Don’t perform Computed Tomography for coronary calcium score in patients at high cardioascular risk
“Coronary calcium score” is not predictive of CV events in subjects already at high risk using traditional score systems
Don’t perform routine chest X-ray in patients entering rehabilitation programme after cardiac surgery
Patients always receive chest X-Ray before discharge from cardiac surgery. Further X-ray should be warranted only on clinical basis. Pleuric effusion monitoring should be performed by mean of thoracic echography
Don’t use bladder training (repeated closure of the catheter) before urinary catheter removal. (AIURO – ANIMO)
The literature and the main guidelines describe this practice as unnecessary. It is based on a rational proved wrong by the physiology of urination as the Detrusor muscle of the bladder does not perform any kind of “gymnastics” when the...
Don’t use abrasive disinfectants on intact skin in the elderly, who are bedridden and with fragile and/or damaged skin. (AIUC)
The use of disinfectants and colouring agents (sodium hypochlorite, mercurial disinfectants, povidone-iodine, benzene derivatives …) on intact skin is a very common practice. Besides not having any clinical rational, the use of these products is...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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