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Choosing Wisely: More Good Clinical Recommendations - American Family Physician

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/search.htm

Choosing Wisely: Don’t routinely use topical antibiotics on a surgical wound. - ...

Don’t routinely use topical antibiotics on a surgical wound.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=150

Choosing Wisely: Don’t perform low-risk human papillomavirus (HPV) testing. - American ...

Don’t perform low-risk human papillomavirus (HPV) testing.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=28

Choosing Wisely: Don’t use whirlpools for wound management. - American Family Physician

Don’t use whirlpools for wound management.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=212

Choosing Wisely: Don’t treat asymptomatic bacteruria with antibiotics. - American ...

Don’t treat asymptomatic bacteruria with antibiotics.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=253

Choosing Wisely: Don’t use antibiotic therapy for stasis dermatitis of lower ...

Don’t use antibiotic therapy for stasis dermatitis of lower extremities.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=255

Choosing Wisely: Don’t routinely order imaging for all patients with double vision. - ...

Don’t routinely order imaging for all patients with double vision.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=126

Choosing Wisely: Don’t routinely avoid influenza vaccination in egg-allergic patients. ...

Don’t routinely avoid influenza vaccination in egg-allergic patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=201

Choosing Wisely: Don’t use opioids or butalbital for migraine except as a last resort. ...

Don’t use opioids or butalbital for migraine except as a last resort.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=44

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: Don’t perform routine general health checks for asymptomatic adults. -...

Don’t perform routine general health checks for asymptomatic adults.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=106

Choosing Wisely: Avoid treatment of CIN 1 in women under age 25. - American Family ...

Avoid treatment of CIN 1 in women under age 25.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=321

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: Don’t reimage deep vein thrombosis in the absence of a clinical ...

Don’t reimage deep vein thrombosis in the absence of a clinical change.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=33

Choosing Wisely: Don’t perform population-based screening for 25-OH-vitamin D ...

Don’t perform population-based screening for 25-OH-vitamin D deficiency.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=67

Choosing Wisely: CT scans are not necessary in the routine evaluation of abdominal ...

CT scans are not necessary in the routine evaluation of abdominal pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=21

Choosing Wisely: Don’t place an indwelling urinary catheter to manage urinary ...

Don’t place an indwelling urinary catheter to manage urinary incontinence.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=263

Choosing Wisely: Don’t exclude pessaries as a treatment option for pelvic organ ...

Don’t exclude pessaries as a treatment option for pelvic organ prolapse.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=271

Choosing Wisely: Don’t do imaging for uncomplicated headache. - American Family Physician

Don’t do imaging for uncomplicated headache.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=38

Choosing Wisely: Don’t order antibiotics for adenoviral conjunctivitis. - American ...

Don’t order antibiotics for adenoviral conjunctivitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=47

Choosing Wisely: Don’t routinely do diagnostic testing in patients with chronic ...

Don’t routinely do diagnostic testing in patients with chronic urticaria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=1

Choosing Wisely: Avoid transesophageal echocardiography to detect cardiac sources of ...

Avoid transesophageal echocardiography to detect cardiac sources of embolization if a source has been identified and patient management will not change.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=10

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 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: Don’t do CT for the evaluation of suspected appendicitis in children ...

Don’t do CT for the evaluation of suspected appendicitis in children until after ultrasound has been considered as an option.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=102

Choosing Wisely: Don’t use glucosamine and chondroitin to treat patients with ...

Don’t use glucosamine and chondroitin to treat patients with symptomatic osteoarthritis of the knee.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=103

Choosing Wisely: Don’t use lateral wedge insoles to treat patients with symptomatic ...

Don’t use lateral wedge insoles to treat patients with symptomatic medial compartment osteoarthritis of the knee.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=104

Choosing Wisely: Don’t recommend daily home finger glucose testing in patients with ...

