Don’t employ a specific direct oral anticoagulant [DOAC] reversal agent without identifying the DOAC and estimating its plasma concentration. Posted November 3rd, 2022 by Nick Mackara & filed under .
Do not measure the INR in patients who are taking an anti-Xa inhibitor. Posted November 3rd, 2022 by Nick Mackara & filed under .
Don’t order ANA and ENA unless the patient is suspected to have a connective tissue disease. Posted November 3rd, 2022 by Nick Mackara & filed under .
Don’t order tissue transglutaminase IgG antibody or Deamidated Gliadin Peptide (DGP) antibodies (IgG or IgA) in the initial screening for Celiac Disease. Posted November 3rd, 2022 by Nick Mackara & filed under .
SHMAM9-Don’t order creatine kinase (CK) or Creatine Kinase-Myocardial Band (CK-MB) in suspected Acute Coronary Syndrome or Acute Myocardial Infarction. Posted May 31st, 2022 by Nick Mackara & filed under .
Avoid ordering arterial segmental pressures of the lower extremities without toe pressures in patients with diabetes and foot ulceration. Posted January 20th, 2022 by Nick Mackara & filed under .
Do not screen for urinary tract infection in asymptomatic patients who perform clean intermittent catheterization. Posted January 4th, 2022 by Nick Mackara & filed under .
SABM5-Avoid dependence on standard laboratory values for transfusion decisions; consideration of the patient’s clinical status is requisite. Posted September 21st, 2021 by Nick Mackara & filed under .
AAPSNS1-Do not perform routine imaging for evaluation of infant head shape. Posted March 14th, 2021 by Nick Mackara & filed under .
SMFM16-Don’t perform routine cell-free DNA screening for microdeletions. Posted March 10th, 2021 by Nick Mackara & filed under .
SMFM3 – Don’t make irreversible decisions based on the results of cell-free DNA screening test. Posted January 14th, 2021 by Nick Mackara & filed under .
PHM2-Do not continue hospitalization in well-appearing febrile infants once bacterial cultures (i.e. blood, cerebrospinal, and/or urine) have been confirmed negative for 24–36 hours, if adequate outpatient follow-up can be assured. Posted January 11th, 2021 by Nick Mackara & filed under .
AAPCCS5-Do not order a screening ECG prior to initiation of attention-deficit/hyperactivity disorder (ADHD) therapy in asymptomatic, otherwise healthy pediatric patients with no personal or family history of cardiac disease. Posted November 2nd, 2020 by Nick Mackara & filed under .
AAPCCS3-Do not order an echocardiogram for the routine evaluation of pediatric chest pain in the absence of a concerning history or ECG abnormalities. Posted November 2nd, 2020 by Nick Mackara & filed under .
SAGES 7 – Avoid unnecessary perioperative fasting for elective general surgical procedures. Posted August 27th, 2020 by Nick Mackara & filed under .
