In reply: As Murray notes, appropriate test ordering belongs firmly in the domain of quality care and clinical accountability. In his seminal article on clinical leadership of healthcare system improvement, Berwick lists appropriate use of testing and therapy as the first challenge facing people who wish to improve healthcare systems in the developed world.1
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Correspondence:
- 1. Berwick DM. Eleven worthy aims for clinical leadership of health system reform. JAMA 1994; 272: 797-802.
- 2. Stuart PJ, Crooks S, Porton M. An interventional program for diagnostic testing in the emergency department. Med J Aust 2002; 177: 131-134. <eMJA full text>
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