瀏覽人氣：11,126
明智選擇 聰明就醫
2012年由美國內科醫學會 (American Board of Internal Medicine Foundation, ABIM），發起除美國，加拿大外，許多歐洲 國家和日本都有響應此活動，目前已有20個國家響應此活動。主要目的為：促進醫病溝通，減少醫療浪費。
| The Choosing Wisely International Top 10 recommendations | |||
| 1 | Don’t do imaging for low back pain within the first six weeks, unless red flags are present. | 6 | Don’t use antipsychotics as the first choice to treat behavioral and psychological symptoms of dementia. |
| 2 | Don’t routinely prescribe antibiotics for acute mild-to-moderate sinusitis unless symptoms last for seven or more days, or symptoms worsen after initial clinical improvement. | 7 | Don’t perform routine preoperative testing before low-risk surgical procedures. |
| 3 | Don’t use benzodiazepines or other sedative- hypnotics in older adults as first choice for insomnia, agitation, or delirium. | 8 | Don’t use antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present. |
| 4 | Don’t maintain long-term Proton Pump Inhibitor (PPI) therapy for gastrointestinal symptoms without an attempt to stop/reduce PPI at least once per year in most patients. | 9 | Don’t place, or leave in place, urinary catheters for incontinence, convenience, or monitoring in noncritically ill patients. |
| 5 | Don’t perform stress cardiac imaging or advanced noninvasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present. | 10 | Don’t perform annual stress cardiac imaging as part of routine follow-up in asymptomatic patients. |