Diagnostic Accuracy: The Wellspring of EBVM Success, and How We Can Improve It

David Mills MA, VetMB, CertAVP(VC), MRCVS^1*

¹RSPCA, Putney Animal Hospital, 6 Clarendon Dr, London, SW15 1AA
^*Corresponding Author (dmills@rvc.ac.uk)

Therapy and prognosis are entailed by the diagnosis: the holistic success of the EBVM approach therefore firmly and critically rests on diagnostic accuracy. Unfortunately, medical professionals do not appear to be very accurate with diagnoses. In human medicine, there is 30-50% discordance reported between doctors’ ante- (presumptive) and post-mortem (definitive) diagnoses, with no significant change in the last 100 years (Goldberg et al 2002). Veterinary surgeons do not perform much better, although it is a chronically under-researched area. This talk looks at how vets and vet nurses can maximise their impact on clinical performance.

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