Don’t perform routine echocardiography as part of routine follow-up in patients with mild to moderate valvular heart disease or with left ventricular dysfunction, in the absence of new symptoms, signs or clinical events.
Due to the slow evolution of mild to moderate valvular disease and the clinical uselessness of reevaluating left ventricular function in clinically stable patients, an echocardiogram is not recommended unless there is a change in clinical status.
Do not replace surgical dressings before 48 hours have elapsed from the operation.
Traditional dressing of the surgical site should not be removed or replaced for 48 hours unless there is seepage, bleeding or clear signs of alterations in situ (in this case it should be replaced). The frequent change of medication is a useless activity and a waste...
Do not maintain precautionary isolation upon symptom resolution in patients with Clostridium difficile diarrhoea.
Despite the cessation of diarrhoea symptoms, in many operating environments the patient is kept in isolation. Isolation and contact precautions must be maintained up to 48 hours after the last discharge of diarrhoea. Diarrhoeal stools transmit spores that can remain...
Do not apply standard and additional precautions when assisting a patient with an “alert” multi-drug resistant organism without first evaluating the type of “alert” multi-drug resistant organism involved.
Often when assisting a patient with an “alert” multi-drug resistant organism, strict isolation in all areas (contact, aerial, oral, faecal, large droplets) tends to be applied. Before applying an additional isolation procedure, the source of the bacterium,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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