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clinical procedure

Management: - choose wisely - eliminate unnecessary tests & procedures [1,2] - creating a medical procedure service [3]

Related

procedural anxiety

Specific

'diagnostic meal 6 minute walk abortion acoustic reflex testing actigraphy acupressure acupuncture administrative procedure airway clearance airway resistance ambulatory blood pressure monitoring (ABPM) ambulatory esophageal pH testing analgesia anatomic pathology procedure anesthesia anorectal manometry anoscopy antigen desensitization; allergen immunotherapy anxiolysis (anxiolytic therapy) Apgar score apheresis apnea test arterial puncture aspiration (procedure) assessment of pain; assessment of pain in patients with dementia auscultation autonomic testing autopsy ballistocardiography balloon expulsion test balloon tamponade bedrest behavioral technique/intervention Bernstein test blood donation blood transfusion bottle feeding bowel preparation (whole bowel irrigation, bowel evacuation) breast examination bronchodilator responsiveness caffeine halothane contracture test (CHCT) cancer treatment capillary fragility test; tourniquet test capnography (capnometry) car seat/bed testing for airway integrity cardiac (ECG) monitor cardiac output cardiac stress testing cardiopulmonary resuscitation (CPR) cardioversion catheter-directed thromboembolism catheterization cervical ripening cervical spine (C-spine) clearance cervicography chemonucleolysis chiropractic/osteopathic manipulation chorionic villus sampling cisternal/lateral cervical puncture classical conditioning clinical allergy/immunology procedure clinical cardiovascular procedure clinical gastroenterology procedure clinical microbiology procedure clinical neurology procedure clinical perfusion clinical pulmonary procedure clinical specialty test Clinical Test for Sensory Interaction on Balance cognitive assessment compression computer-assisted diagnosis contact tracing continuous arteriovenous hemofiltration (CAVH) continuous venovenous hemofiltration (CVVH) contraception control of hemorrhage convection-enhanced delivery cordocentesis; percutaneous umbilical blood sampling corneal topography coronary flow reserve (CFR) counterstimulation culdoscopy dark adaptation threshold decompression deferoxamine infusion test deflation of balloon dermoscopy describe, investigate, create, evaluate (DICE) detoxification developmental assessment diagnostic procedure diascopy diathermy digital rectal examination (DRE) disimpactation disinfection dispense displacement therapy Proetz type DNA isolation dynamic posturography ear wax removal ejection fraction (EF) electrical stimulation electrocoagulation electroconvulsive therapy (ECT) electroejaculation electrogastrography electrolysis electromagnetic therapy electronystagmography (ENG) electrophysiologic measurement elevation of head of bed endoscopy endotracheal extubation endotracheal intubation enema epilation (depilation) ergometry esophageal procedure evoked otoacoustic emission evoked potential (EP) examination exercise protocol exercise test for bronchospasm extracorporeal shockwave therapy (ESWT) eye occlusion therapy fecal transplantation fertility treatment filtered speech test first aid fitting of device fluid irrigation fluid resuscitation fractional flow reserve (FFR) fractional radiofrequency microneedling Fukuda stepping test gastric antral-duodenal manometry gastric saline load test gastric suction gastrointestinal decontamination gastrointestinal intubation gonadotropin inhibition gonioscopy growth hormone reserve test hair follicle stimulation hair pluck test health questionnaire hearing evaluation hemoperfusion Hess test; Rumpel-Leede test; tourniquet test history & physical (H&P) hydrostatic reduction hyperalimentation hypnosis hypodermoclysis hypoxia altitude simulation test (HAST) immobilization immunization (vaccination) immunostaining implantation incision induced abortion; medical abortion induced hypothermia; targetted temperature management induction of labor infection control inflation of balloon infusion injection inoculation insertion of device insertion of substance inspection inspiratory muscle training (IMT) instillation insufflation insulin challenge test (Hollander test) interventional radiology intrauterine device procedure iontophoresis ischemic limb exercise test joint