A digital magazine exploring the unnecessary care phenomenon and what people are doing about it.
A toolkit on reducing repetitive, “routine” blood tests in hospitals. St Michael's Hospital in Toronto achieved a 22.3% decrease in routine blood testing across three hospital wards.
A toolkit on reducing free thyroid hormone testing. At Women's College Hospital, free thyroid hormone testing was reduced by 54% using the approach in this toolkit.
A toolkit for de-prescribing of benzodiazepines and other sedative hypnotics in primary care. It's based on the shared decision-making approach of the EMPOWER cluster randomized trial where 27% of patients discontinued BSH.
A toolkit for reducing unnecessary ED lab testing. North York General Hospital in Ontario achieved a 23% reduction in lab testing over 2 years using the approach in this toolkit.
Developed by Ontario's Anesthesiologists, this implementation guide was created to support anesthesiology departments in implementing the Canadian Anesthesiology Society's CWC recommendations.
A toolkit for appropriate use of urinary catheters in hospitals. Sunnybrook Health Sciences Centre reduced inappropriate catheterization by 50% using the approach in this toolkit.
A toolkit for reducing unnecessary red blood cell transfusions in hospitals. Sunnybrook Health Sciences Centre and Lakeridge Health in Ontario reduced transfusion rates by 31% using the approach in this toolkit.
A toolkit for reducing unnecessary visits and investigations in pre-operative clinics. North York General Hospital achieved a sustained 30-40% reduction preoperative assessments and investigations using the approach in this toolkit.
A toolkit for deprescribing proton pump inhibitors in EMR-enabled primary care settings. The Toronto Western Hospital Family Health Team deprescribed PPIs in 26% of assessed patients using the approach in this toolkit.
A toolkit for reducing inappropriate use of antipsychotics in long-term care. Alberta's LTC facilities reduced antipsychotic use by 30% based on the approach in this toolkit.
A toolkit for reducing inappropriate use of benzodiazepines and sedative-hypnotics among older adults in hospitals. Sinai Health System in Toronto reduced benzodiazepine prescribing by 44% using the approach in this toolkit.