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  • Critical thinking, curiosity and parsimony in (emergency) medicine: 'Doing nothing' as a quality measure?

    Author(s)
    Keijzers, Gerben
    Griffith University Author(s)
    Keijzers, Gerben
    Year published
    2017
    Metadata
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    Abstract
    Current medical decision-making is influenced by many factors, such as competing interests, distractions, as well as fear of missing an important diagnosis. This can result in ordering tests or providing treatments that can be harmful. Unnecessary tests are more likely to lead to false positive diagnosis or incidental findings that are of uncertain clinical relevance. Estimates indicate that almost one-third of all health spending is wasteful. The ‘Choosing Wisely’ campaign has identified many of these wasteful tests and treatments. This perspective proposes some suggestions to focus on our critical thinking, embrace shared ...
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    Current medical decision-making is influenced by many factors, such as competing interests, distractions, as well as fear of missing an important diagnosis. This can result in ordering tests or providing treatments that can be harmful. Unnecessary tests are more likely to lead to false positive diagnosis or incidental findings that are of uncertain clinical relevance. Estimates indicate that almost one-third of all health spending is wasteful. The ‘Choosing Wisely’ campaign has identified many of these wasteful tests and treatments. This perspective proposes some suggestions to focus on our critical thinking, embrace shared decision-making and stay curious about the patient we are treating. Most importantly, ‘doing nothing’ could be a quality indicator for EDs, and ACEM supported audits and research to develop benchmarks for certain tests and procedures in the ED are important to achieve a cultural change.
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    Journal Title
    Emergency Medicine Australasia
    Volume
    29
    Issue
    3
    DOI
    https://doi.org/10.1111/1742-6723.12782
    Subject
    Clinical sciences
    Health services and systems
    Public health
    Publication URI
    http://hdl.handle.net/10072/342037
    Collection
    • Journal articles

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