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因急性支气管炎入院;因十二指肠穿孔出院:过度检查可能带来的有害连锁反应。病例报告。

In with acute bronchitis; out with duodenal perforation: the potentially harmful cascade of over-testing. A case report.

作者信息

Dhaliwal Karamjit, Malkhasyan Victoria, Elhassan Mohammed

机构信息

Department of Internal Medicine, UCSF/Fresno Internal Medicine Residency Program, Fresno, CA,USA.

出版信息

J Community Hosp Intern Med Perspect. 2018 Feb 6;8(1):26-28. doi: 10.1080/20009666.2018.1424486. eCollection 2018.

DOI:10.1080/20009666.2018.1424486
PMID:29441163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5804681/
Abstract

Overutilization of diagnostic imaging can lead to unnecessary interventions and subsequently can jeopardize patient safety. When ordered, the results of these images should always be interpreted in the appropriate clinical context taking into consideration the patient clinical presentation and the natural history of the diseases which are being investigated. We presented a case that demonstrates for the practicing physicians how violating these two notions can lead ultimately to patient harm.

摘要

诊断成像的过度使用可能导致不必要的干预措施,进而危及患者安全。在开具检查单时,这些影像结果应始终在适当的临床背景下进行解读,要考虑患者的临床表现以及所研究疾病的自然病程。我们展示了一个病例,向执业医师说明违反这两个观念最终如何会对患者造成伤害。

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Too much medicine happens too often: the teachable moment and a call for manuscripts from clinical trainees.用药过度的情况屡见不鲜:可汲取经验教训的时刻以及对临床实习生稿件的征集呼吁。
JAMA Intern Med. 2014 Jan;174(1):8-9. doi: 10.1001/jamainternmed.2013.9967.
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