BMJ in UK BMJ India BMJ Brazil BMJ in North America BMJ China

Experts make the case for ending routine blood tests

Experts make the case for ending routine blood tests

The practice wastes money and can damage patient care, they warn

The practice of ordering routine blood tests (“routine bloods”) for patients attending hospital regardless of clinical need is wasteful and potentially damaging, argue experts in The BMJ this week.

Alastair Faulkner from Ninewells Hospital, Dundee and colleagues say the practice “may be acting as a psychological comfort blanket for clinicians, masking over-reliance on investigations or under-confidence in clinical judgement.”

They explain that although the UK spends less per capita on laboratory tests than other economically developed nations, there is “growing evidence of the extent of unwarranted variation in spending by NHS acute hospitals” and “it is at least possible that overuse of blood tests is an important source of such variation.”

They acknowledge that blood tests remain important diagnostic tools, but argue that “fear of missing important clinical details and the potential for subsequent litigation are intuitively drivers for unnecessarily ordering tests.”

Clinicians need to rethink what counts as “routine,” they write. When it comes to the ordering laboratory tests there should be nothing “routine” about decision making which can impact both patient care and NHS finances.

“As clinicians, we have a duty to lead culture change as effective stewards of clinical resources, who are capable of playing an active part in the long term sustainability of our health service. For an NHS in the current political and economic climate, the stakes could not be higher,” they conclude.

[Ends]

Note to Editors
Opinion: Should we abandon routine blood tests?

http://blogs.bmj.com/bmj/2017/04/26/should-we-abandon-routine-blood-tests

 

BMJ IN THE NEWS

Latest coverage of BMJ in the national and international media

VISIT BMJ IN THE NEWS

JOIN OUR MEDIA LIST

If you are a journalist who would like to receive BMJ Press Releases, please supply your details to Gorkana

CONTACT GORKANA

OUR LATEST COMPANY NEWS

Find out about BMJ's latest product developments and company information.

Subscribe to the newsletter