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Choosing Wisely: Annual comprehensive eye exams are unnecessary for children who pass ...

Annual comprehensive eye exams are unnecessary for children who pass routine vision screening assessments.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=124

Choosing Wisely: Antibiotics sDon’t use vancomycin or carbapenems empirically for ...

Antibiotics sDon’t use vancomycin or carbapenems empirically for neonatal intensive care patients unless an infant is known to have a specific risk for pathogens resistant to narrower-spectrum agents.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=394

Choosing Wisely: Antibiotics should not be used for apparent viral respiratory ...

Antibiotics should not be used for apparent viral respiratory illnesses (sinusitis, pharyngitis, bronchitis).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=34

Choosing Wisely: Avoid admission or preoperative chest x-rays for ambulatory patients ...

Avoid admission or preoperative chest x-rays for ambulatory patients with unremarkable history and physical exam.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=101

Choosing Wisely: Avoid admission or preoperative chest x-rays for ambulatory patients ...

Avoid admission or preoperative chest x-rays for ambulatory patients with unremarkable history and physical exam.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=81

Choosing Wisely: Avoid antibiotics and wound cultures in emergency department patients ...

Avoid antibiotics and wound cultures in emergency department patients with uncomplicated skin and soft tissue abscesses after successful incision and drainage and with adequate medical follow-up.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=137

Choosing Wisely: Avoid cardiovascular stress testing for patients undergoing low-risk ...

Avoid cardiovascular stress testing for patients undergoing low-risk surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=83

Choosing Wisely: Avoid colorectal cancer screening tests on asymptomatic patients with ...

Avoid colorectal cancer screening tests on asymptomatic patients with a life expectancy of less than 10 years and no family or personal history of colorectal neoplasia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=100

Choosing Wisely: Avoid CT of the head in asymptomatic adult patients in the emergency ...

Avoid CT of the head in asymptomatic adult patients in the emergency department with syncope, insignificant trauma, and a normal neurological evaluation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=222

Choosing Wisely: Avoid CT pulmonary angiography in emergency department patients with a...

Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of pulmonary embolism and either a negative Pulmonary Embolism Rule-Out Criteria or a negative D-dimer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=223

Choosing Wisely: Avoid CT scans of the head in emergency department patients with minor...

Avoid CT scans of the head in emergency department patients with minor head injury who are at low risk based on validated decision rules.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=134

Choosing Wisely: Avoid echocardiograms for preoperative/perioperative assessment of ...

Avoid echocardiograms for preoperative/perioperative assessment of patients with no history or symptoms of heart disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=84

Choosing Wisely: Avoid elective, non–medically-indicated inductions of labor between 39...

Avoid elective, non–medically-indicated inductions of labor between 39 weeks 0 days and 41 weeks 0 days unless the cervix is deemed favorable.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=46

Choosing Wisely: Avoid imaging studies (MRI, CT or X-rays) for acute low back pain ...

Avoid imaging studies (MRI, CT or X-rays) for acute low back pain without specific indications.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=180

Choosing Wisely: Avoid instituting intravenous (IV) fluids before doing a trial of oral...

Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate dehydration in children.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=138

Choosing Wisely: Avoid invasive devices (including central venous catheters, ...

Avoid invasive devices (including central venous catheters, endotracheal tubes, and urinary catheters) and, if required, use no longer than necessary. They pose a major risk for infections.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=290

Choosing Wisely: Avoid lumbar spine imaging in the emergency department for adults with...

Avoid lumbar spine imaging in the emergency department for adults with non-traumatic back pain unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, cauda equina syndrome, or cancer with ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=224

Choosing Wisely: Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) in individuals ...

Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) in individuals with hypertension or heart failure or chronic kidney disease of all causes, including diabetes.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=36

Choosing Wisely: Avoid opioid misuse in patients with chronic pelvic pain without ...

Avoid opioid misuse in patients with chronic pelvic pain without compromising care through education, responsible opioid prescribing, and advocacy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=347

Choosing Wisely: Avoid opioid-only modalities for postoperative pain control. - ...

Avoid opioid-only modalities for postoperative pain control.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=401

Choosing Wisely: Avoid ordering CT of the abdomen and pelvis in young otherwise healthy...

Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=226

Choosing Wisely: Avoid ordering follow-up urine cultures after treatment for an ...

Avoid ordering follow-up urine cultures after treatment for an uncomplicated urinary tract infection in patients that show evidence of clinical resolution of infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=361

Choosing Wisely: Avoid ordering luteinizing hormone- and follicle-stimulating hormone ...

Avoid ordering luteinizing hormone- and follicle-stimulating hormone and either estradiol or testosterone for children with pubic hair and/or body odor but no other signs of puberty.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=352

Choosing Wisely: Avoid ordering MRI in patients with suspected acute Achilles tendon ...

Avoid ordering MRI in patients with suspected acute Achilles tendon ruptures.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=327

Choosing Wisely: Avoid ordering screening tests looking for chronic illness or an ...

