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 .
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 .
