Todd H. Goldberg, MD
To the Editors: Macpherson and colleagues (1) question why routine preoperative screening tests often seem to be ordered unnecessarily and suggest that the ordering physicians might not be familiar with the principles of screening or could be ordering extra tests for legal reasons. Their suggestion assumes that the tests are being ordered intentionally and voluntarily.
In fact, I have recently found that another common reason for ordering preoperative tests of dubious necessity is inflexible hospital policy that does not give the individual clinician a choice to exercise selective judgment. In several recent instances when patients have presented for "preoperative medical
Goldberg TH. Unnecessary Preoperative Tests: The Hospital's Role. Ann Intern Med. ;114:432. doi: 10.7326/0003-4819-114-5-432_1
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Published: Ann Intern Med. 1991;114(5):432.
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