Never administer antibiotics for perioperative prophylaxis beyond 24 hours after surgery. Antibiotic prophylaxis should be limited to the perioperative period. The choice to continue prophylaxis beyond the first 24 postoperative hours is not justified.
Perioperative Antibiotic Prophylaxis (PAP) is an effective measure for the prevention of Surgical Site Infections (SSI), where indicated. However, its inappropriate use contributes significantly to total antibiotic consumption in hospitals and has been associated with...
Don’t replace hand hygiene with the use of non-sterile disposable gloves. Use alcohol-based product as a first choice for hand hygiene routine. (Green recommendation)
Proper hand hygiene reduces the skin microbial population, representing the basic measure to ensure hand decontamination. In healthcare settings, non-sterile disposable gloves – or “gloves” – do not replace hand hygiene, as they have different...
Don’t perform preoperative chest x-rays in the absence of clinical signs or symptoms which indicate diseases that could affect the outcome of the surgery.
Clinical evidence does not support the routine performance of preoperative chest radiography, without a specific reason suggested by medical examination or the history of the patient. In the absence of cardiopulmonary signs or symptoms routine preoperative chest...
Don’t perform routine radiology of the skull in minor head injury.
Minor traumatic brain injury (TBI) is defined as a head injury with or without a history of loss of consciousness, amnesia or confusion, with a Glasgow Coma Score (GCS) of 14 or 15; excluding patients with focal neurological deficit, suspected sunk fracture or with...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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