A national conversation about reducing unnecessary tests, treatments and procedures

08 Mar 2021 | Media centre

Choosing Wisely Week Engagement Toolkit

Choosing Wisely Week is an opportunity to promote projects being implemented by Choosing Wisely members and supports the reduction of unnecessary tests, treatments and procedures. We have developed a toolkit to assist members and supporters, particularly Champion Health Services, to promote local projects.

08 Sept 2021 | Media centre

2022 Choosing Wisely Australia National Meeting - 3 May

On behalf of NPS MedicineWise, Choosing Wisely Australia invites you to our 2022 National Meeting to be held on 3 May 2022.

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.

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.

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.

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.

11 Nov 2021 | Media centre

5 Questions to ask your doctor in Whadjuk Noongar language

To empower Aboriginal peoples in their conversations about their care, East Metropolitan Health Service adapted and translated the Choosing Wisely 5 Questions into the Whadjuk Noongar language, the local dialect. Use the five questions to make sure you receive the right amount of care.

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.

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.

25 Aug 2021 | Media centre

Managing Pain and Opioid Medicines for Children and Young People

A guide to managing pain and opioid medicines for children, young people and their parents

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.

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.

12 Mar 2021 | Media centre

Consumer Engagement in Champion Health Services

Encouraging health consumers to initiate conversations about their health care can start by building a culture where it is comfortable to ask questions. Choosing Wisely research has found that giving health consumers permission to ask questions is an important place to start. We’ve developed some resources for health services to demonstrate their health professionals are ready to listen.

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’.

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.

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.

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.

24 June 2020 | Media centre

Pandemic guidance for health professionals

The Choosing Wisely principles have been a pillar during Australia’s COVID-19 pandemic response. Our health system has come together for a common goal and purpose to manage the pandemic. Health professionals have had to be stewards of our finite health resources. Multidisciplinary teams have united to adopt an evidence-based, patient-centred approach. As a result, our health system has adapted in ways and with urgency unseen before. To assist clinicians and consumers to access reliable information about the pandemic we’ve developed specific pandemic guidance, which is based on current evidence and will continue to be update as evidence evolves over time.

Choosing Wisely Australia® is an initiative of NPS MedicineWise in partnership with Australia's health professional colleges, societies and associations. The campaign is supporting clinicians, consumers and healthcare stakeholders to have important conversations about tests, treatments and procedures where evidence shows they provide no benefit or, in some cases, lead to harm

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