How I do it: judging appropriateness for TTE and TEE

Cardiovascular Ultrasound

How I do it article

Ricardo Fonseca¹  Thomas H Marwick¹ 

[1] Menzies Research Institute Tasmania, 7000, 17 Liverpool St, Hobart, Tasmania, Australia;

关键词: Appropriate use;    Transthoracic echocardiography;    Transoesophageal echocardiography;   

DOI  :  10.1186/1476-7120-12-22

 received in 2014-03-20, accepted in 2014-06-05,  发布年份 2014

来源: Springer

【 摘 要 】

The increasing cost of healthcare is a widespread international problem to which the cost of imaging has been an important contributor. Some imaging tests are ordered inappropriately and contribute to wasted use of resources. Appropriate use criteria have been developed in the USA in order to guide test selection, but there are a number of problems, including the evidence base for these criteria and the steps that can be taken to change physician practice. A restrictive approach to test ordering is difficult to fit to the nuances of clinical presentation and may compromise patient care. We propose an alternative approach to physician guidance based on the most common markers of inappropriate testing.

【 授权许可】

CC BY   
© Fonseca and Marwick; licensee BioMed Central Ltd. 2014