Special Report From the Society for the Advancement of Blood Management: The Choosing Wisely Campaign

Carolyn D. Burns, MD; James P. Brown, MHA, CCP, LP; Howard L. Corwin, MD; Irwin Gross, MD; Sherri J. Ozawa, RN; Aryeh Shander, MD


Anesth Analg. 2019;129(5):1381-1386. 

In This Article

Abstract and Introduction


Over 7 years ago, the American Board of Internal Medicine Foundation (ABIM) created the national Choosing Wisely campaign with the purpose of encouraging active dialogue between health care providers and patients, focusing on appropriateness, quality care, and resource management. This special communication from the Society for the Advancement of Blood Management (SABM) serves to highlight the society's recent participation in the Choosing Wisely campaign, encouraging sensible dialogue between clinicians and our patients with the intent to promote patient-centered, evidence-based care. The article addresses the rationale and supportive data for the 5 SABM Choosing Wisely recommendations.


The Choosing Wisely campaign represents the culmination of what originated as a charter for medical professionals published by the Medical Professionalism Project, an international consensus group, focused on encouraging a commitment to high-quality care initiatives, stewardship, and cost-effective care.[1] This initiative led to an American Board of Internal Medicine (ABIM) practice grant resulting in a set of 3 specific lists for internal medicine, family practice, and pediatric physicians of the top 5 activities where the quality of care could and should be improved.[2] The ultimate creation of Choosing Wisely thus represents a multiyear campaign to challenge health care providers to continue vigilant use of evidence-based practice with appropriate utilization of health care resources. To date, over 80 professional society partners have embraced the concepts of the campaign and currently provide lists of the required "Five Things Physicians and Patients Should Question." This includes >550 recommendations with distribution of >100 patient-oriented materials (available at www.choosingwisely.org). Choosing Wisely thus promotes dissemination of best practice guidelines to both health care providers and patients.