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• Obstetrics and Gynaecology - Recommendations

  …of preeclampsia in pregnant women, routine urine dipstick or urinalysis are not recommended as the test for albumin levels is unreliable. Do not rely on proteinuria to screen for gestational…

• Pharmacist - Recommendations

  …costs. Health practitioners should always question whether a new symptom or problem is a potential side effect of a current medication , especially in older adults, and avoid prescribing or…

• Endocrinology and Metabolism - Recommendations

  …confirmed on a different day, again measuring the total testosterone. In some situations, a free or bioavailable testosterone may be of additional value. Don’t routinely test for Anti-Thyroid Peroxidase Antibodies…

• Hospital Medicine - Recommendations

  …for urinary catheters and minimizing their duration of use. Appropriate indications include acute urinary obstruction, critical illness and end-of-life care. Strategies that reduce inappropriate use of urinary catheters have been…

• Long Term Care - Recommendations

  …frail elder with limited life expectancy (e.g., statins, osteoporosis drugs). The use of multiple medications may also affect patient safety. Prescribing medications to meet lab test “targets” that apply to…

• Radiology - Recommendations

  …include recent onset, rapidly increasing frequency and severity of headache; headache causing the patient to wake from sleep; associated dizziness, lack of coordination, tingling or numbness, new neurologic deficit; and…

• Infectious Disease - Recommendations

  …positive test for C. difficile. Testing should be limited to immunosuppressed infants or those with underlying intestinal conditions (e.g. Hirschsprung disease, inflammatory bowel disease) when other etiologies have been ruled…

• Occupational Medicine - Recommendations

  …declining health, slower recovery times, and longer duration of disability. Maintaining and restoring working capacity is an important function of health services which improves function and can also impact upon…

• Critical Care - Recommendations

  …and deconditioning. Excessive and/or prolonged use of sedatives is associated with worse outcomes, including increased delirium, excessive use of diagnostic imaging for coma, increased number of tracheostomies, greater duration of…

• Pediatric Neurosurgery - Recommendations

  …test of choice. In the absence of an open fontanelle, or if there are other signs and symptoms of acute raised intracranial pressure (vomiting, headache, irritability, drowsiness, full fontanelle, sun…