Recommandations et ressources

À propos Choisir avec soin Canada

Choisir avec soin agit comme porte-parole national pour la réduction des examens et des traitements inutiles en santé.
La campagne Choisir avec soin repose sur des recommandations émises par des associations professionnelles nationales représentant diverses spécialités cliniques, qui recensent les examens et les traitements fréquemment surutilisés qui ne sont pas étayés par des données probantes et qui peuvent poser un risque de préjudice pour les patients dans certains contextes. La campagne cherche à amener les fournisseurs de soins de santé et leurs organisations à adopter ces recommandations et à les intégrer à leur pratique courante.

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(Les ressources ci-dessous sont disponibles uniquement en anglais)

Facts about Unnecessay Tests, Treatments and Procedures

Up to 30% of tests, treatments, and procedures in Canada are potentially unnecessary.

Unnecessary tests, treatments, and procedures

do not add value for patients
potentially expose patients to harm
lead to more testing to investigate false positives
contribute to unwarranted stress for patients and their families
consume precious time and resources.

For example, Canadian and international guidelines note that seniors should not be on long-term prescriptions of benzodiazepines (sleeping pills). These powerful drugs can increase their risks for car accidents, falls, and hip fractures. Yet, the Canadian Institute for Health Information (2017) revealed that the rate of long-term benzodiazepine use among seniors ranged from 5% in Saskatchewan to 25% in New Brunswick. [can we replace this with a peds example?]

So why do these unnecessary activities occur? Well, there are many possible drivers of unnecessary tests, treatments, and procedures, including:

Practice habits are traditionally difficult to change, even in the face of new evidence
Patients might request tests and treatments without having all the information about the risks and benefits
Lack of time for shared decision-making between clinicians and patients
Outdated decision-support systems encourage over-ordering
Defensive medicine and fear of malpractice lawsuits drive over-investigations
Payment systems reward doing more

To learn more visit Choisir avec soin Canada or view all Choisir avec soin Canada Recommandations (par spécialité).

Pediatric Choosing Wisely Recommendations

Patient and Provider Resources

Choosing Wisely Canada mobilizes and supports clinicians and organizations committed to embedding campaign recommendations into practice. With their support, SickKids developed an evidence-based and easy to follow toolkit – “Say Nay to the X-Ray” – which includes tools and methods to reduce unnecessary low-risk ankle imaging at paediatric emergency departments. The toolkit is available publicly to support quality improvement and decrease unnecessary tests and treatments in paediatric health care settings.

Dites non aux radiographies (2021)

Publications and Editorials