Guidelines to reduce x ray examinations in accident departments

doi:10.1136/bmj.311.7000.329b

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R D Hardern,
D W Harmer

Senior registrar Consultant Accident and Emergency, General Infirmary, Leeds LS1 3EX

Implementing guidelines may not improve outcome for patients

EDITOR,--Eugene McNally and colleagues report the effect of introducing guidelines on when to request radiographs for certain conditions presenting in an accident department.1 Two aspects of this paper merit discussion. Firstly, the outcome measured and the data presented do not seem to support the conclusions. Secondly, one should not infer that use of the posters containing the …