ASTRO11-Do not routinely initiate radiation therapy, or other forms of cancer treatment, without consideration of potential financial toxicity to patients. Posted August 18th, 2022 by Nick Mackara & filed under .
Avoid using expensive fixation in hammertoe surgery without first engaging in shared decision making to evaluate alternatives. Posted January 20th, 2022 by Nick Mackara & filed under .
Avoid major reconstructive surgical intervention on children with clubfoot without prior Ponseti casting therapy per standard protocols. Posted January 20th, 2022 by Nick Mackara & filed under .
Do not perform newborn clamp circumcision in boys with anatomic penile anomalies including hypospadias, chordee, penile torsion, or penoscrotal webbing without first consulting with a urologist. Posted January 4th, 2022 by Nick Mackara & filed under .
SABMPeds3-Avoid/reduce allogenic transfusion by first using cell salvage for pediatric high blood loss surgery. Posted September 21st, 2021 by Nick Mackara & filed under .
SABMPeds2- Avoid hemodilution and unnecessary blood draws to avoid dilutional coagulopathy and iatrogenic anemia. Posted September 21st, 2021 by Nick Mackara & filed under .
SABMPeds1-Don’t proceed with non-emergent major surgery until anemia is evaluated and treated. Posted September 21st, 2021 by Nick Mackara & filed under .
SMFM20-Don’t perform 3rd trimester Group B streptococcus (GBS) culture in patients with GBS bacteriuria during pregnancy. Posted March 10th, 2021 by Nick Mackara & filed under .
SMFM19-Don’t routinely exclude women with two prior low transverse cesarean deliveries from having the choice to undertake a trial of labor after cesarean. Posted March 10th, 2021 by Nick Mackara & filed under .
SMFM18-Don’t recommend delivery in a nondiabetic patient for suspected macrosomia before 39 0/7 weeks of gestation. Posted March 10th, 2021 by Nick Mackara & filed under .
SCCM5- Don’t provide care that is discordant with the patient’s goals and values. Posted February 1st, 2021 by Nick Mackara & filed under .
SCCM4- Don’t delay mobilizing ICU patients. Posted February 1st, 2021 by Nick Mackara & filed under .
SCCM3-Don’t continue antibiotic therapy without evidence of need. Posted February 1st, 2021 by Nick Mackara & filed under .
SCCM2-Don’t delay progress towards liberation from mechanical ventilation. Posted February 1st, 2021 by Nick Mackara & filed under .
SCCM1-Don’t retain catheters and drains in place without a clear indication. Posted February 1st, 2021 by Nick Mackara & filed under .
