're exploring a patient and then you realize that you need a CAT scan. Just scan and, when you go to take the wheel to order, stand in dry and you ask your assistant:
- How many TAC took orders and today? -Con
make it five.
Then you stop and you're thinking of a semi-conscious if you were to ask TAC was really necessary.
Some colleagues and I, all in the first years of our exercise, we have called this situation "the fifth TAC syndrome," which is a feeling of responsibility for resource consumption happens to have stated many times the same Additional testing in different patients over a single day.
The more expensive the test is requested, before you start to suffer the syndrome of the fifth TAC regarding blood tests, hardly begin to suffer before asking the tenth, when we talk about MRIs, the feeling will start from the third order.
Physicians are educated on the limitations of the health system resources: the budget is finite and therefore must be used rationally. Okay we know this. But this does not mean that no additional test is prescribed to those who really need it. Prescription responsible
well understood means not request testing for those who do not need them, but that is very different to consider the need for a study on those where indicated.
may seem obvious, it is easy to fall into the trap TAC fifth syndrome and skimp on what is needed, especially beginners like us. Fortunately, my colleagues and I have found this feeling conscious, and we ask that fifth TAC as indicated, without thinking about how many times you've already applied that test during the day.
Photo: A fake head and neck CT.
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