At the Choosing Wisely International Roundtable in Oslo on 11 and 12 September 2023, Sandra Vernero from CW Italy and Paolo Francesconi from Regional health agency of Tuscany participated for Italy.

The two main topics were the implementation of the recommendations and the environmental sustainability. In this regard, Sandra Vernero’s presentation “Towards a Green CW Italy” and the Italian “green” recommendations aroused interest.

As regards the implementation of the recommendations, international experiences were discussed and examples can be drawn.

Working groups have been established on Planetary Health and on the implementation of the recommendations of which Italy is part.

The results of two surveys in which Italy participated with the Tuscany region were presented: one on primary care doctors and low clinical level care, coordinated by Finland, and one on overuse in pediatrics by the European Academy of Pediatrics.

It was also decided to produce a 2-monthly newsletter to communicate Choosing Wisely’s activities and publications around the world and to hold an international webinar that will take place 3-4 times a year on Tuesday at 5:30pm CET, duration 1 hour.

A new book titled How to reduce overuse in Healthcare: A Practical Guide was recently published by Choosing Wisely international colleagues and presented in Oslo Roundtable. Edited by Drs. Tijn Kool, Andrea Patey, Simone van Dulmen, and Jeremy Grimshaw, this book provides a 5-step evidence- and theory-based framework for developing an evaluation program to reduce low-value care. How to reduce overuse in Healthcare: A Practical Guide is designed to provide practical guidance and tools for healthcare providers, their professional societies and policy makers developing programs to de-implement low-value or unnecessary care and improve patient.