Evidence-Based Medicine· 2012
Principles for high-quality, high-value testing
- 395citations
- 2012year
Short summary
A survey of doctors identified 10 core principles for high-quality, high-value medical testing, including basing practices on evidence, applying test performance judiciously, testing efficiently, considering test value and affordability, and being aware of overdiagnosis and cognitive biases.
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Key points
- 10 core principles for high-quality, high-value medical testing were developed based on doctor surveys.
- Principles emphasize evidence-based practice, judicious application of test performance data, and efficient testing.
- Consideration of test value, affordability, and the risks of overdiagnosis are key components.
- Awareness of cognitive limitations and biases is crucial for appropriate test ordering.
- The principles serve as a framework for training and a reference for clinical practice.
AI-generated from the title and abstract; the full text is not read.
Abstract
A survey of doctors working in two large NHS hospitals identified over 120 laboratory tests, imaging investigations and investigational procedures that they considered not to be overused. A common suggestion in this survey was that more training was required. And, this prompted the development of a list of core principles for high-quality, high-value testing. The list can be used as a framework for training and as a reference source. The core principles are: (1) Base testing practices on the best available evidence. (2) Apply the evidence on test performance with careful judgement. (3) Test efficiently. (4) Consider the value (and affordability) of a test before requesting it. (5) Be aware of the downsides and drivers of overdiagnosis. (6) Confront uncertainties. (7) Be patient-centred in your approach. (8) Consider ethical issues. (9) Be aware of normal cognitive limitations and biases when testing. (10) Follow the 'knowledge journey' when teaching and learning these core principles.
The authors' abstract, as published at the source. Evidence-Based Medicine, 2012 · DOI ↗
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Field: Family Practice
Family PracticeMedicine