What action is being taken?
The goal of this project is to standardize and reduce unnecessary pre-operative testing and evaluation of patients scheduled for elective surgery, through the development and implementation of standardized provincial pre-operative testing guidelines.
Choosing Wisely Canada has produced evidence-based recommendations regarding tests for low-risk surgical procedures. For example, the program recommends that physicians do not order baseline laboratory studies (complete blood count, coagulation testing, or serum biochemistry) for asymptomatic patients undergoing low-risk non-cardiac surgery. These recommendations have been combined by Choosing Wisely Canada into a decision-support grid for all surgical cases.
This project’s clinical development team has begun developing provincial standard guidelines based on the Choosing Wisely Canada recommendations for pre-operative testing and evaluation. The guidelines will be pilot tested in four health regions (Regina Qu’Appelle, Saskatoon, Prince Albert Parkland and Prairie North) in 2017-2018, and subsequently implemented province wide.
Who is involved?
The clinical development team consists of clinical experts in anesthesia, surgery, and internal medicine, family physicians, pre-operative nurses and patients, with support from the Ministry of Health and the Health Quality Council.