Choosing Wisely Deimplementation Framework

D and/or I:
information tooltip image The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.


Socio-Ecological Levels:
information tooltip image The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.


Number of Times Cited:
information tooltip image The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.


Field of Origin:
information tooltip image The field of study in which the model originated.

Dissemination and Implementation

information tooltip image Whether the model is for the use of practitioners and/or researchers.

Practitioner and Researcher

information tooltip image These are ratings given by users of the site.

information tooltip image The original publication(s) of the model.

Grimshaw JM, Patey AM, Kirkham KR, et al. De-implementing wisely: developing the evidence base to reduce low-value care. BMJ Quality & Safety 2020;29:409-417.

information tooltip image Citations of studies that have used the model as an outline for their study.

Kastner et al. An Idea Worth Sustaining: Evaluation of the sustainability potential of Choosing Wisely across Ontario Community Hospitals and Family Health Teams. 27 Aug. 2020 DOI: 10.21203/ Website:

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