Avoid ordering screening tests looking for chronic illness or an endocrine cause, including complete blood count, cytidine monophosphate , insulinlike growth factor 1, thyroid tests, and celiac antibodies, in healthy children who are growing at or above the 3rd percentile for height ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=353

Choosing Wisely: Avoid ordering Vitamin D concentrations routinely in otherwise healthy...

Avoid ordering Vitamin D concentrations routinely in otherwise healthy children, including children who are overweight or obese.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=354

Choosing Wisely: Avoid other imaging tests apart from ultrasound for the initial ...

Avoid other imaging tests apart from ultrasound for the initial evaluation of patients with suspected gallstone disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=399

Choosing Wisely: Avoid performing plain x-rays in instances of facial trauma. - ...

Avoid performing plain x-rays in instances of facial trauma.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=205

Choosing Wisely: Avoid placing indwelling urinary catheters in the emergency department...

Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=135

Choosing Wisely: Avoid polysomnography in chronic insomnia patients unless symptoms ...

Avoid polysomnography in chronic insomnia patients unless symptoms suggest a comorbid sleep disorder.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=231

Choosing Wisely: Avoid prescribing antibiotics for upper respiratory infections. - ...

Avoid prescribing antibiotics for upper respiratory infections.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=254

Choosing Wisely: Avoid prescribing antibiotics in the emergency department for ...

Avoid prescribing antibiotics in the emergency department for uncomplicated sinusitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=225

Choosing Wisely: Avoid prophylactic antibiotics for the treatment of mitral valve ...

Avoid prophylactic antibiotics for the treatment of mitral valve prolapse.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=257

Choosing Wisely: Avoid protracted use of passive or palliative physical therapeutic ...

Avoid protracted use of passive or palliative physical therapeutic modalities for low-back pain disorders unless they support the goal(s) of an active treatment plan.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=331

Choosing Wisely: Avoid quarterly viral load testing of patients who have durable viral ...

Avoid quarterly viral load testing of patients who have durable viral suppression, unless clinically indicated.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=300

Choosing Wisely: Avoid routine cholecystectomy for patients with asymptomatic ...

Avoid routine cholecystectomy for patients with asymptomatic cholelithiasis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=398

Choosing Wisely: Avoid routine continuation of antibiotic therapy beyond 48 hours for ...

Avoid routine continuation of antibiotic therapy beyond 48 hours for initially asymptomatic infants without evidence of bacterial infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=277

Choosing Wisely: Avoid routine daily chest radiographs without an indication for ...

Avoid routine daily chest radiographs without an indication for intubated infants.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=279

Choosing Wisely: Avoid routine multiple daily self-glucose monitoring in adults with ...

Avoid routine multiple daily self-glucose monitoring in adults with stable type 2 diabetes on agents that do not cause hypoglycemia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=139

Choosing Wisely: Avoid routine preoperative testing for low-risk surgeries without a ...

Avoid routine preoperative testing for low-risk surgeries without a clinical indication.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=80

Choosing Wisely: Avoid routine screening term-equivalent or discharge brain MRIs in ...

Avoid routine screening term-equivalent or discharge brain MRIs in preterm infants.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=280

Choosing Wisely: Avoid routine testing for antiepileptic drug levels in people with ...

Avoid routine testing for antiepileptic drug levels in people with epilepsy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=373

Choosing Wisely: Avoid routine use of antireflux medications for treatment of ...

Avoid routine use of antireflux medications for treatment of symptomatic GERD or for treatment of apnea and desaturation in preterm infants.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=276

Choosing Wisely: Avoid routine use of pneumograms for pre-discharge assessment of ...

Avoid routine use of pneumograms for pre-discharge assessment of ongoing and/or prolonged apnea of prematurity.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=278

Choosing Wisely: Avoid routinely measuring thyroid function and/or insulin levels in ...

Avoid routinely measuring thyroid function and/or insulin levels in children with obesity.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=355

Choosing Wisely: Avoid routinely ordering thyroid ultrasounds in children who have ...

Avoid routinely ordering thyroid ultrasounds in children who have simple goiters or autoimmune thyroiditis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=356

Choosing Wisely: Avoid routinely using irreversible surgical procedures such as braces,...

Avoid routinely using irreversible surgical procedures such as braces, occlusal equilibration, and restorations as the first treatment of choice in the management of temporomandibular joint disorders.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=313

Choosing Wisely: Avoid testing for a Clostridium difficile infection in the absence of ...

Avoid testing for a Clostridium difficile infection in the absence of diarrhea.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=256

Choosing Wisely: Avoid the routine use of ultrasound in evaluating clinically apparent ...

Avoid the routine use of ultrasound in evaluating clinically apparent inguinal hernia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=400

Choosing Wisely: Avoid the routine use of whole-body diagnostic CT scanning in patients...

Avoid the routine use of whole-body diagnostic CT scanning in patients with minor or single system trauma.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=99

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