Dr. Lin is an attending emergency physician and a fellow in the Division of Health Policy Research and Translation in the Department of Emergency Medicine, Brigham and Women’s Hospital in Boston. She also serves as an instructor at Harvard Medical School.
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ACEP Now: Vol 33 – No 05 – May 2014
Dr. Schuur is vice chair of quality and safety and chief of the Division of Health Policy Research and Translation in the Department of Emergency Medicine, Brigham & Women’s Hospital in Boston. He also serves as assistant professor at Harvard Medical School.
References
- Quick A. The development and use of the prothrombin tests. Circ. 1959;19:92-96.
- Kitchens CS. To bleed or not to bleed? Is that the question for the PTT? J Thromb Haemost. 2005;3:2607-2611.
- McKinley L, Wrenn K. Are baseline prothrombin time/partial thromboplastin time values necessary before instituting anticoagulation? Ann Emerg Med. 1993;22:697-702.
- National Hospital Ambulatory Medical Care Survey: 2010 Emergency Department Summary Tables. Centers for Disease Control and Prevention. Available at: www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2010_ed_web_tables.pdf. Accessed April 21, 2014.
- LMRP Cross Reference Listing with Medicare Fee Schedule Pricing July 2013. Consolidated Laboratory Services: St. Vincent’s Health Care. Available at: www.conlabs.com/files/documents/ Common%20Name%20Chart%20with%20Medicare%20Fees%202013.pdf. Accessed April 21, 2014.
- PTT and PT Costs. Health Care Blue Book. Available at: https://www.healthcarebluebook.com/page_Default.aspx. Accessed March 13, 2014.
- Schwartz D. Utility of routine coagulation studies in emergency department patients with suspected acute coronary syndromes. Isr Med Assoc J. 2005;7:502-506.
- Kochert E, Goldhahn L, Hughes I, et al. Cost-effectiveness of routine coagulation testing in the evaluation of chest pain in the ED. Am J Emerg Med. 2012;30:2034-2038.
- Segal JB, Dzik WH, Network TMCT. Paucity of studies to support that abnormal coagulation test results predict bleeding in the setting of invasive procedures: an evidence-based review. Transfusion. 2005;45:1413-1425.
- Karas SJ, Cantrill SV, eds. Cost-Effective Diagnostic Testing in Emergency Medicine: Guidelines for Appropriate Utilization of Clinical Laboratory and Radiology Studies. 2nd ed. Dallas, Tex: American College of Emergency Physicians; 2000.
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One Response to “What Emergency Physicians Can Do to Reduce Unnecessary Coagulation Testing in Patients with Chest Pain”
May 23, 2016
Kevin Mickelson MD FACEPWow, thought that practice was gone 15 years ago…nice to see Harvard catching up…