Best Practices: Are we actually doing them? Should we even bother?

This week, NPR posted an interesting segment titled, “Why Many Doctors Don’t Follow Best Practices”, about why some physicians don’t follow nationally-recognized guidelines despite rigorous research and studies. The segment refers to research by Dr. Catherine Chen from UCSF about preoperative testing for medical clearance in Medicare patients undergoing cataract surgery. Despite studies showing preoperative testing does not decrease adverse events or improve outcomes, her study in this month’s NEJM showed that this practice was still occurring frequently and seemed to be based on physician practice patterns rather than patient characteristics. Should we all follow “best practices”? Or we not taking into account other factors that may not be addressed in these best practices? Check out NPR’s segment by clicking on the link and listening to the segment below!

http://www.npr.org/v2/?i=401258904&m=401540588&t=audio

Why Many Doctors Don’t Follow Best Practices