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Related Experiment Video

Updated: Jun 3, 2026

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique
06:11

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Published on: May 2, 2025

Preoperative tests: an Irish perspective.

C Flynn1, T Moran, A J Cunningham

  • 1National University of Ireland, Galway, Ireland.

Irish Journal of Medical Science
|April 8, 2011
PubMed
Summary
This summary is machine-generated.

Hospital doctors in Ireland frequently order unnecessary preoperative tests, often influenced by consultants rather than medical training. Cost was not a factor in these decisions, indicating a need for practice review.

Related Experiment Videos

Last Updated: Jun 3, 2026

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique
06:11

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique

Published on: May 2, 2025

Area of Science:

  • Medical Practice
  • Healthcare Management
  • Clinical Decision-Making

Background:

  • Overuse and unexplained variation in preoperative testing is a documented international issue.
  • Investigating this practice in Irish hospitals is crucial for understanding local healthcare trends.

Purpose of the Study:

  • To determine if hospital doctors in Ireland order excessive and unnecessary preoperative tests.
  • To analyze the motivations behind doctors' decisions to order these investigations.

Main Methods:

  • A simulated patient case study approach was used, based on National Institute for Clinical Excellence guidelines.
  • Doctors in two university teaching hospitals were presented with cases and asked to identify appropriate investigations.

Main Results:

  • Forty-four percent of interns cited consultant influence as a reason for ordering tests.
  • Only 24% of interns attributed test ordering to their medical training.
  • No interns reported cost as a factor in their decision-making for preoperative tests.

Conclusions:

  • The study confirms that overuse and unexplained variation in preoperative testing, a known international issue, is also prevalent in Ireland.
  • Findings suggest that hierarchical influences and training may play a significant role in test ordering practices among junior doctors.