their patients. Early evidence suggests this has led to an even stronger program with increased benefits for both patients and doctors.

Choosing Preoperative Pathology Wisely
11 Jan 2022 | Media centre

Choosing Preoperative Pathology Wisely

An audit at the Sunshine Coast University Hospital found that 41% of all pre-operative pathology tests ordered before elective surgery were unnecessary. A Choosing Wisely program introduced at the hospital to address this issue started with urology procedures, and has seen significant improvements.

Using Choosing Wisely in ICU to reduce unnecessary testing
18 Jan 2022 | Media centre

Using Choosing Wisely in ICU to reduce unnecessary testing

In the Intensive Care Unit, blood tests and chest radiographs are usually requested on a routine, time-scheduled basis, and many may be unnecessary. The Fiona Stanley Hospital in Perth has developed a replacement protocol to reduce unnecessary tests and will evaluate and optimise this protocol in a large clinical study.

Choosing Wound Care Wisely
16 Aug 2021 | Media centre

Choosing Wound Care Wisely

Chronic wounds represent a significant burden to patients and the healthcare system, and can result in significant functional impairment, reduction in quality of life and large financial costs (around 2% of total health expenditure in Australia). The Choosing Wound Care Wisely project from Mackay Hospital and Health Service (Mackay HHS) in Queensland is about ensuring wound treatment is appropriate to the cause and condition of a wound, maximising clinical effectiveness, reducing patient risk, minimising cost and facilitating patient choice where possible.

Shellharbour Hospital: Supporting JMOs to Choose Blood Tests Wisely
08 Oct 2021 | Media centre

Shellharbour Hospital: Supporting JMOs to Choose Blood Tests Wisely

Blood tests ordered that do not provide information that change treatment or patient outcomes are unnecessary, bring inconvenience for patients, increase medical staff workload, and add extra costs. As part of their Choosing Wisely work, Shellharbour Hospital has introduced an education program to support junior medical officers (JMOs) choosing blood tests wisely.

Choosing Blood Cultures Wisely
22 Oct 2021 | Media centre

Choosing Blood Cultures Wisely

Blood cultures are used to detect blood stream bacterial infections and are essential to tailor antibiotic therapy. However, repeated blood cultures for a patient who is stable, has already had blood cultures taken and antibiotics started, are unlikely to change treatment or diagnosis. Therefore, to reduce waste, and patient discomfort, take blood cultures wisely.

A Choosing Wisely approach to improve opioid prescribing
21 July 2021 | Media centre

A Choosing Wisely approach to improve opioid prescribing

Opioids continue to be the primary drug associated with drug-related deaths in Australia with prescription opioids constituting the majority of unintentional deaths due to opioids since 2004. The Sunshine Coast Hospital and Health Service has applied a Choosing Wisely approach in the Emergency Department to address the problem.

Your dermatology telehealth appointment – A five step guide
08 Mar 2021 | Media centre

Your dermatology telehealth appointment – A five step guide

The COVID-19 pandemic has demanded new, integrated and innovative approaches to the way healthcare is delivered. Telehealth options have been part of the solution to ensure patients continue to access the care they need in a timely, safe and convenient way. For some areas of medicine, patients may have reservations about if they will get the same level of care. Empowering health consumers to continue to ask questions in the virtual environment is important to ensure they get the right healthcare for them.

‘The way we do things around here’ – A story of becoming a Choosing Wisely Champion Health Service
01 Mar 2021 | Media centre

‘The way we do things around here’ – A story of becoming a Choosing Wisely Champion Health Service

The Prince Charles Hospital in Chermside, Queensland is one of the newest Choosing Wisely Champion Health Services. Jessica Toleman, Senior Director of Clinical Operations tells the story of embedding Choosing Wisely into the organisation during COVID-19, making Choosing Wisely ‘the way we do things around here’.

Promoting Choosing Wisely recommendations in QLD Emergency Departments
08 Mar 2021 | Media centre

Promoting Choosing Wisely recommendations in QLD Emergency Departments

The PROV-ED (PROmoting Value-based care in EDs) project disseminates value-based emergency department (ED) initiatives to public hospital clinicians using display monitors in clinical areas of EDs across Queensland.

A personal journey from a carer to a Choosing Wisely advocate
17 Dec 2020 | Media centre

A personal journey from a carer to a Choosing Wisely advocate

Debra Letica never expected to become a carer during her lifetime, but it was the most natural thing to do. She now uses and promotes Choosing Wisely personally and as a consumer advocate in the health system.

Opioid Wisely: reducing ‘over-supply’ of opioids at hospital discharge
06 Aug 2020 | Media centre

Opioid Wisely: reducing ‘over-supply’ of opioids at hospital discharge

With the prescribing rates of opioids in Australia continuing to rise, the team from the Sir Charles Gairdner Hospital (SCGH) in Western Australia have developed a new guideline and discharge form to support best-practice Choosing Wisely principles in opioid prescribing.

Downloadable slide deck for Choosing Wisely Australia
29 June 2020 | Media centre

Downloadable slide deck for Choosing Wisely Australia

A slide deck for Choosing Wisely Australia advocates who are presenting on the initiative at meetings or events.

Choose Wisely Choose Co-Design
27 Feb 2020 | Media centre

Choose Wisely Choose Co-Design

Sunshine Coast Hospital and Health Service (SCHHS) recognises that for many people hospital is just one part of their healthcare journey, so helping consumers ask questions about their care and promoting broader collaboration with consumers is vital.

Clinical case studies to promote recommendations
05 May 2020 | Media centre

Clinical case studies to promote recommendations

As part of Choosing Wisely Australia’s clinical educational activities, members are being encouraged to develop case studies that demonstrate the application of specific recommendations for use in their usual teaching modules.