defensive medicine

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de·fen·sive med·i·cine

diagnostic or therapeutic measures conducted primarily as a safeguard against possible subsequent malpractice liability.
A style of patient management consisting of objective measures taken to document clinical judgement to anticipate the possibility of a future lawsuit.

defensive medicine

A style of Pt management defined as those '…objective measures taken to document clinical judgement in case there is a lawsuit–costing ± $7 billion/yr US…'; DM is designed to minimize lawsuits and includes such 'devices' as
Defensive medicine
Informed consent A document to indicate Ps understanding of the intended outcome and potential risks of a procedure
Documentation Formal paperwork generated by a physician that justifies his reasoning for managing a Pt, which may be viewed as being'unreasonably excessive'
Medical workup Over-ordering of diagnostic tests to rule out 'zebras'–unusual diseases that are not seriously considered as diagnoses, which may rarely be seen in similar circumstances–a form of highly prevalent CYA–cover your ass mentality.
DM is virtually a standard of practice in the US; its financial impact is difficult to quantify, and is to ± ↑ the cost of US health care by 20-40% Note: The disadvantage of providing a list of potential complications–each of which may be extremely rare may overwhelm the Pt, causing him to forego a needed procedure, resulting in 'misinformed consent' This highly colloquial and vulgar abbreviation is commonly used at all levels of medical practice and training, and has appeared in at least one major medical journal; 'CYA', ie diagnostic 'overkill', has a mystical overtone, as the physician may be advised to 'CYA' to ward off the evil humors of litigation; DM is practiced by ± 84% of US physicians, in order to protect themselves from potential malpractice-related lawsuits AMN 25/5/92 p3 in the US, anything less than a perfect outcome is unacceptable to a consumer, for whom the threshold for litigation appears to ↓ as medical technology ↑, despite the known risks for certain procedures 

de·fen·sive med·i·cine

(dĕ-fen'siv med'i-sin)
Diagnostic or therapeutic measures conducted primarily as a safeguard against possible subsequent malpractice liability.

defensive medicine

Medical practice in which actions, or the avoidance of actions, are importantly determined by fear of litigation. The term is relative and ranges from a decision to perform a few more tests than might strictly be necessary to a form of practice in which the first concern of the doctor is to provide his or her patients with no possible grounds for legal action. Defensive medicine is damaging both to doctors and to patients and is only partly due to the actions of ambulance-chasing lawyers who actively encourage law suites against doctors. It is also a product of public perception of the actions of a minority of practitioners for whom financial reward is the primary motive.

de·fen·sive med·i·cine

(dĕ-fen'siv med'i-sin)
Diagnostic or therapeutic measures conducted primarily as a safeguard against possible subsequent malpractice liability.
References in periodicals archive ?
26) A medical workup was more commonly recommended by veterinarians and recollected by owners of feather-picking birds than in birds with other behavior problems.
29) Veterinary recommendations for chronic egg laying most commonly included a medical workup, hormonal therapy, and housing and nutritional changes.
Veterinary recommendations for aggression and screaming included a medical workup about 50% of the time, with enrichment, housing changes, and behavior modification and training more commonly used.
Before a diagnosis of conversion disorder can be made, a thorough medical workup must be done to search for organic causes for the signs and symptoms.
Thies recommends that providers suggest a medical workup to any family members or potential residents who are concerned about Alzheimer's based on the test.
It should be done early to let the couple know if they need to make any adjustments to enhance sperm count and to avoid what might be an unnecessary extensive medical workup for the woman.
Obviously, multiple factors influence medical workup and treatment decisions.
A literature review in the Canadian Journal of Psychiatry found that 30% of emergency department patients who presented with chest pain and had a medical workup for coronary artery disease were diagnosed with a panic disorder.
Recipients must have had a preliminary medical workup, be covered by health insurance, be unable to afford assisted reproductive therapies and be in a position to provide an optimal environment for a child.
Genetic testing is on a rapid acceptance curve in Japan and is becoming an important component of a patient's standard medical workup.
There is a perception that boys rarely get eating disorders," said Peebles, "and many boys undergo pretty extensive medical workups for other conditions, like gastric problems or brain tumors, before their physicians hit on the right diagnosis.

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