Don’t recommend daily home finger glucose testing in patients with type 2 diabetes mellitus not using insulin.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=105

Choosing Wisely: Don’t perform routine preoperative testing before low-risk surgical ...

Don’t perform routine preoperative testing before low-risk surgical procedures.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=107

Choosing Wisely: Don’t recommend cancer screening in adults with life expectancy of ...

Don’t recommend cancer screening in adults with life expectancy of less than 10 years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=108

Choosing Wisely: Don't place, or leave in place, peripherally inserted central ...

Don't place, or leave in place, peripherally inserted central catheters for patient or provider convenience.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=109

Choosing Wisely: Don’t order continuous telemetry monitoring outside of the intensive ...

Don’t order continuous telemetry monitoring outside of the intensive care unit without using a protocol that governs continuation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=11

Choosing Wisely: Don’t prescribe antipsychotic medications to patients for any ...

Don’t prescribe antipsychotic medications to patients for any indication without appropriate initial evaluation and appropriate ongoing monitoring.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=110

Choosing Wisely: Don’t routinely prescribe two or more antipsychotic medications ...

Don’t routinely prescribe two or more antipsychotic medications concurrently.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=111

Choosing Wisely: Don’t use antipsychotics as first choice to treat behavioral and ...

Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=112

Choosing Wisely: Don’t routinely prescribe antipsychotic medications as a first-line ...

Don’t routinely prescribe antipsychotic medications as a first-line intervention for insomnia in adults.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=113

Choosing Wisely: Don’t routinely prescribe antipsychotic medications as a first-line ...

Don’t routinely prescribe antipsychotic medications as a first-line intervention for children and adolescents for any diagnosis other than psychotic disorders.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=114

Choosing Wisely: Don’t initiate management of low-risk prostate cancer without ...

Don’t initiate management of low-risk prostate cancer without discussing active surveillance.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=115

Choosing Wisely: Don’t prescribe antibiotics for otitis media in children aged two to ...

Don’t prescribe antibiotics for otitis media in children aged two to 12 years with nonsevere symptoms where the observation option is reasonable.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=116

Choosing Wisely: Don’t perform voiding cystourethrogram routinely in first febrile ...

Don’t perform voiding cystourethrogram routinely in first febrile urinary tract infection (UTI) in children aged two to 24 months.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=117

Choosing Wisely: Don’t routinely screen for prostate cancer using a prostate-specific ...

Don’t routinely screen for prostate cancer using a prostate-specific antigen (PSA) test or digital rectal exam.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=118

Choosing Wisely: Don’t perform routine annual stress testing after coronary artery ...

Don’t perform routine annual stress testing after coronary artery revascularization.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=12

Choosing Wisely: Don’t require a pelvic exam or other physical exam to prescribe oral ...

Don’t require a pelvic exam or other physical exam to prescribe oral contraceptive medications.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=120

Choosing Wisely: Don’t use homeopathic medications, non-vitamin dietary supplements or ...

Don’t use homeopathic medications, non-vitamin dietary supplements or herbal supplements as treatments for disease or preventive health measures.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=121

Choosing Wisely: Don’t recommend chelation except for documented metal intoxication, ...

Don’t recommend chelation except for documented metal intoxication, which has been diagnosed using validated tests in appropriate biological samples.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=122

Choosing Wisely: Don’t put asymptomatic children in weak reading glasses. - American ...

Don’t put asymptomatic children in weak reading glasses.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=123

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: Don’t recommend vision therapy for patients with dyslexia. - American ...

Don’t recommend vision therapy for patients with dyslexia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=125

Choosing Wisely: Don’t recommend imaging of the spine within the first six weeks of an ...

Don’t recommend imaging of the spine within the first six weeks of an acute episode of low back pain in the absence of red flags.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=127

Choosing Wisely: Don’t use electromyography (EMG) and nerve conduction studies (NCS) to...

Don’t use electromyography (EMG) and nerve conduction studies (NCS) to determine the cause of axial lumbar, thoracic or cervical spine pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=128

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