<abstract xmlns="http://www.w3.org/1999/xhtml">Quality of care in medicine is not necessarily proportional to quantity of care and excess is often useless or even more, potentially detrimental to our patients. Adhering to the European Federation of Internal Medicine’s initiative, the Romanian Society of Internal Medicine (SRMI) launched the Choosing Wisely in Internal Medicine Campaign, aiming to cut down diagnostic procedures or therapeutics overused in our country. A Working Group was formed and from 200 published recommendations from previous international campaigns, 36 were voted as most important. These were submitted for voting to the members of the SRMI and posted on a social media platform. After the two voting rounds, the top six recommendations were established.These were:1. Stop medicines when no further benefit is achieved or the potential harms outweigh the potential benefits for the individual patient.2. Don’t use antibiotics in patients with recent <italic>C. difficile</italic> without convincing evidence of need.3. Don’t regularly prescribe bed rest and inactivity following injury and/or illness unless there is scientific evidence that harm will result from activity. Promote early mobilization.4. Don’t initiate an antibiotic without an identified indication and a predetermined length of treatment or review date.5. Don’t prescribe opioids for treatment of chronic or acute pain for sensitive jobs such as operating motor vehicles, forklifts, cranes or other heavy equipment.6. Transfuse red cells for anemia only if the hemoglobin concentration is less than 7 g/dL or if the patient is hemodynamically unstable or has significant cardiovascular or respiratory comorbidity. Don’t transfuse more units of blood than absolutely necessary.</abstract>

Quality of care in medicine is not necessarily proportional to quantity of care and excess is often useless or even more, potentially detrimental to our patients. Adhering to the European Federation of Internal Medicine’s initiative, the Romanian Society of Internal Medicine (SRMI) launched the Choosing Wisely in Internal Medicine Campaign, aiming to cut down diagnostic procedures or therapeutics overused in our country. A Working Group was formed and from 200 published recommendations from previous international campaigns, 36 were voted as most important. These were submitted for voting to the members of the SRMI and posted on a social media platform. After the two voting rounds, the top six recommendations were established.These were:1. Stop medicines when no further benefit is achieved or the potential harms outweigh the potential benefits for the individual patient.2. Don’t use antibiotics in patients with recent C. difficile without convincing evidence of need.3. Don’t regularly prescribe bed rest and inactivity following injury and/or illness unless there is scientific evidence that harm will result from activity. Promote early mobilization.4. Don’t initiate an antibiotic without an identified indication and a predetermined length of treatment or review date.5. Don’t prescribe opioids for treatment of chronic or acute pain for sensitive jobs such as operating motor vehicles, forklifts, cranes or other heavy equipment.6. Transfuse red cells for anemia only if the hemoglobin concentration is less than 7 g/dL or if the patient is hemodynamically unstable or has significant cardiovascular or respiratory comorbidity. Don’t transfuse more units of blood than absolutely necessary.

The Romanian Society of Internal Medicine’s Choosing Wisely Campaign

“Carol Davila” University of Medicine and Pharmacy

Internal Medicine Department, “Dr Carol Davila” Central University Emergency Military Hospital

Internal Medicine, Charleville Regional Hospital

Internal Medicine Department, Clinical University Emergency Hospital

Internal Medicine Department, Emergency Hospital

Internal Medicine Department, Clinical Emergency Hospital Ilfov

Réseau d'Epidémiologie Clinique International Francophone (RECIF)

Romanian Journal of Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"The Romanian Society of Internal Medicine\u2019s Choosing Wisely Campaign"}

Quality of care in medicine is not necessarily proportional to quantity of care and excess is often useless or even more, potentially detrimental to our...

The Romanian Society of Internal Medicine’s Choosing Wisely Campaign

Published Online: Jun 20, 2019

Page range: 181 - 194

Received: Jan 02, 2019

DOI: https://doi.org/10.2478/rjim-2019-0001

Keywords
Choosing Wisely, Internal Medicine, Less is more

© 2019 Caterina Delcea et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

The Romanian Society of Internal Medicine’s Choosing Wisely Campaign

Published Online: Jun 20, 2019

Page range: 181 - 194

Received: Jan 02, 2019

DOI: https://doi.org/10.2478/rjim-2019-0001

KeywordsChoosing Wisely, Internal Medicine, Less is more

© 2019 Caterina Delcea et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
Choosing Wisely, Internal Medicine, Less is more