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City Wide Quality and Safety Rounds: Thursday, Jan 12, 2017 @ 12-1PM

Topic: Choosing Wisely SMH: Developing a grassroots approach to tackle overutilization in the hospital setting.

Speaker: Lisa Hicks, MD, FRCPC, MSc

Host Site: St Michael’s Hospital – Li Ka Shing Knowledge Institute, Rm 211

Sites participating via OTN: CQUIPS and Sickkids: 525 University Avenue, Rm 630; Sunnybrook: Bayview Campus – McLaughlin Auditorium, EG-61; UHN – TBD

OTN Webcast Link:

The Choosing Wi‎sely campaign encourages clinicians to reduce unnecessary testing. Dr. Lisa Hicks is the St. Michael’s Hospital (SMH) Choosing Wisely lead and she will describe the organization’s strategy for developing local Choosing Wisely initiatives.

St. Mike’s grassroots approach has led to several projects developed by clinicians across the organization. One area of particular focus has been repetitive “routine” blood testing. “Routine” daily blood testing is common in the inpatient environment and may contribute anemia, increased transfusion and in-hospital to the patient. The SMH program aims to use multi-layered interventions (order set changes, education) to reduce this style of testing. The presentation will discuss results thus far and opportunities for further improvement.


1. To learn about a method to inspire and support local initiatives addressing overutilization in the hospital setting

2. To understand the extent and impact of repetitive, routine blood testing in hospitalized patients

3. To learn about a change strategy addressing repetitive and routine blood testing at St. Michael’s Hospital and review preliminary outcomes

Lisa Hicks is an Associate Professor in the Department of Medicine at the University of Toronto and a clinical hematologist at St. Michael’s Hospital where she also leads the St. Michael’s Hospital Choosing Wisely Initiative. Lisa received her medical training as well as a Masters in Clinical Epidemiology from the University of Toronto. She completed training in Quality Improvement through the Veterans Affairs Quality Scholars program from Dartmouth. Lisa has been active in the utilization space since 2012 when she developed and led the Choosing Wisely campaign for the American Society of Hematology.

Save the date for our virtual C-QuIPS Symposium on Tuesday, November 24, 2020, 9:30AM to 11:30AMClick here for more information
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