Implementing Choosing Wisely Canada Recommendations

Choosing Wisely Canada mobilizes and supports clinicians and organizations committed to embedding campaign recommendations into practice.

There are close to 350 documented quality improvement projects across the country that are building capacity for the spread and scale of Choosing Wisely.

These efforts are underway in hospitals, long-term care homes, and primary care clinics. Many of these innovative projects, including their evidence-based tools and methods, have been packaged into easy to follow toolkits that are broadly circulated in order to encourage widespread adoption. This has allowed Choosing Wisely Canada to foster a network for those looking to implement campaign recommendations into practice.

Implementation Research Network

The Choosing Wisely Canada Implementation Research Network (CWC-IRN) is a group of researchers, health care professionals, patient advisors, and policymakers.  It aims to develop and evaluate programs for implementing Choosing Wisely Canada recommendations in Canadian health care settings, as well as to provide a network to facilitate sharing the learned experiences.

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Using Blood Wisely

Choosing Wisely Canada, in collaboration with Canadian Blood Services, launched Using Blood Wisely, a national campaign to decrease inappropriate red blood cell transfusion practices in Canada. The campaign challenges hospitals across Canada to conduct a spot audit of recent red blood cell transfusions to see how they compare to national appropriateness benchmarks.

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Becoming a Choosing Wisely Canada Hospital

Becoming a Choosing Wisely Canada Hospital is a national campaign that aims to reduce unnecessary tests and treatments in hospital settings. The goal of the campaign is to get hospitals across Canada to join the global Choosing Wisely movement by making changes, small or large, to reduce overuse.

The campaign’s Starter Kit provides practical advice and guidance on implementing Choosing Wisely recommendations into hospital settings. Upon implementation of this Starter Kit, and assuming all actions have been completed, hospitals can become designated “Choosing Wisely Canada Hospitals” (at either Levels 1, 2 or 3). See how you can get involved by downloading the Starter Kit.

Download Starter Kit

Choosing Wisely Talks

Choosing Wisely Talks is a monthly conversation series that zeros in on parts of Canada’s health care system where overuse, waste, and harm are an everyday concern. Each month, we invite participants to join subject-matter experts in a deep dive into a specific area of health care and to engage in a dialogue about challenges and opportunities for reducing unnecessary tests and treatments.

Listen in, or better yet, bring your own experiences to the conversation every first Wednesday of the month from 12 p.m.–1 p.m. (ET).

Upcoming Talks

Looking for Ideas on How to Do Choosing Wisely?

Abstracts are submitted each year to Choosing Wisely Canada’s National Meeting and packaged into a digital abstract book. There are over 500 discrete initiatives within these abstract books that can serve as inspiration for your own Choosing Wisely efforts.

Browse Abstracts


Need change ideas or help with your Choosing Wisely implementation project?

Check out these toolkits. Each toolkit was developed by a clinician who has successfully implemented a Choosing Wisely recommendation in their setting and achieved significant impact. They are intended to provide you with just enough information to get started. The rest is up to you to figure out, based on your local circumstances and the ingenuity of your team.