Do not perform repetitive laboratory tests when patients show clinical and laboratory stability.
During hospitalization, internal medicine patients often undergo a high number of blood samples for lab tests, usually redundant and repetitive, resulting in further diagnostic procedures. Frequent blood sampling is responsible for iatrogenic anemia with consequent...
Don’t diagnose asthma without having performed lung function tests (including bronchodilating test and/or bronchial challenge).
Asthma-like symptoms (dyspnoea, chest tightness, cough, wheezing) are not enough to put a correct diagnosis of asthma.The international guidelines stress the need to perform lung function assessment in order to identify the presence of airway hyperreactivity or...
Do not recommend PEG (Percutaneous Endoscopic Gastrostomy) in advanced dementia; instead, prefer assisted oral feeding.
PEG or Nasogastric Tube placement should be limited to probable reversible conditions or for a short time period (e.g. post stroke, acute infections). The use of PEG is not recommended in patients affected by advanced dementia since it does not increase survival, does...
Do not prescribe “gastroprotection” for stress ulcer prophylaxis in medical patients unless there is a high risk of bleeding.
According to international guidelines, the prophylaxis of peptic stress ulcers with antisecretive drugs, represented by H2 receptor antagonists and proton pump inhibitors, is not routinely indicated for the “medical” patient, unless it is related to patients admitted...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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