{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T02:55:35Z","timestamp":1777776935520,"version":"3.51.4"},"reference-count":48,"publisher":"Walter de Gruyter GmbH","issue":"2","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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\u2019s 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.<\/jats:p>\n                  <jats:p>These were:<\/jats:p>\n                  <jats:p>1. Stop medicines when no further benefit is achieved or the potential harms outweigh the potential benefits for the individual patient.<\/jats:p>\n                  <jats:p>\n                    2. Don\u2019t use antibiotics in patients with recent\n                    <jats:italic>C. difficile<\/jats:italic>\n                    without convincing evidence of need.\n                  <\/jats:p>\n                  <jats:p>3. Don\u2019t 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.<\/jats:p>\n                  <jats:p>4. Don\u2019t initiate an antibiotic without an identified indication and a predetermined length of treatment or review date.<\/jats:p>\n                  <jats:p>5. Don\u2019t prescribe opioids for treatment of chronic or acute pain for sensitive jobs such as operating motor vehicles, forklifts, cranes or other heavy equipment.<\/jats:p>\n                  <jats:p>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\u2019t transfuse more units of blood than absolutely necessary.<\/jats:p>","DOI":"10.2478\/rjim-2019-0001","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T04:04:43Z","timestamp":1549512283000},"page":"181-194","source":"Crossref","is-referenced-by-count":0,"title":["The Romanian Society of Internal Medicine\u2019s Choosing Wisely Campaign"],"prefix":"10.2478","volume":"57","author":[{"given":"Caterina","family":"Delcea","sequence":"first","affiliation":[{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy , Bucharest , Romania"},{"name":"Internal Medicine Department , \u201cColentina\u201d Clinical Hospital"},{"name":"CDPC Cardiology Laboratory , \u201cColentina\u201d Clinical Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camelia","family":"Badea","sequence":"additional","affiliation":[{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy , Bucharest , Romania"},{"name":"Internal Medicine Department , \u201cColentina\u201d Clinical Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciprian","family":"Jurcut","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, \u201cDr Carol Davila\u201d Central University Emergency Military Hospital , Bucharest , Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Purcarea","sequence":"additional","affiliation":[{"name":"Internal Medicine, Charleville Regional Hospital , France"},{"name":"Internist.ro Clinic , Brasov , Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Sovaila","sequence":"additional","affiliation":[{"name":"Internal Medicine, Charleville Regional Hospital , France"},{"name":"Internist.ro Clinic , Brasov , Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Weiss","sequence":"additional","affiliation":[{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy , Bucharest , Romania"},{"name":"Internal Medicine Department, Clinical University Emergency Hospital , Bucharest , Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Alistar","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Emergency Hospital , Bac\u0103u , Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horia","family":"Balan","sequence":"additional","affiliation":[{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy , Bucharest , Romania"},{"name":"Internal Medicine Department, Clinical Emergency Hospital Ilfov , Bucharest , Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristian","family":"Baicus","sequence":"additional","affiliation":[{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy , Bucharest , Romania"},{"name":"Internal Medicine Department , \u201cColentina\u201d Clinical Hospital"},{"name":"R\u00e9seau d'Epid\u00e9miologie Clinique International Francophone (RECIF) , Bucharest , Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2019,6,20]]},"reference":[{"key":"2026042915192713771_j_rjim-2019-0001_ref_001_w2aab3b7c12b1b6b1ab1ab1Aa","unstructured":"1. Choosing Wisely\/Good Stewardship \u2013 National Physicians Alliance, Available at: http:\/\/npalliance.org\/promoting-goodstewardship-in-medicine-project\/ [accessed. 2018-10-07]."},{"key":"2026042915192713771_j_rjim-2019-0001_ref_002_w2aab3b7c12b1b6b1ab1ab2Aa","doi-asserted-by":"crossref","unstructured":"2. GOOD STEWARDSHIP WORKING GROUP. The \u201ctop 5\u201d lists in primary care: meeting the responsibility of professionalism. Arch. Intern. Med. 2011;171(15):1385\u201390.10.1001\/archinternmed.2011.231","DOI":"10.1001\/archinternmed.2011.231"},{"key":"2026042915192713771_j_rjim-2019-0001_ref_003_w2aab3b7c12b1b6b1ab1ab3Aa","unstructured":"3. Choosing Wisely, Available at: http:\/\/www.choosingwisely.org\/ [accessed. 2018-05-20]."},{"key":"2026042915192713771_j_rjim-2019-0001_ref_004_w2aab3b7c12b1b6b1ab1ab4Aa","unstructured":"4. Choosing Wisely Canada, Available at: https:\/\/choosingwiselycanada.org\/ [accessed. 2018-05-20]."},{"key":"2026042915192713771_j_rjim-2019-0001_ref_005_w2aab3b7c12b1b6b1ab1ab5Aa","unstructured":"5. Choosing Wisely Australia, Available at: http:\/\/www.choosingwisely.org.au\/home [accessed. 2018-05-20]."},{"key":"2026042915192713771_j_rjim-2019-0001_ref_006_w2aab3b7c12b1b6b1ab1ab6Aa","unstructured":"6. Choosing Wisely UK, Available at: http:\/\/www.choosingwisely.co.uk\/ [accessed. 2018-05-20]."},{"key":"2026042915192713771_j_rjim-2019-0001_ref_007_w2aab3b7c12b1b6b1ab1ab7Aa","doi-asserted-by":"crossref","unstructured":"7. MONTANO, N., COSTANTINO, G., CASAZZA, G., SBROJAVACCA, R., LENTI, M.V., FALSETTI, L., et al. The Italian Society of Internal Medicine choosing wisely campaign. Intern. Emerg. 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