How are we implementing Choosing Wisely Manitoba?
- Improving Preoperative Diagnostic Testing
- Reducing Unnecessary Prostate-Specific Antigen (PSA) Testing
- Improving the Appropriate Use of MRI for Lower Back Pain
- Appropriate Vitamin D Testing
- Just One
- Red Blood Cell Utilization
- Thyroid Function Testing
- Tissues for Disposal
- ESR and CRP Testing
- Activated Partial Thromboplastic Time
- Appropriate Use of FOBT
Improving Preoperative Diagnostic Testing
This project started with an examination of the barriers and facilitators to guideline adoption and implementation including further analysis of audit results, stakeholder consultations and a literature review. The results of this work were then used to develop and implement a new Routine Preoperative Lab Test Guideline. A series of interventions were then developed aiming first to reduce unnecessary testing in cataract surgery and then to reduce unnecessary testing in other types of surgery.
Reducing Unnecessary Prostate-Specific Antigen (PSA) Testing
Many provinces in Canada along with the Canadian Urology Association, Canadian Cancer Society, Canadian Task Force on Preventive Health Care and Prostate Cancer Canada have recommendations around when men should have a PSA test to screen for prostate cancer. Most recommendations limit testing to within certain age parameters and risk factors.
Improving the Appropriate Use of MRI for Lower Back Pain
Just One is an awareness campaign intended to educate and remind clinicians of best practices and guidelines around red blood cell infusions and their -potential harms.*
Red Blood Cell Utilization
Thyroid Function Testing
Tissues for Disposal
New standard operating procedures to eliminate testing from elective hip and knee replacement surgeries were developed and implemented at Concordia Hospital, Grace Hospital and Boundary Trails Health Centre. Now fully implemented at all provincial orthopedic surgery sites, the disposal of these tissues is freeing pathologists’ for other important work.
Reduction in pathology testing following the implementation of the new standard operating procedures.
Activated Partial Thromboplastic Time
Estimated reduction in aPTT test requests per month