Choosing Wisely
The Choosing Wisely campaign began in 2012 as an initiative of the
American Board of Internal Medicine (ABIM). Following this beginning,
similar initiatives developed in Canada, Germany, Italy, Japan and now
Australia. Choosing Wisely Australia is led by Australia's medical
colleges and societies and facilitated by NPS MedicineWise.
The goal of Choosing Wisely Australia is to start conversations between
consumers and clinicians about unnecessary tests, treatments and
procedures, enhancing the quality of care and, where appropriate, reducing
unnecessary care. For more information, see Choosing Wisely.
Australia's peak colleges, societies and associations have developed lists
of recommendations of the tests, treatments, and procedures that
healthcare providers and consumers should question. Each recommendation is
based on the best available evidence. See CICM’s recommendations .
Importantly, all recommendations are not prescriptive but are intended as a guide to start a conversation about what is appropriate and necessary.
As each situation is unique, healthcare providers
and consumers should use the recommendations to collaboratively
formulate their own appropriate healthcare plan together.
Resources
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New patient guide to taking opioids for non-cancer pain in
hospital
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Every day in Australia, 3 people die, and 150 people are
hospitalised because of harm from pharmaceutical opioids. Opioids
can be an effective component of the management of acute and
cancer-related pain. However, recent evidence shows that for most
patients with chronic non-cancer pain, opioids do not provide
clinically important improvement in pain or function compared with a placebo.
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Tailoring the use of opioids on discharge from hospital
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Presentation to 2019 Choosing Wisely Australia National Meeting
(30 May): "Tailoring the use of opioids on discharge from
hospital" - Adj A/Prof Matthew Anstey, Intensive Care Specialist
and Co-Director of ICU Research at Sir Charles Gairdner Hospital
in Perth and Former Chair Choosing Wisely Australia Advisory
Group.
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