aspiration (arthrocentesis) kangaroo care kinetic red target testing KOH preparation Kohlman Evaluation of Living Skills (KELS) lactose breath hydrogen test laryngeal function study laser resurfacing of skin lidocaine test limb elevation; elevation of extremity litholapaxy lithotripsy local nerve block low-intensity alternating electric field (AEF) lumbar spinal puncture (LP, Quincke puncture, spinal tap, rachicentesis, rachiocentesis) magnetic seizure therapy maintenance of device malingering/Hoover test maneuver manipulation measurement of ocular deviation mechanical ventilation (assisted ventilation) medical chart documentation medical photography medical record review medical therapy; therapeutic intervention monitoring myocardial viability study nail trimming narcoanalysis (narcosynthesis) nasal balloon autoinflation (Otovent) nerve agent pretreatment nerve fiber teasing nerve teasing neurolytic block neuromuscular junction testing neurostimulation (nerve stimulation) nipple aspirate test nocturnal penile tumescence noninvasive vascular diagnostic study nutritional therapy nystagmus testing ocular photoscreening ophthalmodynamometry ophthalmoscopy optometry (eye examination) oscillating tracking test otoscopy oximetry P300 scalp-recorded potential; event-related potential (ERP) paracentesis patient reassurance pelvic examination perfusion scan phlebotomy phonophoresis phototherapy physical examination technique piercing plasma volume expansion platelet-rich plasma therapy plethysmography potassium stimulation test predictive assay preoperative ophthalmologic tests pressure procedural clearance procedure used to obtain tumor specimen prognostic assay prolotherapy prophylaxis (prevention, ppx) protease inhibitor enhancement protocol for oral desensitization to beta lactam antibiotics provocative clinical test pulmonary function test (PFT) pulse-volume recording Queckenstedt test (Queckenstedt sign) rectal balloon expulsion test rectal sensation, tone & compliance test referral remote ischemic conditioning renal nerve ablation; renal sympathetic denervation renal replacement therapy replacement of device rescue breathing restraint resuscitation reversal of drug effect revision of device rhinomanometry risk assessment round spermatid nucleus injection (ROSNI) screening sedation Seidel test sentinel lymph node procedure sequential organ failure assessment (SOFA, quick or qSOFA) short increment sensitivity index sinusoidal vertical-axis rotation test; sinusoidal harmonic acceleration test skin testing sleep test Sleepwell (YAWNS-1, YAWNS-2) smoking cessation somatosensory testing speculoscopy speech therapy spontaneous breathing trial (SBT) staging of disease staining sterile technique stool transplantation storage stroke volume stroke volume index (SVI) surgery surgical pathology swallowing study symptom assessment taste stimulus thermography; temperature gradient studies thermotherapy thoracentesis (pleuracentesis, pleurocentesis, pleural tap, transthoracic needle aspiration ,thoracocentesis) thrombolytic therapy thyroid suppression test tilt table testing tissue biopsy toilet training tonography tonometry traction transcranial magnetic stimulation (TMS, rTMS) transillumination transvaginal biomechanical mapping tuning fork test tympanocentesis tympanography tympanometry umbilical cord clamping unnecessary clinical procedure urinary acidification urinary alkalinization (alkaline diuresis) urodynamic testing uterine artery embolization venipuncture venous sampling ventilation weaning vestibular function test vestibulo-ocular reflex; sinusoidal vertical axis rotational testing viscosupplementation vision therapy; orthoptic training; pleoptic training water deprivation test water load test wet mount Wide-Range Achievement Test (WRAT) wound assessment wound care

General

procedure

References

  1. Five Things Physicians and Patients Should Question Five recommendations from each of 17 specialties. http://www.choosingwisely.org/wp-content/uploads/2013/02/Choosing-Wisely-Master-List.pdf
  2. Choosing Wisely. An initiative of the ABIM Foundation. http://www.choosingwisely.org/doctor-patient-lists/
  3. Buell KG et al. Creation of a medical procedure service in a tertiary medical center: Blueprint and procedural outcomes. J Hosp Med 2022 Aug; 17:594. PMID: 35797494 https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.12901