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Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Hospital Medicine Nurses (ANIMO)

Often in daily practice, vascular devices are left in place only for the likelihood that once removed they can be necessary again. The main guidelines indicate that in order to prevent and reduce complications (infections, phlebitis, thrombosis) a venous catheter should be removed as soon as possible, unless the signs that induced its placement are lasting,

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Hospital Medicine Nurses (ANIMO)

Often, in the care of not self-sufficient elderly patients recourse is made to bladder catheterization to manage incontinence and/or perform diagnostic tests. The literature gives precise indications concerning the situations in which you need to resort to bladder catheterization, beyond which the patient is subjected to an unnecessary and increased risk of infection.

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Hospital Medicine Nurses (ANIMO)

In the relevant scientific literature there is no evidence suggesting physical restraint as an intervention to prevent patient falls. On the contrary, mechanical restraint can cause psychological and direct and indirect physical side effects. Instead, it's necessary to assess the risk of falling for each patient and implement interventions aimed at reducing the personal and environmental risk factors.

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Hospital Medicine Nurses (ANIMO)

If not recommended, crushing and disguising drugs is considered an inappropriate procedure to be included in potential medication errors. Altering the formulation of drugs and administer them disguised in food or beverages may increase their toxicity, determine instability, affect the absorption times, make them less effective and attractive. When possible, it would be appropriate to use alternative pharmaceutical applications, or consider different ways and means of administration in order to ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Critical Care Nurses (ANIARTI)

Even today, in many surgical units patients are invited to fast solids and liquids since the midnight preceding surgery, even though it is shown that this practice does not reduce the possibility of aspiration into the airway in case of general anesthesia. Indeed, scientific literature shows that drinking water before surgery produces significantly less gastric volumes in patients not considered at risk, defined class 1 (healthy patient) or 2 (mild systemic disease) according to ASA (American ...