Choosing Wisely Implementation Guide

…. to support conversations and action to reduce unnecessary tests, treatments and procedures.

This implementation guide was developed to support anesthesiology departments in addressing all five Choosing Wisely recommendations, developed by the Canadian Anesthesiologists' Society,  for reducing unnecessary pre-operative testing. Using a case study approach to reflect the diversity of the health system and a range of possible approaches, the implementation guide includes templates, tools, guidance and change management suggestions to enable all hospitals to achieve the benefits of reduced costs and improved patient care by not subjecting patients to unnecessary testing that requires them to visit the hospital more frequently and, more importantly, has the possibility of causing them harm.







This Implementation Guide has been peer-reviewed by:

Susan Bell, BScN, MEd

Dr. André M. Bernard, MD, MSc, FRCPC

Dr. Kyle Gorman, MD, FRCPC

Nancy Groff, RN, BScN

Dr. Thomas Mutter, MD, MSc, FRCPC


This Implementation Guide was prepared by:

Dawn Richards, PhD, Implementation Guide Writer

Dr. Jane Cooke-Lauder, BA, MBA, DM, CMC, BTM Strategic Consultant

Emily Hill, Administrative and Communications Coordinator

Development of this Implementation Guide has been overseen by:

Choosing Wisely Advisory Group:

Dr. Sylvain Gagne, MD, FRCPC, Anesthesiologist

Dr. Kyle Kirkham, MD, FRCPC, Anesthesiologist and Chair, CAS Choosing Wisely Committee

Dr. Rohit Kumar, BSc, MD, FRCPC, Anesthesiologist

Dr. Aaron Mocon, HBSc, MD, FRCPC, Anesthesiologist

 Dr. Rachel Meyer, MD, FRCPC, Anesthesiologist

Dr. Monica Olsen, BScPT, MD, FRCPC, Anesthesiologist


Choosing Wisely Project Hub:

Dr. Stephen Brown, MD, FRCPC, Anesthesiologist

Dr. Natalie Clavel, MD, FRCPC, Anesthesiologist

Dr. Christopher Harle, MBChB, FRCA, FRCPC, Anesthesiologist

Dr. David Neilipovitz MD, FRCPC, Anesthesiologist

Dr. Gita Raghavan, MD, PGY-5 Anesthesiology

Dr. Anita Rao, MD, FRCPC, Anesthesiologist

Dr. Senthil Thiyagarajan, MD, FRCA (UK), FRCPC, Anesthesiologist

Dr. Catherine Wong, MD, FRCPC, Anesthesiologist