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
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..View full abstract
RF is supported by a scholarship from the Farrell Foundation, Hobart, Australia.