‧明智選擇、聰明就醫 - 台北慈濟醫院

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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.