Do not prescribe immune suppressive agents for suspected autoimmune hepatitis (AIH) without first excluding hepatotropic virus infections (e.g., viral hepatitis A, B, and C). Viral hepatitis may mimic AIH, both serologically and histologically, features that may resolve with direct-acting antiviral (DAA) treatment. Posted November 3rd, 2022 by Nick Mackara & filed under .
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 .
SHMAM8-Don’t wake patients at night for routine care; redesign workflow to promote sleep at night. Posted May 31st, 2022 by Nick Mackara & filed under .
SHMAM7-Don’t maintain a peripheral capillary oxygen saturation (SpO2) of higher than 96% when using supplemental oxygen, unless for carbon monoxide poisoning, cluster headaches, sickle cell crisis, or pneumothorax. Posted May 31st, 2022 by Nick Mackara & filed under .
AMSSM10-Do not delay initiation of early sub-threshold, symptom-limited aerobic exercise as rehabilitation for adolescents who have sustained an acute sport-related concussion. Posted March 29th, 2022 by Nick Mackara & filed under .
AMSSM6-Do not forget to routinely assess activity levels and recommend appropriate physical activity to your patients. Posted March 29th, 2022 by Nick Mackara & filed under .
Don’t prophylactically use compounded antibiotic soaks for aftercare following office-based procedures (e.g., nail and skin lesion removal). Posted January 20th, 2022 by Nick Mackara & filed under .
Do not treat urinary incontinence in a child with pharmacotherapy (e.g., anticholinergics), before first evaluating and treating constipation. Posted January 4th, 2022 by Nick Mackara & filed under .
SABMPed4-Avoid transfusing older RBC units (>7 days) in infants <10 kg or < 1 year of age requiring massive transfusions to prevent hyperkalemic cardiac arrest. Posted September 21st, 2021 by Nick Mackara & filed under .
AOTA10-Don’t provide ambulation or gait training interventions that do not directly link to functional mobility. Posted July 27th, 2021 by Nick Mackara & filed under .
AOTA9-Don’t use slings for individuals with a hemiplegic arm that place the arm in a flexor pattern for extended periods of time. Posted July 27th, 2021 by Nick Mackara & filed under .
AOTA8-Don’t use reflex integration programs for individuals with delayed primary motor reflexes without clear links to occupational outcomes. Posted July 27th, 2021 by Nick Mackara & filed under .
AOTA7-Don’t provide interventions for autistic persons to reduce or eliminate “restricted and repetitive patterns of behavior, activities, or interests” without evaluating and understanding the meaning of the behavior to the person, as well as personal and environmental factors. Posted July 27th, 2021 by Nick Mackara & filed under .
AOTA6- Don’t initiate occupational therapy interventions without completion of the client’s occupational profile and setting collaborative goals. Posted July 27th, 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 .
