5. Appropriate Testing in an Era of Limited Resources: Practice and Policy Considerations

  1. Jesse M. Pines1,2,
  2. Christopher R. Carpenter3,4,
  3. Ali S. Raja5,
  4. Jeremiah D. Schuur5

Published Online: 8 NOV 2012

DOI: 10.1002/9781118482117.ch5

Book Title

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Additional Information

How to Cite

Pines, J. M., Carpenter, C. R., Raja, A. S. and Schuur, J. D. (2012) Appropriate Testing in an Era of Limited Resources: Practice and Policy Considerations, in Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118482117.ch5

Author Information

  1. 1

    Center for Healthcare Quality, George Washington University, Washington, DC, USA

  2. 2

    Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  3. 3

    Evidence Based Medicine, Washington University, St. Louis, MO, USA

  4. 4

    Division of Emergency Medicine, Barnes Jewish Hospital, Washington University, St. Louis, MO, USA

  5. 5

    Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Publication History

  1. Published Online: 8 NOV 2012
  2. Published Print: 7 NOV 2012

ISBN Information

Print ISBN: 9780470657836

Online ISBN: 9781118482117

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CHAPTER TOOLS

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Keywords:

  • appropriate testing in limited resources, practice/policy;
  • diagnostic tests as not adding information, being medical waste;
  • diagnostic testing, improving the appropriateness;
  • best evidence from the bedside, building systems to support;
  • diagnostic testing on healthcare expenditures;
  • downstream costs of diagnostic testing;
  • testing variations, and inappropriate testing;
  • inappropriate use of diagnostics, underuse/overuse/misuse;
  • misuse/overuse of diagnostic testing in emergency medicine;
  • implementation of practice guidelines, and specific steps

Summary

This chapter contains sections titled:

  • Impact of diagnostic testing on healthcare expenditures

  • Downstream costs of diagnostic testing

  • Variation in testing and inappropriate testing

  • Causes of inappropriate testing

  • Improving appropriateness in diagnostic testing: practice considerations

  • Health policy considerations

  • References

  • Further Reading

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