Most preoperative lab tests for minor surgery are unnecessary, inefficient and potentially harmful. Join us to learn about the strategies used to implement revised preoperative diagnostic testing guidelines in Manitoba. With broad stakeholder engagement, the George & Fay Yee Centre for Healthcare Innovation in partnership with Choosing Wisely Manitoba achieved a 38% reduction in preoperative tests and a 34% reduction in unnecessary testing.

Learning Objectives

  1. To describe a region-wide health system change that provides patient-focused care by reducing medically-unnecessary preoperative tests.
  2. To report the implementation strategies used to enhance the adoption, implementation and sustainability of guidelines across multiple physician disciplines and multiple care sites.
  3. To explain the individual physician audit and feedback process currently in place to ensure sustainability, improve performance and support guideline adherence.


Dr. Eric Bohm is Director of Health Systems Performance at the George & Fay Yee Centre for Healthcare Innovation and is a Professor for the Department of Surgery at the University of Manitoba Rady Faculty of Health Sciences. Dr. Bohm is also the clinical sponsor for Choosing Wisely Manitoba. He works at the Concordia Hip and Knee Institute in Winnipeg, Manitoba where he specializes in primary and revision hip and knee replacement surgery.

Dr. Thomas Mutter is an Assistant Professor and Associate Head, Research & Academic Affairs, at the University of Manitoba Rady Faculty of Health Sciences. In his role as the Medical Director of Quality Assurance for the Winnipeg Regional Health Authority he has led and collaborated on many knowledge translation projects. Dr. Mutter’s clinical practice is split between the Health Sciences Centre and the Pan Am Clinic. 


October 03, 2018
12:00 to: 13:00
Basic Medical Sciences, Theatre B
745 Bannatyne Avenue
More information at

Grand Rounds: Drop the Pre-op — Choosing Wisely to Reduce Unnecessary Preoperative Testing in Manitoba
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