Using Labs Wisely
Welcome to the national consortium that’s changing the lab utilization landscape in Canada.
This portal is intended for participating hospitals to learn about program updates, useful resources, and ways to interact with others in the Using Labs Wisely program.
Key Dates and Timing:
2024:
- PROGRESS PRESENTATIONS: Tuesday, November 5th: 2-3:30pm EST
- Tuesday, December 10th: 2-3:30pm EST
2025:
- Tuesday, January 14, 2025 02:00 PM EST
- Tuesday, March 25, 2025 02:00 PM EST
- PROGRESS PRESENTATIONS: Tuesday, May 13, 2025 02:00 PM EST
- Tuesday, June 24, 2025 02:00 PM EST
Participating hospitals should have the following documents completed throughout the program:
- FOR SIGNATURE: Using Labs Wisely-Terms of Participation
- FOR PRESENTATIONS- One Year Progress Template (OPTIONAL)
- FOR SUBMISSION: Quality Improvement Plan (QIP) Template
- FOR SUBMISSION: Intervention Checklist
- FOR SUBMISSION: Data Submission Instructions and Data Dictionary
Deliverable Reminders
Next data submission is due December 19, 2024. Please refer to the new data submission templates (discussed in September 24th ULW session- please view video recording for more information). Please reach out to Gillian or GEMINI for any data specific questions (gemini.cwc@unityhealth.to)
Check out relevant tools and resources that can support your quality improvement efforts in the Using Labs Wisely program:
Expert Guidance Aims to Improve Appropriate Use of Lab Testing in Canada
New guidance from an expert panel offers recommendations on minimum retesting intervals for five lab tests commonly repeated in laboratories across the country.
Pause the Draws
A toolkit on reducing repetitive, “routine” blood tests in hospitals.
Understand the Gland
A toolkit for appropriate ordering practices of free thyroid hormone testing.
Low-Value Lab Tests
A tool focused on appropriate use of specific laboratory tests and evidence-based interventions that have reduced unnecessary use of the test or practice.
Lab Recommendations
A collection of Choosing Wisely Canada recommendations related to lab utilization.
CADTH Cost Calculator
Provides insights on potential resource savings associated with the reduction of five low-value laboratory tests.
Members Database
A list of Using Labs Wisely participating members.
Shared ULW Site Resources
Shared ULW Site Resources
Check out recordings from the Using Labs Wisely learning collaborative sessions.
Using Labs Wisely: Orientation
Lab Target Considerations and Example:
This video on lab target considerations provides a framework for selecting a lab target that your site may want to focus on. Please see the corresponding PowerPoint for the specific framework and the example for a real application to lab target selection.
QI Diagnostics and Stakeholder Engagement:
This video on QI diagnostics provides a review of three common QI tools used to diagnose the problem to target: process mapping, cause-and-effect analysis, and the Pareto diagram. Please see the corresponding PowerPoint for more information and relevant resources to support the use of these tools. stakeholder engagement provides a review of the hierarchy of effectiveness for different types of QI intervention as well as a framework for stakeholder engagement. Please see the corresponding PowerPoint to learn more as well as the relevant resources to carry out stakeholder mapping for your project.
Relevant Resources: Relevant Resources:
Pareto Chart Template. Stakeholder Engagement
Cause and Effect Analysis Handout
Lab Change Ideas:
This video on lab change ideas covers the family of measures and highlights its linkage to lab interventions. It also explores some different types of lab interventions (e.g., education initiatives, ordering initiatives), and where it is situated on the hierarchy of effectiveness. Please see the corresponding PowerPoint to learn more.
Baseline Data:
This video on baseline data demonstrates how data can help further inform lab target selection lab change ideas as well as highlights some successful changes implemented and the need for ongoing data to be part of change strategy. Please see the corresponding PowerPoint to learn more.
ARCHIVE OF LIVE RECORDINGS OF ULW WEBINAR SESSIONS:
Using Labs Wisely Session 2: October 17, 2022
Using Labs Wisely Session 3: November 14, 2022
Using Labs Wisely Session 4: December 12, 2022
Using Labs Wisely Session 5: January 16
Using Labs Wisely Session 6: February 13
Using Labs Wisely Session 7: May 15
Using Labs Wisely Session 8: Sept 11
Using Labs Wisely- One-year updates Group 1:
IWK Health: Folate testing
Trillium Health: Osmo and Toxic Alcohol utilization
Cite de la Sante: Vitamin B12 and FOB testing
Unity Health: AST utilization reflex approach
Using Labs Wisely: One-year updates Group 2:
Niagara Health: Serum pregnancy testing
CHU de Quebec: appropriateness of the submission of surgical specimens to the anatomic pathology lab
NYGH: Reduction of Urine microscoping testing
Using Labs Wisely: One-year updates Group 3:
RVH and GBGH: Free T4
Brant Community Hospital: Urea/Creatinine
Halton: Vitamin D, ESR, Protein Electrophoresis
November 2024 One-Year Updates
Group 1:
LACGH: Urea
Brant Community Hospital: Urea/CR
Mackenzie Health: Urea/Cr and AST/ALT
Island Health: Lab stewardship and planetary health
Group 2:
Sault Area Hospital: PT/PTT/INR
Sinai Health: AST, Urea, amylase
Hospital for Sick Children: AST/ALT
Michael Garron Hospital: AST/ALT and other order set interventions
Windsor Regional Hospital: Urine cultures and antimicrobial stewardship in labs
Group 3:
Sunnybrook Health Sciences Centre: Minimum re-testing intervals, TSH, lipid panels, SPEP
London Health Sciences Centre: Minimum re-testing intervals
Cambridge Memorial Hospital: Folate
Vitalité: Liver profile, Electrolyte profile, CRP/ESR
Using Labs Wisely: December 4, 2023
Using Labs Wisely: February 13, 2024
Using Labs Wisely: May 7, 2024
Using Labs Wisely: June 18, 2024
Using Labs Wisely: September 24, 2024
Using Labs Wisely
A national consortium that’s changing the lab utilization landscape in Canada.