Never administer antibiotics for perioperative prophylaxis before 60 minutes prior to surgical incision*; the ideal time is upon induction of anesthesia.
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...
Do not request stress testing for inducible ischemia.
It is not appropriate to use stress testing to diagnose obstructive coronary artery disease as a first-line test, as it has extremely limited diagnostic power in recognizing or excluding significant coronary artery disease. Stress testing may be considered for the...
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...
Do not request routine coronary angiography in all patients with heart failure with reduced systolic function, asymptomatic for angina pectoris, and without signs of inducible ischemia, with low pretest probability of coronary artery disease or in the absence of known anatomy favorable to further revascularization.
Coronary angiography may be considered in patients with heart failure with reduced ejection fraction with an intermediate-high pre-test probability of coronary artery disease, in the presence of inducible ischemia, and in the presence of coronary anatomy favorable to...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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