Evidence to Practice: FIBRES and FARES-II at Hamilton Health Sciences

Dr. Andrew Shih describes how results from the FIBRES and FARES-II trials were translated into real-world practice at Hamilton Health Sciences, through design-oriented change management rather than education alone. Drawing on behavioral economics, he argues that sustainable practice change happens when systems are redesigned to reduce friction, embed evidence into workflows, and create clear permission structures.

This change was enabled by designing for faster access, clearer pathways, and greater alignment with evidence-based care, without adding burden to clinicians.