The risks of defensive (emergency) medicine. The laboratory perspective

  • Martina Montagnana Section of Clinical Biochemistry, University of Verona, Verona, Italy.
  • Giuseppe Lippi | giuseppe.lippi@univr.it Section of Clinical Biochemistry, University of Verona, Verona, Italy.

Abstract

Diagnostic testing is a crucial aspect of the clinical decision making, especially in emergency settings where timely and accurate diagnoses are essential for appropriate patient management. Reliable statistics attest that the vast majority of clinical decisions for diagnosis, treatment and follow-up of both acute and chronic diseases are influenced by results of laboratory analyses. As specifically concerns the emergency department, many unnecessary laboratory tests are also ordered in this healthcare setting, with unfavorable consequences on laboratory and healthcare organization. As far as the laboratory environment is concerned, defensive (emergency medicine) may be associated with incremental costs, derangement of laboratory organization, enhanced complexity of data management process, diagnostic delay attributable to performance of unnecessary testing, and litigation. Educative or even regulatory interventions are hence urgently needed to addresses problems of the current liability system, in order to decrease the detrimental effects of defensive (emergency) medicine in the laboratory.

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Published
2016-05-27
Info
Issue
Section
Opinion Reports
Keywords:
Defensive medicine, Emergency medicine, Emergency department, Laboratory testing, Diagnosis
Statistics
  • Abstract views: 1154

  • PDF: 484
How to Cite
Montagnana, M., & Lippi, G. (2016). The risks of defensive (emergency) medicine. The laboratory perspective. Emergency Care Journal, 1(1). https://doi.org/10.4081/ecj.2016.5581