ISSN: 2155-6148
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Andrew Goldberg
One Gustave L. Levy Place, Box 406, New York, NY 10029
Tanzania
Research Article
Reference Guidelines Improve Residents’ Ability to Order Appropriate Preoperative Tests in Standardized Case Scenarios
Author(s): Andrew Goldberg, Daniel Katz, Hung-Mo Lin and Samuel DeMaria JrAndrew Goldberg, Daniel Katz, Hung-Mo Lin and Samuel DeMaria Jr
Background: Preoperative testing for surgery is estimated to cost $30 billion annually. The goal of this study was to determine the relative influence of access to a guideline reference for preoperative test ordering appropriateness by resident physicians in simulated case scenarios. Methods: At a single teaching hospital, 80 PGY (Post Medical School Graduation Year) 2-5 residents from anesthesiology, surgery, internal medicine, and obstetrics/gynecology were recruited to review simulated case scenarios. Participants within each specialty were randomized with half receiving supplemental ASA preoperative testing guidelines during completion of the questionnaire. Participants indicated which preoperative tests they believed appropriate for each scenario. Correct responses were set by an expert panel and results were reported as relative probabilities and 95% CI. Results: 66 surveys were.. View More»
DOI:
10.4172/2155-6148.1000353