SHMAM11-Do not routinely prescribe VTE prophylaxis to all hospitalized patients; use an evidence-based risk stratification system to determine whether a patient needs VTE prophylaxis. If they do warrant prophylaxis, use a bleeding risk assessment to determine if mechanical rather than pharmacologic prophylaxis is more appropriate. Posted May 31st, 2022 by Nick Mackara & filed under .
SHMAM10-Don’t order daily chest radiographs in hospitalized patients unless there are specific clinical indications. Posted May 31st, 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 .
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 .
SHMAM6- Avoid using opioids for treatment of mild, acute pain. For moderate to severe acute pain, if opioids are used, it should be in conjunction with non-opioid methods with the lowest effective dose for the shortest required duration. Posted May 31st, 2022 by Nick Mackara & filed under .
AMSSM8-Consider evaluating rotator cuff tears with ultrasound before ordering an MRI. Posted March 29th, 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 .
Don’t prescribe neuropathic pain agents for painless neuropathy. Posted January 20th, 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 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 .
Do not screen for urinary tract infection in asymptomatic patients who perform clean intermittent catheterization. Posted January 4th, 2022 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 .
