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Factors associated with defensive medicine practice in United Arab Emirates: A cross-sectional study with multivariate analysis.
Medicine (Baltimore)
November 2024
Department of Obstetrics and Gynaecology, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Health services institutes worldwide are trying to reduce defensive medical practice to limit its negative impact on patient care. We evaluated the factors associated with this defensive medical practice among medical professionals in the United Arab Emirates. This study deployed multivariate logistic regression analysis.
View Article and Find Full Text PDFDefensive Medicine in an Emergency Department: The Overuse of High-Sensitivity Cardiac Troponin I Testing.
Life (Basel)
November 2024
Jesselson Integrated Heart Center, Shaare Zedek Medical Center, Eisenberg R&D Authority and Faculty of Medicine, The Hebrew University of Jerusalem, 12 Shmuel Beit Street, Jerusalem 9103102, Israel.
Introduction: Cardiac troponin I is routinely measured in patients with suspected acute coronary syndrome. However, when a high-sensitivity cardiac troponin I (hs-cTnI) test is ordered without a clear clinical indication, unexpectedly elevated levels can lead to unnecessary diagnostic workups and inappropriate management. This study aimed to investigate physicians' rationale for performing hs-cTnI tests in an emergency department (ED).
View Article and Find Full Text PDFPolicy Options for Reducing Defensive Medicine Behaviors: A Multi-Method Study.
Med J Islam Repub Iran
July 2024
Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Background: Defensive medicine (DM) refers to taking or not taking clinical actions, mainly to prevent legal or reputational consequences. It increases patient and health system costs and threatens patient safety. This study aimed to provide policy options to reduce DM behaviors and was conducted in two phases.
View Article and Find Full Text PDFPsychological, physical, and professional impact on second victims in veterinary anaesthesia: a cross-sectional international survey - Part 1.
Vet Anaesth Analg
October 2024
School of Veterinary Sciences, The University of Queensland, Gatton, QLD, Australia.
Objective: To investigate the psychological, physical and professional impact of veterinary patient safety incidents (PSIs) on veterinary anaesthesia professionals.
Study Design: We conducted an observational cross-sectional survey, inviting veterinary anaesthesiologists, anaesthesiologists in training and veterinary nurses/technicians through social media platforms from 2 June 2023 to 20 September, 2023. The questionnaire was based on Second Victim Experience and Support Survey (SVEST) and analysed using descriptive statistics and subscale scoring to assess psychological, physical and professional impacts.
[Intensive care and emergency medicine overuse and sustainability].
Med Klin Intensivmed Notfmed
December 2024
Klinik für Pneumologie und Beatmungsmedizin, Thoraxklinik Heidelberg, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
This review examines the issue of overtreatment and overdiagnosis in the context of intensive care and emergency medicine and its relationship to sustainability. It shows that the intensive use of resources, both human and technology, is often associated with risks of overuse, especially in critical medical situations. More diagnostic and therapeutic measures are often taken than necessary, leading to both stress for the patient and a high consumption of resources.
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