Journal article

Development and validation of a screening tool for the identification of inappropriate transthoracic echocardiograms

Ricardo Fonseca, Faraz Pathan, Thomas H Marwick

BMJ OPEN | BMJ PUBLISHING GROUP | Published : 2016

Abstract

OBJECTIVE: We sought whether simple clinical markers could be used in a questionnaire for recognition of inappropriate (or rarely appropriate, RA) tests at point-of-service. Most applications of appropriateness criteria (AC) for transthoracic echocardiogram (TTE) have been at the point of order, but a simple means of identifying RA tests in an audit process would be of value. DESIGN, SETTING AND PARTICIPANTS: The study was performed in 2 major hospitals in Tasmania. 2 reviewers created a questionnaire based on 4 questions most commonly associated with RA (suspected endocarditis with no positive blood cultures or new murmur, lack of cardiovascular symptoms or no change in clinical status or c..

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